Breslow M J, Tobin J R, Mandrell T D, Racusen L C, Raff H, Traystman R J
Department of Anesthesiology/Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205.
Am J Physiol. 1990 Sep;259(3 Pt 2):H681-8. doi: 10.1152/ajpheart.1990.259.3.H681.
Prior attempts to study adrenal medullary O2 metabolism during catecholamine secretion have been unsuccessful because venous blood from medulla mixes with venous blood from the much larger cortex. To circumvent this problem, eight adult mongrel dogs were pretreated for 5-6 wk with the adrenocorticolytic agent 1,1-dichloro-2-(o-chlorophenyl)-2-(p-chlorophenyl)ethane (o,p'-DDD). Prednisolone (5 mg/day) and fludrocortisone (0.1 mg.10 kg-1.day-1) were administered orally to prevent adrenocortical insufficiency. Animals were then anesthetized with pentobarbital sodium and subjected to splanchnic nerve stimulation (NS) at 20 and 4 Hz to elicit catecholamine secretion. NS at 20 Hz increased epinephrine secretion from 1.6 +/- 0.7 to 1,780 +/- 762 ng.min-1.g medulla-1 but had no effect on medullary O2 consumption. Medullary blood flow (MQ) increased from 216 +/- 63 to 1,522 +/- 182 ml.min-1.100 g-1, and O2 extraction decreased from 2.7 +/- 0.7 to 0.8 +/- 0.2%. NS at 4 Hz increased epinephrine secretion from 3.1 +/- 1.4 to 76 +/- 17 ng.min-1.g medulla-1 and MQ from 226 +/- 66 to 649 +/- 122 ml.min-1.100 g-1 but had no effect on adrenal O2 consumption or extraction. Cortical blood flow was 342 +/- 98 ml.min-1.100 g-1 at baseline and was unaffected by NS. Gross weight of cortex was reduced by 80% in o,p'-DDD-treated animals, and histological examination of glands from three animals showed only rare islands of glomerulosa cells remaining. These data suggest that increases in MQ during NS do not occur in response to changes in O2 consumption.
此前在儿茶酚胺分泌过程中研究肾上腺髓质氧代谢的尝试均未成功,因为来自髓质的静脉血与来自大得多的皮质的静脉血混合在一起。为了规避这个问题,8只成年杂种犬用肾上腺皮质溶解剂1,1 - 二氯 - 2 -(邻氯苯基)- 2 -(对氯苯基)乙烷(邻,对'-滴滴滴)进行了5 - 6周的预处理。口服泼尼松龙(5毫克/天)和氟氢可的松(0.1毫克·10千克-1·天-1)以预防肾上腺皮质功能不全。然后用戊巴比妥钠麻醉动物,并以20和4赫兹的频率进行内脏神经刺激(NS)以引发儿茶酚胺分泌。20赫兹的NS使肾上腺素分泌从1.6±0.7增加到1780±762纳克·分钟-1·克髓质-1,但对髓质氧消耗没有影响。髓质血流量(MQ)从216±63增加到1522±182毫升·分钟-1·100克-1,氧提取率从2.7±0.7降低到0.8±0.2%。4赫兹的NS使肾上腺素分泌从3.1±1.4增加到76±17纳克·分钟-1·克髓质-1,MQ从226±66增加到649±122毫升·分钟-1·100克-1,但对肾上腺氧消耗或提取没有影响。皮质血流量在基线时为342±98毫升·分钟-1·100克-1,不受NS影响。在邻,对'-滴滴滴处理的动物中,皮质总重量减少了80%,对三只动物的腺体进行组织学检查发现仅残留极少的球状带细胞岛。这些数据表明,NS期间MQ的增加并非因氧消耗的变化而发生。