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氯胺酮对离体犬脑动脉和肠系膜动脉的直接作用。

Direct effects of ketamine on isolated canine cerebral and mesenteric arteries.

作者信息

Fukuda S, Murakawa T, Takeshita H, Toda N

出版信息

Anesth Analg. 1983 Jun;62(6):553-8.

PMID:6846876
Abstract

The effects of ketamine on isolated canine cerebral (middle cerebral and basilar) and mesenteric arteries were studied. In arteries contracted with KCl, ketamine in concentrations above 5 X 10(-6)M (cerebral arteries) or 2 X 10(-5)M (mesenteric arteries) caused significant relaxation in a dose-dependent manner. The relaxation was not significantly influenced by aminophylline, aspirin, atropine, or propranolol. In concentrations above 5 X 10(-6)M ketamine attenuated the contractile response to high concentrations of KCl in the middle cerebral arteries, and in concentrations above 5 X 10(-5)M it attenuated the contractile response to high concentrations of KCl in the basilar and mesenteric arteries. The attenuation was greater in cerebral than in mesenteric arteries. The contractile response of cerebral arteries to high concentrations of serotonin was also attenuated by ketamine in concentrations above 5 X 10(-5)M. Ketamine attenuated KCl-induced contraction of cerebral arteries more than it attenuated serotonin-induced contraction. When basilar arteries were exposed to Ca2+-free media and depolarized by KCl, the addition of Ca2+ caused biphasic (transient and sustained) contractions, while in the mesenteric arteries the addition of Ca2+ produced sustained contractions. Ketamine at 5 X 10(-5) and 5 X 10(-4)M attenuated both transient and sustained contractions in basilar arteries, while in mesenteric arteries 5 X 10(-4)M ketamine attenuated only sustained contractions. In both instances, ketamine-induced attenuation was partially reversed by excess Ca2+. It is concluded that ketamine has a direct dilating effect on both cerebral and mesenteric arteries, but the effect is more pronounced in cerebral than in mesenteric arteries. The direct action of ketamine on those arteries may be due in part to interference with transmembrane influx of Ca2+.

摘要

研究了氯胺酮对离体犬脑(大脑中动脉和基底动脉)和肠系膜动脉的作用。在由氯化钾收缩的动脉中,浓度高于5×10⁻⁶M(脑动脉)或2×10⁻⁵M(肠系膜动脉)的氯胺酮以剂量依赖性方式引起显著舒张。氨茶碱、阿司匹林、阿托品或普萘洛尔对这种舒张没有显著影响。浓度高于5×10⁻⁶M时,氯胺酮减弱大脑中动脉对高浓度氯化钾的收缩反应,浓度高于5×10⁻⁵M时,它减弱基底动脉和肠系膜动脉对高浓度氯化钾的收缩反应。这种减弱在脑动脉中比在肠系膜动脉中更明显。浓度高于5×10⁻⁵M时,氯胺酮也减弱脑动脉对高浓度5-羟色胺的收缩反应。氯胺酮对脑动脉氯化钾诱导收缩的减弱作用比对5-羟色胺诱导收缩的减弱作用更明显。当基底动脉暴露于无钙培养基并用氯化钾去极化时,加入钙离子会引起双相(短暂和持续)收缩,而在肠系膜动脉中加入钙离子会产生持续收缩。5×10⁻⁵和5×10⁻⁴M的氯胺酮减弱基底动脉的短暂和持续收缩,而在肠系膜动脉中5×10⁻⁴M的氯胺酮仅减弱持续收缩。在这两种情况下,过量的钙离子可部分逆转氯胺酮引起的减弱作用。结论是氯胺酮对脑动脉和肠系膜动脉均有直接舒张作用,但在脑动脉中作用比在肠系膜动脉中更明显。氯胺酮对这些动脉的直接作用可能部分归因于对钙离子跨膜内流的干扰。

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