DeRoth L, Nadeau S, Héon H
Laboratoire de Biomédecine comparée, Faculté de Médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec.
Can J Vet Res. 1988 Oct;52(4):407-10.
Animals were identified as porcine malignant hyperthermia susceptible by halothane testing and were slaughtered at 90 kg of body weight. Coronary, renal and iliac arteries were isolated, dissected and 5 mm rings were mounted in 20 mL organ baths with modified Krebs solution maintained at 37 degrees C and oxygenated with 95% O2, 5% CO2. Halothane at 0%, 0.5%, 2% and 5% concentration was bubbled in the organ baths and mechanical responses were recorded over a period of 25 min. Halothane free arteries remained quiescent and the arteries from the halothane sensitive and from the halothane resistant groups reacted similarly. All arteries in the presence of halothane responded with an initial contraction of short duration followed by a relaxation and both phenomena occurred in a concentration-dependent fashion. The iliac artery was the most sensitive to halothane and responded to 0.5% concentration while coronary and renal arteries maintained the resting tension of 4 g. These results demonstrate that vascular smooth muscle, like skeletal muscle and unlike respiratory smooth muscle, has a direct pharmacological response to halothane. These observations led to the postulate that halothane by its transient but significant vasoconstrictive action could be a contributing factor to initiate the fulminant reactions occurring in malignant hyperthermia.
通过氟烷试验鉴定为猪恶性高热易感动物,在体重达90千克时进行屠宰。分离出冠状动脉、肾动脉和髂动脉,进行解剖,将5毫米的血管环置于装有改良克雷布斯溶液的20毫升器官浴槽中,溶液维持在37摄氏度,并以95%氧气和5%二氧化碳进行氧合。将浓度为0%、0.5%、2%和5%的氟烷通入器官浴槽中,并在25分钟内记录机械反应。无氟烷的动脉保持静止,氟烷敏感组和氟烷抗性组的动脉反应相似。在氟烷存在下,所有动脉最初都有短暂的收缩反应,随后是舒张反应,且这两种现象均呈浓度依赖性。髂动脉对氟烷最为敏感,对0.5%的浓度有反应,而冠状动脉和肾动脉维持4克的静息张力。这些结果表明,血管平滑肌与骨骼肌一样,与呼吸道平滑肌不同,对氟烷有直接的药理反应。这些观察结果导致推测,氟烷因其短暂但显著的血管收缩作用,可能是引发恶性高热中暴发性反应的一个促成因素。