Egashira K, Shimokawa H, Tomoike H, Nakamura M
Jpn Circ J. 1987 Apr;51(4):459-61. doi: 10.1253/jcj.51.459.
Effects of prostanoids on coronary circulation were studied in anesthetized open chest dogs with intact coronary arteries or in closed chest Göttingen miniature pigs with denuded vessels. In the latter model, coronary artery spasm was repeatedly provoked at the previously denuded area by histamine i.c. after pretreatment with cimetidine i.v., H2-blocker. In the canine model, prostacyclin (PGI2) dilated to a greater extent the diameter of the large epicardial coronary artery than did PGE2, and both equally reduced the total coronary resistance. Vasoconstrictive effects of carbocyclic thromboxane A2, a stable analogue of thromboxane A2 (TxA2) on the epicardial coronary artery was augmented from 1.1 +/- 0.3 to 6.5 +/- 1.3% (p less than 0.01) after pretreatment with cyclooxygenase inhibitors. In case of Göttingen miniature pigs 3 months after endothelial denudation and cholesterol freeding, neither PGI2 nor indomethacin prevented histamine-induced coronary artery spasm. Thiothromboxane A2, a stable analogue of TxA2, did not provoke coronary artery spasm in the animals. Therefore, prostanoids may not be crucial to the provocation or prevention of coronary artery spasm from which myocardial ischemia ensues.
在冠状动脉完整的麻醉开胸犬或血管内皮剥脱的闭胸哥廷根小型猪中研究了前列腺素对冠状动脉循环的影响。在后一种模型中,在用静脉注射H2受体阻滞剂西咪替丁预处理后,通过组胺颅内注射在先前内皮剥脱的区域反复诱发冠状动脉痉挛。在犬模型中,前列环素(PGI2)比前列腺素E2(PGE2)更能扩张大的心外膜冠状动脉直径,并且两者均能同等程度地降低总冠状动脉阻力。在用环氧化酶抑制剂预处理后,血栓素A2(TxA2)的稳定类似物碳环血栓素A2对心外膜冠状动脉的血管收缩作用从1.1±0.3增加到6.5±1.3%(p<0.01)。在内皮剥脱和给予胆固醇3个月后的哥廷根小型猪中,PGI2和吲哚美辛均不能预防组胺诱导的冠状动脉痉挛。TxA2的稳定类似物硫代血栓素A2在这些动物中不会诱发冠状动脉痉挛。因此,前列腺素对于随后发生心肌缺血的冠状动脉痉挛的诱发或预防可能并非至关重要。