Iwata Kenji, Iida Hiroki, Iida Mami, Fukuoka Naokazu, Kito Kazuhiro, Tanabe Kumiko
Department of Anesthesiology and Pain Medicine, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu-City, Gifu, 501-1194, Japan.
Division of Internal Medicine and Cardiology, Gifu Prefectural General Medical Center, Gifu, Japan.
J Anesth. 2015 Oct;29(5):798-802. doi: 10.1007/s00540-015-2017-9. Epub 2015 Apr 26.
A novel short-acting benzodiazepine receptor agonist, JM-1232(-), has been shown to have a sedative/hypnotic effect and wide safety margin. However, its effect on cerebral vessels is not well known. Therefore, we investigated the cerebrovascular reactivity to topical and intravenous JM-1232(-) and during hypotension or hypercapnia with intravenous administration of JM-1232(-). We used a closed cranial window preparation to measure the changes of cerebral pial arteriolar diameters in isoflurane-anesthetized Sprague-Dawley rats. We first measured the direct effect of topical JM-1232(-). We then determined the effect of intravenous JM-1232(-) and then we measured the response to hypercapnia before and after JM-1232(-) infusion. Finally, we measured the reaction to stepwise induction of hypotension before and after JM-1232(-) infusion. Topical infusion of JM-1232(-) dilated pial arterioles. Intravenous infusion of JM-1232(-) changed pial arterioles by 4.5 ± 2.7 %, 5.0 ± 3.9 %, and -2.8 ± 2.6 % (at 0.1, 0.3, and 1.0 mg/kg/min, respectively). Hypercapnia dilated pial arterioles before and after JM-1232(-) infusion. The diameters of pial arterioles did not change during hypotension before or after intravenous JM-1232(-) infusion. These results indicate that topical JM-1232(-) has a dilative effect on pial arterioles and that intravenous administration of JM-1232(-) may not affect cerebrovascular reactivity to hypotension or hypercapnia.
一种新型短效苯二氮䓬受体激动剂JM - 1232(-)已被证明具有镇静/催眠作用且安全范围广。然而,其对脑血管的作用尚不清楚。因此,我们研究了局部和静脉注射JM - 1232(-)时以及静脉注射JM - 1232(-)期间低血压或高碳酸血症时的脑血管反应性。我们使用封闭颅窗制备方法来测量异氟烷麻醉的Sprague - Dawley大鼠软脑膜小动脉直径的变化。我们首先测量局部注射JM - 1232(-)的直接作用。然后我们确定静脉注射JM - 1232(-)的作用,接着我们测量JM - 1232(-)输注前后对高碳酸血症的反应。最后,我们测量JM - 1232(-)输注前后对逐步诱导低血压的反应。局部输注JM - 1232(-)可使软脑膜小动脉扩张。静脉输注JM - 1232(-)使软脑膜小动脉分别在0.1、0.3和1.0 mg/kg/min时变化4.5±2.7%、5.0±3.9%和 - 2.8±2.6%。在JM - 1232(-)输注前后,高碳酸血症均可使软脑膜小动脉扩张。静脉注射JM - 1232(-)前后,低血压期间软脑膜小动脉直径均无变化。这些结果表明,局部注射JM - 1232(-)对软脑膜小动脉有扩张作用,且静脉注射JM - 1232(-)可能不影响脑血管对低血压或高碳酸血症的反应性。