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局部应用腺苷脱氨酶治疗对大脑皮质微循环功能性充血和缺氧反应的影响。

Effect of topical adenosine deaminase treatment on the functional hyperemic and hypoxic responses of cerebrocortical microcirculation.

作者信息

Dóra E, Koller A, Kovách A G

出版信息

J Cereb Blood Flow Metab. 1984 Sep;4(3):447-57. doi: 10.1038/jcbfm.1984.64.

Abstract

The purpose of this study was to investigate the possible importance of adenosine in cerebrocortical vasodilatation accompanying brain activation (epileptic seizures and direct electrical stimulation) and hypoxia (arterial hypoxia and cyanide poisoning of the brain cortex). In chloralose-anesthetized cats a circumscribed area of the brain cortex was treated with adenosine deaminase (Type III; Sigma), which potently deaminates adenosine to the nonvasoactive inosine. Cerebrocortical vascular volume and fluorescence of reduced nicotinamide adenine dinucleotide were measured in vivo by surface fluororeflectometry. The responses of small pial and intracortical vessels to brain activation and hypoxia were studied in brain cortices superfused with artificial (mock) CSF and 5 U/ml adenosine deaminase. It was found that superficially applied adenosine deaminase readily diffuses onto the brain cortex. Prolonged pretreatment of the brain cortices with 0.025 U/ml adenosine deaminase eliminated almost completely the vasodilative effect of 10(-7) mol/ml adenosine. The inhibitory effect of the enzyme on adenosine-induced cortical vasodilatation was specific, because 5 U/ml adenosine deaminase did not attenuate the vasodilative potency of 10(-8) mol/ml 2-chloroadenosine. Adenosine deaminase (5 U/ml) pretreatment of the brain cortices did not diminish the cerebrocortical vascular volume, which increased with arterial hypoxia, topical cyanide poisoning, and direct electrical stimulation. However, it slightly decreased the vasodilative effect of epileptic seizures. On the basis of these results, it seems very unlikely that adenosine is a critical factor in the control of cerebrovascular tone during arterial hypoxia and brain activation.

摘要

本研究的目的是探讨腺苷在伴随脑激活(癫痫发作和直接电刺激)及缺氧(动脉性缺氧和大脑皮层氰化物中毒)时脑皮质血管舒张中可能具有的重要性。在水合氯醛麻醉的猫中,用腺苷脱氨酶(III型;西格玛公司)处理大脑皮质的一个限定区域,该酶能有效地将腺苷脱氨为无血管活性的肌苷。通过表面荧光反射法在体内测量脑皮质血管容积和还原型烟酰胺腺嘌呤二核苷酸的荧光。在用人造(模拟)脑脊液和5 U/ml腺苷脱氨酶灌注的大脑皮质中,研究软脑膜和皮质内小血管对脑激活和缺氧的反应。发现表面应用的腺苷脱氨酶很容易扩散到脑皮质上。用0.025 U/ml腺苷脱氨酶对脑皮质进行长时间预处理,几乎完全消除了10^(-7) mol/ml腺苷的血管舒张作用。该酶对腺苷诱导的皮质血管舒张的抑制作用具有特异性,因为5 U/ml腺苷脱氨酶并未减弱10^(-8) mol/ml 2-氯腺苷的血管舒张效力。对脑皮质进行腺苷脱氨酶(5 U/ml)预处理并未减少脑皮质血管容积,该容积在动脉性缺氧、局部氰化物中毒和直接电刺激时会增加。然而,它略微降低了癫痫发作的血管舒张作用。基于这些结果,腺苷似乎极不可能是动脉性缺氧和脑激活期间脑血管张力控制中的关键因素。

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