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中枢5-羟色胺耗竭:对麻醉期间血压的影响。

Central serotonin depletion: effect on blood pressure during anesthesia.

作者信息

Althaus J S, Beckman J J, Miller E D

出版信息

Anesth Analg. 1985 Dec;64(12):1163-70.

PMID:2932979
Abstract

Serotonin (5-HT) in the central nervous system has been implicated in blood pressure control in both normotensive and hypertensive states. Parachlorophenylalanine (PCPA) depletes 5-HT in the central nervous system. Normotensive Wistar rats, Wistar rats made hypertensive by renal artery clipping (RHR), and spontaneously hypertensive rats (SHR) were depleted of central serotonin by the administration of PCPA. Mean arterial blood pressure (MAP), heart rate (HR), and plasma norepinephrine (NE) levels were measured in rats both before and after they were administered anesthesia with enflurane. Blood pressure was further decreased by the administration of saralasin, a competitive inhibitor of angiotensin II. Principal results are as follows. Central 5-HT was depleted by 70% or more with PCPA. In general, brain catecholamines were not altered by this treatment. No consistent pattern of change in MAP, HR, or plasma NE was observed for Wistar rats, RHR, or SHR during an awake control period in rats treated with PCPA compared with rats treated with vehicle. However, during enflurane anesthesia or enflurane anesthesia with saralasin, MAP, HR, and plasma NE were significantly greater in Wistar rats and RHR treated with PCPA compared to similar groups treated with vehicle. This was not observed in SHR: MAP, HR, and plasma NE were similar to vehicle-treated SHR. Nonsignificant changes in plasma epinephrine, plasma renin activity, or arterial blood gas tensions could not explain the differences seen in Wistar rats, RHR, or SHR. Central serotonin plays an important role in cardiovascular control during anesthesia with enflurane in Wistar rats but does not appear to play a dominant role in SHR.

摘要

中枢神经系统中的血清素(5-羟色胺,5-HT)已被证实与正常血压和高血压状态下的血压控制有关。对氯苯丙氨酸(PCPA)可耗尽中枢神经系统中的5-HT。给正常血压的Wistar大鼠、通过肾动脉夹闭术制成高血压的Wistar大鼠(RHR)以及自发性高血压大鼠(SHR)注射PCPA,以耗尽其体内的中枢血清素。在给大鼠吸入安氟醚麻醉前后,测量其平均动脉血压(MAP)、心率(HR)和血浆去甲肾上腺素(NE)水平。注射血管紧张素II的竞争性抑制剂沙拉新后,血压进一步降低。主要结果如下。PCPA使中枢5-HT耗竭70%以上。一般来说,这种处理不会改变脑内儿茶酚胺。与注射赋形剂的大鼠相比,在清醒对照期,注射PCPA的Wistar大鼠、RHR或SHR的MAP、HR或血浆NE未观察到一致的变化模式。然而,在安氟醚麻醉期间或安氟醚与沙拉新联合麻醉期间,注射PCPA的Wistar大鼠和RHR的MAP、HR和血浆NE显著高于注射赋形剂的相似组。SHR未观察到这种情况:MAP、HR和血浆NE与注射赋形剂的SHR相似。血浆肾上腺素、血浆肾素活性或动脉血气张力的无显著变化无法解释Wistar大鼠、RHR或SHR中观察到的差异。中枢血清素在Wistar大鼠安氟醚麻醉期间的心血管控制中起重要作用,但在SHR中似乎不发挥主导作用。

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