Rodríguez-Puyol D, Alsasua A, Santos J C, Blanchart A, López-Novoa J M
Department of Nephrology, Fundación Jiménez Díaz, Madrid, Spain.
Clin Physiol Biochem. 1988;6(6):301-9.
We have measured, by a specific radioenzymoassay, the plasma concentration of dopamine (DA) and norepinephrine (NE) and by gas chromatography the urinary excretion of some catecholamine metabolites (HVA, homovanillic acid, DOPAC, dihydroxyphenyl acetic acid; VMA, vanilmandelic acid, and DOPEG, dihydroxyphenyl glycol) in three groups of rats with portal hypertension: cirrhotic rats (CR), rats with progressive portal hypertension (PPH) and rats with progressive hepatic congestion (PHC). The three groups of rats had portal hypertension. PPH and PHC had also intrahepatic hypertension. CR rats showed an increased urinary excretion of NE and DA metabolites with a normal plasma concentration of these catecholamines, suggesting an increased turnover of NE and DA in this experimental model. PPH animals had a high plasma DA concentration with a decreased urinary excretion of catecholamine metabolites. PHC showed high plasma DA and NE levels with normal or increased urinary excretion of its metabolites. These results suggest that an increased neural activity is present in the early stages of experimental cirrhosis in rats and this alteration does not seem directly related to the portal hypertension but perhaps to the intrahepatic hypertension or to the hepatocellular damage.
我们通过一种特定的放射酶分析法测定了多巴胺(DA)和去甲肾上腺素(NE)的血浆浓度,并通过气相色谱法测定了三组门静脉高压大鼠中某些儿茶酚胺代谢产物(高香草酸、同型香草酸、二羟基苯乙酸;香草扁桃酸和二羟基苯乙二醇)的尿排泄量:肝硬化大鼠(CR)、进行性门静脉高压大鼠(PPH)和进行性肝淤血大鼠(PHC)。这三组大鼠均患有门静脉高压。PPH和PHC还存在肝内高压。CR大鼠儿茶酚胺代谢产物的尿排泄量增加,而这些儿茶酚胺的血浆浓度正常,提示在该实验模型中NE和DA的周转率增加。PPH动物的血浆DA浓度较高,儿茶酚胺代谢产物的尿排泄量减少。PHC显示血浆DA和NE水平较高,其代谢产物的尿排泄量正常或增加。这些结果表明,大鼠实验性肝硬化早期存在神经活动增加,这种改变似乎与门静脉高压无直接关系,而可能与肝内高压或肝细胞损伤有关。