Valenzuela G J, Kim S
Department of Obstetrics and Gynecology, Loma Linda University, California 92350.
Am J Physiol. 1990 May;258(5 Pt 2):H1317-20. doi: 10.1152/ajpheart.1990.258.5.H1317.
The purpose of the present study was to assess whether acute estrogen administration decreased the lymphatic vessel's "pumping" ability. An additional goal was to assess whether estrogen affected the capillary filtration (used here as the total transfer of fluid and protein across the capillaries evidenced by the thoracic duct lymph flow rate). We reasoned that if estrogen administration decreases the lymph pumping ability against outflow pressure, then this phenomenon could help to explain the interstitial fluid retention seen during chronic estrogen. In six nonpregnant ewes we studied the thoracic lymph flow rate measured at different outflow pressures, before and after the acute administration of 50 mg of Premarin (conjugated estrogenic hormones). We also continuously determined arterial and venous pressures and heart rate. The arterial pressure declined from a mean of 99 +/- 0.33 (SE) mmHg to 95.4 +/- 0.2 mmHg (P less than 0.05) after the administration of estrogen. Heart rate increased from 88.5 +/- 0.8 to 111.3 +/- 1.2 beats/min (P less than 0.01). Venous pressure, plasma and lymph protein concentrations, and hematocrit did not change significantly (P greater than 0.1). Lymph flow rate declined progressively when measured against positive outflow pressure, whereas it remained stable when measured against negative pressure. Lymph flow rate during negative outflow pressure was higher after the administration of estrogen 0.044 +/- 0.002 vs. 0.032 +/- 0.002 ml.min-1.kg-1 for the control period (P less than 0.05). The calculated outflow pressure at which lymph flow rate became zero was similar for the period before or after the estrogen administration (P greater than 0.1).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究的目的是评估急性给予雌激素是否会降低淋巴管的“泵吸”能力。另一个目标是评估雌激素是否会影响毛细血管滤过(这里将其用作通过胸导管淋巴流速证明的液体和蛋白质在毛细血管间的总转移)。我们推断,如果给予雌激素会降低淋巴管抵抗流出压力的泵吸能力,那么这种现象可能有助于解释长期使用雌激素期间出现的间质液潴留。在6只未怀孕的母羊中,我们研究了在急性给予50mg倍美力(结合雌激素)前后,在不同流出压力下测量的胸淋巴流速。我们还持续测定动脉压、静脉压和心率。给予雌激素后,动脉压从平均99±0.33(标准误)mmHg降至95.4±0.2mmHg(P<0.05)。心率从88.5±0.8次/分钟增加到111.3±1.2次/分钟(P<0.01)。静脉压、血浆和淋巴蛋白浓度以及血细胞比容没有显著变化(P>0.1)。当测量抵抗正流出压力时,淋巴流速逐渐下降,而当测量抵抗负压力时,淋巴流速保持稳定。给予雌激素后,负流出压力期间的淋巴流速更高,对照期为0.032±0.002ml·min-1·kg-1,给予雌激素后为0.044±0.002ml·min-1·kg-1(P<0.05)。雌激素给药前后,淋巴流速变为零的计算流出压力相似(P>0.1)。(摘要截断于250字)