Matsuyama Shigenari, Hayakawa Koichi, Sakuramoto Kazuhito, Muroya Takashi, Nakamori Yasushi, Ikegawa Hitoshi, Shimazu Takeshi, Kuwagata Yasuyuki
Hyogo Emergency Medical Center Kobe-city Hyogo Japan.
Department of Emergency and Critical Care Medicine Kansai Medical University Hirakata-city Japan.
Acute Med Surg. 2014 Oct 22;2(1):40-47. doi: 10.1002/ams2.84. eCollection 2015 Jan.
We have reported that administration of recombinant human interleukin (IL)-1β induced circulatory shock in rabbits by causing overproduction of vasodilating prostaglandin(s) and simultaneously impaired oxygen metabolism by causing an abnormal dependence of oxygen consumption (VO) on oxygen delivery (DO). The present study was carried out to compare the effect of administration of exogenous PGE with that of IL-1β on oxygen metabolism.
Sixteen rabbits were assigned to one of three groups and given a single injection of 10 μg/kg IL-1β (IL-1β group, = 5), continuous infusion of 1 μg/kg/min PGE (PGE group, = 6), or saline (control group, = 5). All rabbits were subjected to stepwise cardiac tamponade to decrease DO by inflating a balloon placed into the pericardial sac. The VO/DO relation was analyzed by the dual-line method.
Both IL-1β and PGE decreased the baseline value of mean arterial pressure by approximately 25% without inducing significant alteration of the cardiac index. With respect to the VO/DO relation, the slope of the supply-independent line was significantly increased in the IL-1β group (y = 0.13x + 6.4), but not in the PGE group (y = 0.01x + 10.0) compared to that in the control group (y = 0.05x + 8.7).
These results indicate that simple vasodilation and hypotension induced by administration of PGE are insufficient to account for the abnormal oxygen metabolism induced by IL-1β.
我们曾报道,给予重组人白细胞介素(IL)-1β可通过引起血管舒张性前列腺素过度产生而诱发家兔循环性休克,同时通过使氧消耗(VO)对氧输送(DO)产生异常依赖而损害氧代谢。本研究旨在比较外源性前列腺素E(PGE)与IL-1β给药对氧代谢的影响。
将16只家兔分为三组之一,分别单次注射10μg/kg IL-1β(IL-1β组,n = 5)、以1μg/kg/min的速度持续输注PGE(PGE组,n = 6)或生理盐水(对照组,n = 5)。通过向置于心包腔内的球囊充气使所有家兔逐步发生心脏压塞以降低DO。采用双线法分析VO/DO关系。
IL-1β和PGE均使平均动脉压基线值降低约25%,而未引起心脏指数的显著改变。关于VO/DO关系,与对照组(y = 0.05x + 8.7)相比,IL-1β组(y = 0.13x + 6.4)中与供应无关线的斜率显著增加,而PGE组(y = 0.01x + 10.0)中未增加。
这些结果表明,PGE给药所诱导的单纯血管舒张和低血压不足以解释IL-1β所诱导的异常氧代谢。