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犬冠状动脉阻力血管的特征:内皮的重要性。

Characteristics of canine coronary resistance arteries: importance of endothelium.

作者信息

Myers P R, Banitt P F, Guerra R, Harrison D G

机构信息

Department of Internal Medicine, University of Iowa College of Medicine, Iowa City.

出版信息

Am J Physiol. 1989 Aug;257(2 Pt 2):H603-10. doi: 10.1152/ajpheart.1989.257.2.H603.

Abstract

Canine coronary resistance vessels were studied in vitro to examine the role of the endothelium in modulating responses to acetylcholine, vasopressin, and thrombin and to compare these responses to those found in large epicardial vessels. Acetylcholine had no effect on passively distended microvessels; however, after preconstriction with the thromboxane analogue, U 46619 caused dose-dependent vasodilation [50% effective concentration (EC50), 0.05 microM; maximum response, 97.9 +/- 2.1% relaxation]. Large epicardial arterial rings studied in organ chambers similarly relaxed to acetylcholine (EC50, 0.07 microM; maximum response, 79 +/- 5% relaxation). Hemoglobin was utilized to inactivate endothelium-derived relaxing factor (EDRF), resulting in reversal of acetylcholine vasodilation in both the microvessels (92 +/- 3.2% reversal) and the large epicardial vessels (117 +/- 9%). Hemoglobin had no effect on passively distended or preconstricted microvessels. Vasopressin constricted resistance vessels by 22.3 +/- 5.9 microns at 500 microU/ml. Hemoglobin potentiated this response by 100%, suggesting that vasopressin elicited EDRF release. In large coronary arteries, however, vasopressin elicited endothelium-dependent dilation with maximal relaxation of 36 +/- 9% at 3,000 microU/ml. Thrombin produced endothelium-dependent relaxation of large epicardial arterial rings but only constricted coronary microvessels. The response to thrombin was not altered by hemoglobin. This study demonstrates that the endothelium of coronary microvessels, like that of larger vessels, importantly modulates vascular reactivity to selected agents. Furthermore, major differences exist between large and small coronary arteries in their response to vasopressin and thrombin.

摘要

对犬冠状动脉阻力血管进行体外研究,以检验内皮在调节对乙酰胆碱、血管加压素和凝血酶的反应中的作用,并将这些反应与在大的心外膜血管中发现的反应进行比较。乙酰胆碱对被动扩张的微血管没有影响;然而,在用血栓素类似物U 46619预收缩后,乙酰胆碱引起剂量依赖性血管舒张[半数有效浓度(EC50),0.05微摩尔;最大反应,97.9±2.1%舒张]。在器官浴槽中研究的大的心外膜动脉环对乙酰胆碱也有类似的舒张反应(EC50,0.07微摩尔;最大反应,79±5%舒张)。使用血红蛋白使内皮源性舒张因子(EDRF)失活,导致微血管(92±3.2%逆转)和大的心外膜血管(117±9%)中乙酰胆碱介导的血管舒张逆转。血红蛋白对被动扩张或预收缩的微血管没有影响。血管加压素在500微单位/毫升时使阻力血管收缩22.3±5.9微米。血红蛋白使这种反应增强了100%,表明血管加压素引起了EDRF释放。然而,在大的冠状动脉中,血管加压素引起内皮依赖性舒张,在3000微单位/毫升时最大舒张为36±9%。凝血酶使大的心外膜动脉环产生内皮依赖性舒张,但仅使冠状动脉微血管收缩。血红蛋白对凝血酶的反应没有影响。本研究表明,冠状动脉微血管的内皮与较大血管的内皮一样,在调节血管对特定药物的反应中起重要作用。此外,大、小冠状动脉对血管加压素和凝血酶的反应存在主要差异。

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