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8-苯基茶碱作为腺苷的竞争性拮抗剂和肝动脉内在调节机制抑制剂的应用。

The use of 8-phenyltheophylline as a competitive antagonist of adenosine and an inhibitor of the intrinsic regulatory mechanism of the hepatic artery.

作者信息

Lautt W W, Legare D J

出版信息

Can J Physiol Pharmacol. 1985 Jun;63(6):717-22. doi: 10.1139/y85-117.

Abstract

Reduction of portal blood flow results in compensatory vasodilation of the hepatic artery, the hepatic arterial buffer response. The hypothesis tested is that the regulation of the buffer response is mediated by adenosine, where the local concentration of adenosine in the region of the hepatic arterial resistance vessels is regulated by washout of adenosine into portal venules that are in intimate contact with hepatic arterioles. In anesthetized cats, portal flow was reduced to zero by complete occlusion of all arterial supply to the guts. The resultant dilation of the hepatic artery compensated for 23.9 +/- 4.9% of the decrease in portal flow. Dose-response curves were obtained for the effect of intraportal adenosine infusion on hepatic arterial conductance in doses that did not lead to recirculation and secondary effects on the hepatic artery via altered portal blood flow. The dose to produce one-half maximal response for adenosine is 0.19 mg X kg-1 X min-1 (intraportal) and the estimated maximal dilation is equivalent to an increase in hepatic arterial conductance to 245% of the basal (100%) level. The adenosine antagonist, 8-phenyltheophylline, produced dose-related competitive antagonism of the dilator response to infused adenosine (but not to isoproterenol) and a similar, parallel antagonism of the hepatic arterial buffer response. If supramaximal blocking doses were used, the hepatic artery showed massive and prolonged constriction with blood flow decreasing to zero. The data strongly support the hypothesis that intrinsic hepatic arterial buffer response is mediated entirely by local adenosine concentration.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

门静脉血流减少会导致肝动脉代偿性血管舒张,即肝动脉缓冲反应。所验证的假说是,缓冲反应的调节由腺苷介导,其中肝动脉阻力血管区域内腺苷的局部浓度通过腺苷冲刷进入与肝小动脉紧密接触的门静脉小支来调节。在麻醉的猫中,通过完全阻断肠道的所有动脉供应,使门静脉血流降至零。肝动脉随之出现的舒张代偿了门静脉血流减少量的23.9±4.9%。通过门静脉内输注腺苷,在不会导致再循环以及不会因门静脉血流改变而对肝动脉产生继发影响的剂量下,获得了腺苷对肝动脉传导性影响的剂量-反应曲线。腺苷产生最大反应一半时的剂量为0.19mg·kg-1·min-1(门静脉内),估计的最大舒张相当于肝动脉传导性增加至基础(100%)水平的245%。腺苷拮抗剂8-苯基茶碱对输注腺苷的舒张反应产生剂量相关的竞争性拮抗作用(但对异丙肾上腺素无此作用),对肝动脉缓冲反应也有类似的平行拮抗作用。如果使用超最大阻断剂量,肝动脉会出现大量且持久的收缩,血流降至零。这些数据有力地支持了以下假说:肝动脉固有缓冲反应完全由局部腺苷浓度介导。(摘要截短至250字)

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