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吲哚美辛对下丘脑前部/视前区单侧穿刺所致神经源性高热的拮抗作用。

Antagonism by indomethacin of neurogenic hyperthermia produced by unilateral puncture of the anterior hypothalamic/preoptic region.

作者信息

Rudy T A, Williams J W, Yaksh T L

出版信息

J Physiol. 1977 Nov;272(3):721-36. doi: 10.1113/jphysiol.1977.sp012069.

Abstract
  1. In unanaesthetized rats, restrained at an ambient temperature of 24 degrees C, the anterior hypothalamic/preoptic (AH/PO) region was lesioned unilaterally by acute mechanical puncture.2. In control (no pre-treatment) rats, unilateral AH/PO puncture produced a neurogenic hyperthermia which began immediately, reached its peak magnitude (mean peak magnitude = +2.3 degrees C) within 60-90 min and persisted usually for 8-16 hr. At defervescence, core temperature fell to a level near that of the pre-lesioning base line.3. The prostaglandin synthesis inhibitor, indomethacin, administered I.P. at doses of 5 and 15 mg/kg 1 hr before puncture of the AH/PO region, attenuated the lesion-induced hyperthermia in a dose dependent fashion. The higher dose reduced peak magnitude by 80% and the 6 hr Fever Index by 88%. The vehicle used to dissolve the indomethacin (60% DMSO/40% saline) did not significantly attenuate the hyperthermia.4. In rats that were hyperthermic after AH/PO damage, indomethacin (10-15 mg/kg I.P.) caused core temperature to fall promptly to near the prelesion base line. Reversal occurred whether the indomethacin was injected while core temperature was still rising or late in the plateau phase of the hyperthermia.5. It is suggested that the neurogenic hyperthermia elicited by unilateral lesioning of the AH/PO region was mediated by prostaglandins released from injured tissue and possibly from extravasated blood. Evidence is cited indicating that the most likely sites of action of the released prostaglandins are the surviving portion of the AH/PO region on the punctured side and the intact contralateral AH/PO region.
摘要
  1. 在24摄氏度环境温度下进行约束的未麻醉大鼠中,通过急性机械穿刺单侧损毁下丘脑前部/视前区(AH/PO)。

  2. 在对照(未预处理)大鼠中,单侧AH/PO穿刺引发神经源性高热,该高热立即开始,在60 - 90分钟内达到峰值(平均峰值为+2.3摄氏度),并通常持续8 - 16小时。退热时,核心体温降至接近损伤前基线的水平。

  3. 前列腺素合成抑制剂吲哚美辛在AH/PO区域穿刺前1小时腹腔注射,剂量分别为5毫克/千克和15毫克/千克,以剂量依赖方式减弱损伤诱导的高热。较高剂量使峰值降低80%,6小时发热指数降低88%。用于溶解吲哚美辛的溶媒(60%二甲基亚砜/40%生理盐水)并未显著减弱高热。

  4. 在AH/PO损伤后出现高热的大鼠中,吲哚美辛(10 - 15毫克/千克腹腔注射)使核心体温迅速降至接近损伤前基线。无论吲哚美辛是在核心体温仍在上升时注射还是在高热平台期后期注射,均出现体温逆转。

  5. 提示单侧损毁AH/PO区域引发的神经源性高热是由损伤组织及可能外渗血液释放的前列腺素介导的。文中引用的证据表明,释放的前列腺素最可能的作用部位是穿刺侧AH/PO区域的存活部分以及完整的对侧AH/PO区域。

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Pulmonary edema and hemorrhage from preoptic lesions in rats.大鼠视前区病变所致肺水肿和出血
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