Casley-Smith J R, Vincent A H, Piller N B
Arzneimittelforschung. 1979;29(6):921-8.
The alterations in the fine structure of the venous wall are reviewed, and the changes which occur with injury. These are very similar in both arteries and veins, and were also found by us in experiments in which the common iliac veins of rats were completely occluded, with or without partial lymphatic obstruction. It was found that the protein concentration was considerably increased in the vein wall, in the muscle, and in the skin of the leg--especially when the lymphatics were blocked as well as the veins. The effects of various procedures, including partial and semi-complete venous obstruction and lymphatic obstruction were examined. It was shown to be likely that in semi-complete venous obstruction the blood in the occluded vessels is ultrafiltered, causing great increases in protein concentration, which will be transmitted to the tissues in general--although not to the tissue channels and lymphatics. This will not happen in partial venous occlusion. In all of these cases the benzo-pyrones considerably reduced the amount of excess protein in the tissues. This was no doubt partly due to their abilities to cause increased proteolysis, but may also have been due to their effects on blood and lymph vascular tone and functioning.
本文回顾了静脉壁精细结构的改变以及损伤时发生的变化。这些变化在动脉和静脉中非常相似,我们在大鼠髂总静脉完全闭塞(伴或不伴部分淋巴管阻塞)的实验中也发现了这些变化。研究发现,静脉壁、肌肉以及腿部皮肤中的蛋白质浓度显著增加——尤其是当淋巴管和静脉同时被阻塞时。研究还考察了包括部分和半完全静脉阻塞以及淋巴管阻塞在内的各种操作的影响。结果表明,在半完全静脉阻塞时,闭塞血管中的血液会发生超滤,导致蛋白质浓度大幅增加,这将传递到全身组织——尽管不会传递到组织通道和淋巴管。而在部分静脉闭塞时则不会发生这种情况。在所有这些情况下,苯并吡喃类化合物显著减少了组织中过量蛋白质的含量。这无疑部分归因于它们引起蛋白水解增加的能力,但也可能归因于它们对血液和淋巴管张力及功能的影响。