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血清素、组胺和血栓素A2在兔血小板诱导的冠状动脉和主动脉收缩中的作用。

Role of serotonin, histamine, and thromboxane A2 in platelet-induced contractions of coronary arteries and aortae from rabbits.

作者信息

Awano K, Yokoyama M, Fukuzaki H

机构信息

First Department of Internal Medicine, Kobe University School of Medicine, Japan.

出版信息

J Cardiovasc Pharmacol. 1989 May;13(5):781-92.

PMID:2472528
Abstract

The present study was undertaken to clarify the underlying mechanisms responsible for contractions of isolated coronary arteries and aortae from rabbits in response to thrombin-stimulated autologous platelets. Thrombin-stimulated platelets evoked potent contractions of both arteries in a platelet concentration-related manner. Pretreatment of platelets with aspirin, which almost completely inhibited thromboxane A2 synthesis but not the release reaction of biologic monoamines from platelets, caused only slight suppression of platelet-induced contractions of both arteries. Ketanserin as well as methysergide markedly inhibited aortic contractions to platelets. In contrast, the contractile responses of coronary arteries to platelets were suppressed by methysergide but not by ketanserin. Pretreatment of the arteries with diphenhydramine did not inhibit the aortic responses to platelets, but significantly suppressed coronary arterial contractions induced by higher concentrations of platelets. Phentolamine had no inhibitory effects on the responses of either artery to platelets. Pretreatment of arteries with aspirin did not affect the contractile responses of either artery to platelets. The contractile responses of aortae to exogenously administered serotonin were competitively antagonized by ketanserin, but those of coronary arteries were not. Coronary contractions to serotonin were competitively inhibited by methiothepin and significantly suppressed by methysergide. The contractile responses of both arteries to histamine were antagonized by diphenhydramine but not by cimetidine. On the basis of our results obtained from studies in organ chamber, we conclude that a major role of thromboxane A2 was not demonstrated in platelet-induced contractions of the arteries, and that those of aortae were mainly mediated by platelet-derived serotonin at S2 receptor and those of coronary arteries at S1-like receptor. The contractions of coronary arteries in responses to higher concentrations of platelets were partly mediated by histamine at H1 receptor.

摘要

本研究旨在阐明兔离体冠状动脉和主动脉对凝血酶刺激的自体血小板产生收缩反应的潜在机制。凝血酶刺激的血小板以与血小板浓度相关的方式引起两条动脉的强烈收缩。用阿司匹林预处理血小板,阿司匹林几乎完全抑制血栓素A2的合成,但不抑制血小板生物单胺的释放反应,仅轻微抑制血小板诱导的两条动脉的收缩。酮色林以及麦角新碱显著抑制主动脉对血小板的收缩。相比之下,麦角新碱抑制冠状动脉对血小板的收缩反应,但酮色林无此作用。用苯海拉明预处理动脉不抑制主动脉对血小板的反应,但显著抑制较高浓度血小板诱导的冠状动脉收缩。酚妥拉明对两条动脉对血小板的反应均无抑制作用。用阿司匹林预处理动脉不影响两条动脉对血小板的收缩反应。主动脉对外源性给予5-羟色胺的收缩反应被酮色林竞争性拮抗,但冠状动脉的收缩反应不受影响。冠状动脉对5-羟色胺的收缩反应被甲硫噻嗪竞争性抑制,并被麦角新碱显著抑制。两条动脉对组胺的收缩反应被苯海拉明拮抗,但不被西咪替丁拮抗。根据我们在器官浴槽实验中获得的结果,我们得出结论,在血小板诱导的动脉收缩中未证明血栓素A2起主要作用,主动脉的收缩主要由血小板衍生的5-羟色胺通过S2受体介导,冠状动脉的收缩主要由类似S1的受体介导。冠状动脉对较高浓度血小板的收缩反应部分由组胺通过H1受体介导。

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