Luscher T F, Rubanyi G M, Aarhus L L, Edoute Y, Vanhoutte P M
J Hypertens Suppl. 1986 Dec;4(5):S148-50.
Serotonin may cause vasodilatation or vasoconstriction. In hypertension the vasoconstrictor effects of serotonin predominate. Experiments were designed to study the effects of serotonin on coronary flow in isolated hearts of spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto (WKY) rats. The hearts were paced at constant rate and perfused by the Langendorff technique at constant pressure (75 cmH2O). In WKY rats serotonin (10-9 to 10-5 mol/l) caused concentration-dependent increases in coronary flow and a decrease in cardiac performance. In SHR, the monoamine caused concentration-dependent, partially reversible decreases in coronary flow, and a marked decrease in cardiac performance. The inhibitor of cyclo-oxygenase indomethacin prevented the decrease in coronary flow and cardiac performance caused by serotonin in SHR, but did not affect the increase in coronary flow in WKY rats. These experiments suggest that in the coronary circulation of SHR the response to serotonin is shifted from vasodilatation to vasoconstriction. The mediator of this vasoconstriction is probably a product of cyclo-oxygenase.
血清素可能导致血管舒张或血管收缩。在高血压患者中,血清素的血管收缩作用占主导。设计实验以研究血清素对自发性高血压大鼠(SHR)和正常血压的Wistar-Kyoto(WKY)大鼠离体心脏冠脉血流的影响。心脏以恒定速率起搏,并采用Langendorff技术在恒定压力(75 cmH₂O)下灌注。在WKY大鼠中,血清素(10⁻⁹至10⁻⁵ mol/L)导致冠脉血流呈浓度依赖性增加,心脏功能下降。在SHR中,该单胺导致冠脉血流呈浓度依赖性、部分可逆性降低,心脏功能显著下降。环氧化酶抑制剂吲哚美辛可防止血清素引起的SHR冠脉血流和心脏功能下降,但不影响WKY大鼠冠脉血流的增加。这些实验表明,在SHR的冠脉循环中,对血清素的反应从血管舒张转变为血管收缩。这种血管收缩的介质可能是环氧化酶的产物。