Hyman A L, Kadowitz P J
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana 70112.
J Appl Physiol (1985). 1989 Oct;67(4):1388-94. doi: 10.1152/jappl.1989.67.4.1388.
Pulmonary vascular responses to acetylcholine were compared under resting and high tone conditions of the intact-chest rabbit. Under resting tone conditions, intralobar injections of acetylcholine increased lobar arterial pressure in a dose-related manner. The pressor responses to acetylcholine under resting conditions were blocked by meclofenamate, indomethacin, atropine, and pirenzepine. When lobar vascular resistance was raised to a high steady level, low doses of acetylcholine decreased lobar arterial pressure, whereas higher doses elicited a biphasic response with the pressor component predominating at the highest dose studied. Under high tone conditions, only the pressor component of the response was blocked by meclofenamate or indomethacin, whereas pressor and depressor responses were blocked by atropine or the 600-micrograms/kg iv dose of pirenzepine. Pressor responses to acetylcholine under resting and high tone conditions were blocked by pirenzepine (50 micrograms/kg iv), whereas gallamine had no effect on responses to acetylcholine. The 50-micrograms/kg iv dose of pirenzepine had no effect on depressor responses or the depressor component of the response to acetylcholine. The present data support the concept that acetylcholine has significant cyclooxygenase-dependent pressor activity in the rabbit pulmonary vascular bed and suggest that this response is mediated by a muscarinic M1-type receptor. These data also show that, under high tone conditions, a vasodilator response or a vasodilator component of a biphasic response is unmasked. This response is not dependent on the release of cyclooxygenase products and is mediated by a muscarinic receptor that is neither of the M1- nor the M2-type.
在完整胸腔兔的静息和高张力条件下,比较了肺血管对乙酰胆碱的反应。在静息张力条件下,叶内注射乙酰胆碱可使叶动脉压呈剂量依赖性升高。静息条件下对乙酰胆碱的升压反应可被甲氯芬那酸、吲哚美辛、阿托品和哌仑西平阻断。当叶血管阻力升高到高稳定水平时,低剂量的乙酰胆碱可降低叶动脉压,而高剂量则引发双相反应,在研究的最高剂量时升压成分占主导。在高张力条件下,只有反应的升压成分可被甲氯芬那酸或吲哚美辛阻断,而升压和降压反应可被阿托品或600微克/千克静脉注射剂量的哌仑西平阻断。静息和高张力条件下对乙酰胆碱的升压反应可被哌仑西平(50微克/千克静脉注射)阻断,而加拉明对乙酰胆碱的反应无影响。50微克/千克静脉注射剂量的哌仑西平对乙酰胆碱的降压反应或反应的降压成分无影响。目前的数据支持乙酰胆碱在兔肺血管床具有显著的环氧化酶依赖性升压活性这一概念,并表明该反应由毒蕈碱M1型受体介导。这些数据还表明,在高张力条件下,双相反应的血管舒张反应或血管舒张成分会被揭示出来。这种反应不依赖于环氧化酶产物的释放,且由既不是M1型也不是M2型的毒蕈碱受体介导。