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非人灵长类动物头颈部和脑循环中的肾上腺素能机制。

Adrenergic mechanisms in the cephalic and cerebral circulations of the subhuman primate.

作者信息

Hobson R W, Wright C B, Lamoy R E

出版信息

Surgery. 1975 Feb;77(2):304-10.

PMID:236602
Abstract

Effects of circulating adrenergic amines on the cerebral circulation remain contraversial. Common carotid (CCF) and internal carotid (ICF) arterial flows were determined electromagnetically in eight lightly anesthetized baboons to evaluate alterations in the cephalic and cerebral vascular beds, respectively. Epinephrine (E), norepinephrine (NE), phenylephrine (PE), and isoproterenol (I) were injected randomly in doses of 10-3, 10-2, 10-1, and 1 mug (base) per kilogram into each carotid artery. Measurements were repeated in four animals after alpha-adrenergic blockade with phenoxybenzamine and in another four animals after beta-adrenergic blockade with propranolol. Baseline CCF was 75 plus or minus 10 (S.E.M.) ml. per minute and ICF was 58 plus or minus 8 ml. per minute. Significant (p smaller than 0.05) CCF changes without arterial pressure alterations occurred with 10-1 mug per kilogram doses. Alpha blockade significantly (p smaller than 0.05) attenuated the effects of E, NE, and PE on CCF while beta blockade significantly (p smaller than 0.05) attenuated the effect of I on CCF. ICF did not change significantly (p greater than 0.05) after injection of any of the vasoactive amines, unless associated with pressure changes at the highest dose. Our data suggest the presence of alpha- and beta-adrenergic receptor sites within the cephalic circulation resulting in significant flow responses to intra-arterial adrenergic amines. The absence of responses in the cerebral circulation suggests that circulating catecholamines do not significantly influence or regulate the cerebral vasculature. In addition the data suggest that use of adrenergic agonists to alter the hemodynamics of the cerebral circulation is limited.

摘要

循环肾上腺素能胺对脑循环的影响仍存在争议。通过电磁法测定了八只轻度麻醉狒狒的颈总动脉(CCF)和颈内动脉(ICF)血流,以分别评估头部和脑血管床的变化。将肾上腺素(E)、去甲肾上腺素(NE)、苯肾上腺素(PE)和异丙肾上腺素(I)以每千克10-3、10-2、10-1和1微克(碱基)的剂量随机注入每条颈动脉。在用苯氧苄胺进行α-肾上腺素能阻断后,对四只动物重复测量;在用普萘洛尔进行β-肾上腺素能阻断后,对另外四只动物重复测量。基线CCF为每分钟75±10(标准误)毫升,ICF为每分钟58±8毫升。每千克10-1微克剂量时,在动脉压无改变的情况下,CCF发生了显著(p<0.05)变化。α阻断显著(p<0.05)减弱了E、NE和PE对CCF的作用,而β阻断显著(p<0.05)减弱了I对CCF的作用。注射任何一种血管活性胺后,ICF均无显著变化(p>0.05),除非在最高剂量时伴有压力变化。我们的数据表明,头部循环中存在α和β肾上腺素能受体位点,导致对动脉内肾上腺素能胺产生显著的血流反应。脑循环中无反应表明,循环儿茶酚胺对脑血管系统没有显著影响或调节作用。此外,数据表明,使用肾上腺素能激动剂改变脑循环血流动力学的作用有限。

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