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中度低氧、高碳酸血症和酸中毒对去脑大鼠中内皮素-1诱导的血流动力学变化的影响。

Effects of moderate hypoxia, hypercapnia and acidosis on haemodynamic changes induced by endothelin-1 in the pithed rat.

作者信息

MacLean M R, Randall M D, Hiley C R

机构信息

Department of Pharmacology, University of Cambridge.

出版信息

Br J Pharmacol. 1989 Nov;98(3):1055-65. doi: 10.1111/j.1476-5381.1989.tb14638.x.

DOI:10.1111/j.1476-5381.1989.tb14638.x
PMID:2511990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1854766/
Abstract
  1. Pithed rats were respired at a fixed rate of 54 cycles min-1 and with a ventilation volume of either 20 (control) or 10 ml kg-1. In these two preparations, the dose-response relationships for the systemic blood pressure responses to endothelin-1, administered i.v., were examined. Also, cardiac output, its distribution, tissue blood flows and vascular resistances were determined at both respiratory volumes in pithed rats given saline or during pressor responses to endothelin-1 (750 ng, i.v.). Finally, a comparison was made of the pressor responses to endothelin-1 in the blood perfused superior mesenteric arterial bed of pithed rats respired at 10 or 20 ml kg-1. 2. In control rats the systemic blood pressure responses to i.v. endothelin-1 were biphasic with an initial, transient (30 s) decrease in blood pressure followed by a well sustained pressor response. These responses were dose-dependent (the ED50 for the pressor response being 0.27 +/- 0.04 micrograms). The pressor effect of endothelin-1 was due to an increase in total peripheral resistance with no change in heart rate or cardiac output. This increased total peripheral resistance was due to vasoconstriction of the spleen, stomach, large intestine, small intestine and the pancreas/mesentery (in which it was most severe). Endothelin-1 also increased blood flow through the heart, lungs, liver, epididimides, fat and skin through redistribution of cardiac output to these vascular beds. 3. At the lower ventilation volume there was moderate acidosis, hypoxia and hypercapnia relative to those rats respired at 20 ml kg-1. With respiration at 10 ml kg-1, the pressor response to endothelin-1 was not sustained and, after oscillations in both blood pressure and heart rate, death occurred 15-20 min after administration. The pressor effect resulted from increases in cardiac output (due to increased stroke volume) and total peripheral resistance: the latter was caused by vasoconstriction in the stomach, small intestine, large intestine and pancreas/mesentery. Endothelin-1 increased blood flow through the heart, lungs, liver, kidneys, testes, fat and skin due to either an increase in cardiac output, redistribution of cardiac output or both. 4. Endothelin-1 induced dose-dependent pressor responses in the mesenteric bed in situ. At the lower ventilation volume the potency of endothelin-1 in this vascular bed was increased approximately two fold with the ED50 being 68 +/- 7 pmol compared to 113 +/- 15 pmol in the rats respired at 20 ml kg-1. 5. This study indicates that, in normoxic control pithed rats, the pressor response to endothelin-1 was due largely to vasoconstriction of the splanchnic vascular bed. In rats with moderate hypoxia, hypercapnia and acidosis, the pressor response was due to vasoconstriction of the gastrointestinal tract as well as an increase in cardiac output. Endothelin-1 induced profound vasoconstriction in the mesenteric bed of the pithed rat both in vivo and in situ. The potency of endothelin-1 on this bed in situ was doubled by lowering the ventilation volume. An increase in cardiac contractility and severe gastrointestinal vasoconstriction may be the initial events leading to the eventual toxic effect of endothelin-1 in the hypoxic pithed rat.
摘要
  1. 对脊髓横断大鼠以54次/分钟的固定频率进行呼吸,通气量分别为20(对照)或10 ml/kg。在这两种制备条件下,研究了静脉注射内皮素-1后全身血压反应的剂量-反应关系。此外,还测定了给予生理盐水的脊髓横断大鼠在两种呼吸量时的心输出量、其分布、组织血流量和血管阻力,以及对内皮素-1(750 ng,静脉注射)升压反应时的上述指标。最后,比较了呼吸量为10或20 ml/kg的脊髓横断大鼠血液灌流的肠系膜上动脉床对内皮素-1的升压反应。2. 在对照大鼠中,静脉注射内皮素-1后全身血压反应呈双相性,最初血压短暂(30秒)下降,随后是持续良好的升压反应。这些反应呈剂量依赖性(升压反应的半数有效剂量为0.27±0.04微克)。内皮素-1的升压作用是由于总外周阻力增加,心率和心输出量无变化。这种总外周阻力增加是由于脾脏、胃、大肠、小肠和胰腺/肠系膜(其中最为严重)的血管收缩。内皮素-1还通过将心输出量重新分配到这些血管床,增加了流经心脏、肺、肝脏、附睾、脂肪和皮肤的血流量。3. 与呼吸量为20 ml/kg的大鼠相比,较低通气量时存在中度酸中毒、低氧血症和高碳酸血症。呼吸量为10 ml/kg时,对内皮素-1的升压反应不能持续,在血压和心率波动后,给药后15 - 20分钟死亡。升压作用是由于心输出量增加(由于每搏输出量增加)和总外周阻力增加:后者是由胃、小肠、大肠和胰腺/肠系膜的血管收缩引起的。内皮素-1由于心输出量增加、心输出量重新分配或两者兼而有之,增加了流经心脏、肺、肝脏、肾脏、睾丸、脂肪和皮肤的血流量。4. 内皮素-1在原位肠系膜床诱导剂量依赖性升压反应。在较低通气量时,内皮素-1在该血管床的效力增加约两倍,半数有效剂量为68±7 pmol,而呼吸量为20 ml/kg的大鼠中为113±15 pmol。5. 本研究表明,在常氧对照的脊髓横断大鼠中,对内皮素-1的升压反应主要是由于内脏血管床的血管收缩。在中度低氧、高碳酸血症和酸中毒的大鼠中,升压反应是由于胃肠道血管收缩以及心输出量增加。内皮素-1在体内和原位均在脊髓横断大鼠的肠系膜床诱导了深刻的血管收缩。通过降低通气量,内皮素-1在该床原位的效力增加了一倍。心脏收缩力增加和严重的胃肠道血管收缩可能是导致内皮素-1在低氧脊髓横断大鼠中最终毒性作用的初始事件。

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