Hull S S, Chimoskey J E
Am J Physiol. 1984 Aug;247(2 Pt 2):H218-28. doi: 10.1152/ajpheart.1984.247.2.H218.
Intracarotid prostaglandin E2 (PGE2) infusions (10 ng X kg-1 X min-1) increased arterial pressure in conscious dogs, sheep, and calves. Total and regional peripheral resistances (renal, superior mesenteric, and iliac) increased in conscious calves. Arterial pH and CO2 tension did not change, implying no activation of the chemoreflex. The arterial baro-reflex was reset upward during intracarotid PGE2 infusion; arterial pressure increased with little heart rate change, but baroreflex sensitivity was unchanged. In contrast, equipotent intracarotid angiotensin II infusions (10 ng X kg-1 X min-1) both reset the baroreflex upward and decreased baroreflex sensitivity. Pretreatment with alpha-, but not beta-, adrenoceptor blocking agents attenuated the intracarotid PGE2 pressor effect. Increasing PGE2 infusions (10-200 ng X kg-1 X min-1) caused dose-related arterial pressure increases; plasma renin activity was increased only at the largest infusion rate. Pretreatment with captopril, an inhibitor of the angiotensin-converting enzyme, attenuated the PGE2 pressor effect. During barbiturate-halothane and chlorolose-urethan anesthesia, no pressor effect was observed during intracarotid PGE2. We conclude that intracarotid PGE2 acts centrally to augment sympathetic vasomotor outflow. The central action of PGE2 is not affected by activation of the arterial chemoreflex or alteration of baroreflex sensitivity and has a small renin-angiotensin component.
颈内注射前列腺素E2(PGE2,10纳克×千克-1×分钟-1)可使清醒犬、绵羊和犊牛的动脉血压升高。清醒犊牛的总外周阻力和局部外周阻力(肾、肠系膜上动脉和髂动脉)增加。动脉pH值和二氧化碳分压未发生变化,这表明化学反射未被激活。在颈内注射PGE2期间,动脉压力反射向上重调;动脉血压升高,心率变化很小,但压力反射敏感性未变。相比之下,等剂量的颈内注射血管紧张素II(10纳克×千克-1×分钟-1)既能使压力反射向上重调,又能降低压力反射敏感性。用α-肾上腺素能受体阻滞剂而非β-肾上腺素能受体阻滞剂预处理可减弱颈内注射PGE2的升压作用。增加PGE2注射剂量(10 - 200纳克×千克-1×分钟-1)会导致动脉血压呈剂量依赖性升高;仅在最大注射速率时血浆肾素活性才升高。用血管紧张素转换酶抑制剂卡托普利预处理可减弱PGE2的升压作用。在巴比妥-氟烷和氯醛糖-乌拉坦麻醉期间,颈内注射PGE2未观察到升压作用。我们得出结论,颈内注射PGE2通过中枢作用增强交感缩血管神经传出活动。PGE2的中枢作用不受动脉化学反射激活或压力反射敏感性改变的影响,且有小部分肾素-血管紧张素成分。