Lüscher T F, Aarhus L L, Vanhoutte P M
Department of Physiology and Biophysics, Mayo Clinic, Rochester, Minnesota 55905.
Am J Hypertens. 1990 Jan;3(1):55-8. doi: 10.1093/ajh/3.1.55.
Impairment of endothelium-dependent relaxations may be of primary importance in hypertension, if this impairment were to occur in resistance arteries. Therefore, endothelium-dependent relaxations to acetylcholine were studied in the mesenteric resistance vessels of spontaneously hypertensive and Wistar-Kyoto rats. Rings with and without endothelium were suspended in a myograph filled with physiological salt solution at 37 degrees C and aerated with 95% O2/5% CO2; the isometric tension was recorded. Acetylcholine caused relaxations only in rings with endothelium. In the spontaneously hypertensive rat, relaxations were impaired and markedly biphasic with an early rapid relaxation followed by a secondary contraction. Indomethacin inhibited the secondary response and augmented the duration of the relaxations induced by acetylcholine in the arteries from spontaneously hypertensive rats. These findings suggest that the decreased endothelium-dependent relaxation to acetylcholine in mesenteric resistance vessels of the spontaneously hypertensive rat is due to the release of a constrictor prostanoid which partly offsets the response of the vascular smooth muscle to endothelium-derived relaxing factor(s).
如果内皮依赖性舒张功能障碍发生在阻力动脉,那么它可能在高血压的发生中起主要作用。因此,我们研究了自发性高血压大鼠和Wistar-Kyoto大鼠肠系膜阻力血管对乙酰胆碱的内皮依赖性舒张反应。将有内皮和无内皮的血管环悬挂于充满37℃生理盐溶液且以95% O₂/5% CO₂通气的肌动描记器中,记录等长张力。乙酰胆碱仅使有内皮的血管环产生舒张反应。在自发性高血压大鼠中,舒张功能受损且呈明显的双相性,早期快速舒张后接着出现继发性收缩。吲哚美辛抑制继发性反应并延长了自发性高血压大鼠动脉中乙酰胆碱诱导的舒张持续时间。这些发现提示,自发性高血压大鼠肠系膜阻力血管对乙酰胆碱的内皮依赖性舒张反应降低是由于一种缩血管前列腺素的释放,该前列腺素部分抵消了血管平滑肌对内皮源性舒张因子的反应。