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肝微血管调节机制。VII. 经门静脉注入内毒素对大鼠微循环和肥大细胞的影响。

Hepatic microvascular regulatory mechanisms. VII. Effects of endoportally-infused endotoxin on microcirculation and mast cells in rats.

作者信息

Unger L S, Reilly F D

出版信息

Microcirc Endothelium Lymphatics. 1986;3(1):47-74.

PMID:3547067
Abstract

Changes in hepatic microvasculature and systemic arterial blood pressure were measured for 1 hr in anesthetized male Sprague-Dawley rats receiving an endoportal injection of 15 mg/kg b.w. Boivin-extracted E. coli endotoxin (026:B6) or sterile saline solution as a control. Image shearing and videodensimetric methods were used to quantify internal diameters (D) and cellular velocities (V) and to calculate relative rates of volumetric blood flow (Q) at the inlet of periportal and the outlet of centrilobular sinusoids. Determination of the number of Falck-Hillarp-positive mast cells was made in 8 microns sections of liver at the light microscopic level. Endotoxin produced a mild hypotensive response by 20 min after which time rats remained normotensive. In vivo microscopy of transilluminated livers revealed adherence of platelets and mononuclear leukocytes to the microvascular wall between 15 to 30 min post-endotoxin infusion and constriction at 50 and 60 min of centrilobular sinusoids but not that of the other microvascular segments. A significant increase in cellular velocity was observed within 5 min at the inlet of periportal sinusoids. This response was accompanied by constriction at both the inlet and outlet of periportal and centrilobular sinusoids, respectively. After 1 hr, endotoxin- treated livers demonstrated a 26% decrease in the number of fluorescent serotonin-containing mast cells. However, no change in hepatic lobular perfusion or in volumetric flow rate was observed during this period. Given these results, it is postulated that volumetric flow rate within hepatic lobules is maintained during the first hr after endotoxin infusion by modulation of microvascular internal diameters in response to changes in cellular blood flow velocity, and mast cell mediators such as serotonin trigger hepatic microvascular autoregulation following the administration of endotoxin.

摘要

对接受门静脉内注射15毫克/千克体重的博伊文提取的大肠杆菌内毒素(026:B6)或无菌盐溶液作为对照的麻醉雄性Sprague-Dawley大鼠,测量其肝脏微血管和全身动脉血压变化1小时。采用图像剪切和视频密度测量方法来量化内径(D)和细胞速度(V),并计算门静脉周围入口和中央小叶窦出口处的相对体积血流率(Q)。在光镜水平下,对肝脏8微米切片中福尔克-希拉尔普阳性肥大细胞的数量进行测定。内毒素在20分钟后产生轻度降压反应,此后大鼠保持血压正常。对透照肝脏的体内显微镜检查显示,在内毒素输注后15至30分钟之间,血小板和单核白细胞粘附于微血管壁,在50和60分钟时中央小叶窦出现收缩,但其他微血管段未出现收缩。在门静脉周围窦入口处5分钟内观察到细胞速度显著增加。这种反应分别伴随着门静脉周围和中央小叶窦入口和出口处的收缩。1小时后,内毒素处理的肝脏中含荧光5-羟色胺的肥大细胞数量减少了26%。然而,在此期间未观察到肝小叶灌注或体积流率的变化。鉴于这些结果,推测在内毒素输注后的第一小时内,肝小叶内的体积流率通过调节微血管内径以响应细胞血流速度的变化而得以维持,并且肥大细胞介质如5-羟色胺在内毒素给药后触发肝脏微血管自动调节。

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