Nolan J P, O'Connell C J
J Exp Med. 1965 Dec 1;122(6):1063-73. doi: 10.1084/jem.122.6.1063.
Sublethal doses of E. coli endotoxin were shown to cause direct slowing of blood flow in the isolated perfused rat liver. Concentrations as low as SO ng per ml elicited this vasoconstrictive response. The decrease in flow after the initial lipopolysaccharide injection was immediate and lasted from. 5 to 15 minutes before recovering to baseline values. Succeeding injections of the same concentration, however, had little or no circulatory effects, and this tachyphylaxis persisted through 5 hours of perfusion. The replacement of the perfusate with fresh whole blood after several hours partially restored the ability of the hepatic vasculature to respond to the lipopolysaccharide. However, the presence of plasma or formed blood elements was not essential to the response, as brisk decreases occurred after endotoxin when a modified Ringer's solution was the sole perfusate. Catecholamines or serotonin did not appear to be key mediators in the primary vascular effect of endotoxin as phentolamine and methysergide administration did not appreciably modify the response. On the other hand, hydrocortisone when given in large doses with the endotoxin or in smaller doses 15 to 45 minutes prior to the lipopolysaccharide completely blocked vasoconstriction. The isolated preparation seems to be an excellent model for the study of direct circulatory effects of various substances in the liver.
已表明,亚致死剂量的大肠杆菌内毒素可导致离体灌注大鼠肝脏的血流直接减缓。低至每毫升50纳克的浓度即可引发这种血管收缩反应。初次注射脂多糖后血流立即减少,持续0.5至15分钟,然后恢复到基线值。然而,后续注射相同浓度的脂多糖几乎没有或没有循环效应,这种快速耐受性在5小时的灌注过程中持续存在。数小时后用新鲜全血替换灌注液可部分恢复肝血管系统对脂多糖的反应能力。然而,血浆或血液有形成分的存在对该反应并非必不可少,因为当改良林格氏液作为唯一灌注液时,内毒素注射后血流会迅速减少。儿茶酚胺或5-羟色胺似乎不是内毒素主要血管效应的关键介质,因为给予酚妥拉明和麦角新碱并未明显改变该反应。另一方面,在内毒素注射时大剂量给予氢化可的松或在内毒素注射前15至45分钟小剂量给予氢化可的松可完全阻断血管收缩。离体标本似乎是研究各种物质在肝脏中的直接循环效应的极佳模型。