Kotoda Masakazu, Ishiyama Tadahiko, Shintani Noriyuki, Matsukawa Takashi
Department of Anesthesiology, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan,
J Anesth. 2015 Apr;29(2):186-90. doi: 10.1007/s00540-014-1903-x. Epub 2014 Aug 24.
Rho-kinase inhibitor is widely used for prevention of cerebral vascular spasm. However, the cerebral pial vascular action of Rho-kinase inhibitor has not been investigated. We therefore evaluated the direct effects of Y-27632, a Rho-kinase inhibitor, on pial microvessels.
Experiments were performed on anesthetized rabbits. A closed cranial window was used to visualize the pial microcirculation. After baseline hemodynamic and pial vascular measurements, the cranial window was superfused with four increasing concentrations of Y-27632 (10(-9), 10(-7), 10(-6), 10(-5) mol l(-1); n = 7) dissolved in artificial cerebrospinal fluid for 7 min each. We measured the diameters of pial vessels, mean arterial pressure (MAP), heart rate (HR), and rectal temperature at 7 min after application of each Y-27632 concentration.
MAP, HR, rectal temperature, arterial pH, PaCO2, PaO2, and plasma Na(+), K(+) and glucose concentrations did not change significantly during the experimental period. Y-27632 at 10(-9) to 10(-7) mol l(-1) did not produce any significant change in pial arterioles. Topical application of Y-27632 at 10(-6) and 10(-5) mol l(-1) produced pial large (8.4 ± 5.7 and 19.8 ± 12.7 %) and small (10.1 ± 8.5 and 18.1 ± 12.3 %) arterioles dilation. However, Y-27632 did not produce any change in pial large and small venules.
We evaluated the direct effects of Y-27632 on pial microvessels. Y-27632 dilates only pial arterioles in a concentration-dependent manner, and most at a concentration of 10(-5) mol l(-1). Y-27632 is a potent cerebral pial arteriolar dilator but is not a venular dilator.
Rho激酶抑制剂被广泛用于预防脑血管痉挛。然而,Rho激酶抑制剂对软脑膜微血管的作用尚未得到研究。因此,我们评估了Rho激酶抑制剂Y-27632对软脑膜微血管的直接作用。
在麻醉的家兔身上进行实验。使用封闭的颅骨视窗来观察软脑膜微循环。在进行基线血流动力学和软脑膜血管测量后,用溶解于人工脑脊液中的四种递增浓度的Y-27632(10⁻⁹、10⁻⁷、10⁻⁶、10⁻⁵ mol·l⁻¹;n = 7)对颅骨视窗进行灌流,每种浓度灌流7分钟。在应用每种Y-27632浓度7分钟后,我们测量软脑膜血管直径、平均动脉压(MAP)、心率(HR)和直肠温度。
在实验期间,MAP、HR、直肠温度、动脉pH值、PaCO₂、PaO₂以及血浆Na⁺、K⁺和葡萄糖浓度均无显著变化。10⁻⁹至10⁻⁷ mol·l⁻¹的Y-27632对软脑膜小动脉未产生任何显著变化。局部应用10⁻⁶和10⁻⁵ mol·l⁻¹的Y-27632可使软脑膜大(8.4±5.7%和19.8±12.7%)、小(10.1±8.5%和18.1±12.3%)动脉扩张。然而,Y-27632对软脑膜大、小静脉未产生任何变化。
我们评估了Y-27632对软脑膜微血管的直接作用。Y-27632仅以浓度依赖的方式扩张软脑膜小动脉,在浓度为10⁻⁵ mol·l⁻¹时扩张作用最强。Y-27632是一种有效的软脑膜小动脉扩张剂,但不是静脉扩张剂。