Nursing School, Qiqihar Medical University, Heilongjiang, China.
Histol Histopathol. 2012 Jul;27(7):897-903. doi: 10.14670/HH-27.897.
PaCO(2) is an important factor in the regulation of cerebral circulation, and it is often used to reduce intracranial pressure through hyperventilation during neurosurgery. Changes in concentration can cause changes in CBF (cerebral blood flow). 20-HETE is a product of CYP4A-mediated AA (arachidonic acid) metabolism and is a powerful endogenous vasoconstrictor; however, its effect on cerebral vasoconstriction in cats, dogs and rats remains to be confirmed. It is known that changes in PaCO(2) can influence the expression of CYP4A in the rat brain, demonstrating the important role of 20-HETE in the mechanism of CO(2)-mediated cerebrovascular reactivity. Thirty healthy adult male Wistar rats that weighed between 200 g and 250 g were randomly divided into three groups (A, B, and C; n=10): group A, normocapnia (PaCO(2) was maintained at approximately 40-45 mmHg); group B, hypocapnia (PaCO(2) was maintained at approximately 20-25 mmHg); and group C, hypercapnia (PaCO(2) was maintained at approximately 60-65 mmHg). Physiological parameters, including HR (heart rate), MBP(mean blood pressure), PH and PaCO(2) were recorded every 30 min, and there were no significant hemodynamic or body temperature differences. The head was removed after 3.5 h to investigate brain CYP4A by immunohistochemistry. Relative to group A, group B exhibited the following changes: an increased pH, decreased PaCO(2), and increased brain CYP4A protein expression (P<0.05). In contrast, group C exhibited decreased PH, increased PaCO(2) and decreased CYP4A protein expression (P<0.05). CO(2) can decrease the expression of brain CYP4A during hypercapnia and increase its expression during hypocapnia.
动脉血二氧化碳分压(PaCO2)是调节脑循环的一个重要因素,神经外科手术时常通过过度通气来降低颅内压。浓度的变化会引起脑血流量(CBF)的改变。20-HETE 是 CYP4A 介导的 AA(花生四烯酸)代谢的产物,是一种强大的内源性血管收缩剂;然而,其在猫、狗和大鼠的脑血管收缩中的作用仍有待证实。已知 PaCO2 的变化会影响大鼠脑内 CYP4A 的表达,这表明 20-HETE 在 CO2 介导的脑血管反应性机制中具有重要作用。30 只健康成年雄性 Wistar 大鼠,体重 200-250g,随机分为三组(A、B 和 C;n=10):A 组,正常碳酸血症(PaCO2 维持在约 40-45mmHg);B 组,低碳酸血症(PaCO2 维持在约 20-25mmHg);C 组,高碳酸血症(PaCO2 维持在约 60-65mmHg)。每隔 30min 记录心率(HR)、平均动脉压(MBP)、pH 和 PaCO2 等生理参数,无明显血流动力学或体温差异。3.5h 后取出头部,通过免疫组化法研究脑 CYP4A。与 A 组相比,B 组 pH 值升高、PaCO2 降低、脑 CYP4A 蛋白表达增加(P<0.05);相反,C 组 pH 值降低、PaCO2 升高、CYP4A 蛋白表达降低(P<0.05)。CO2 在高碳酸血症时降低脑 CYP4A 的表达,在低碳酸血症时增加其表达。