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遗传性高脂血症家兔冠状动脉平滑肌对麦角新碱反应的高反应性。

Hyperreactivity of coronary arterial smooth muscles in response to ergonovine from rabbits with hereditary hyperlipidemia.

作者信息

Yokoyama M, Akita H, Mizutani T, Fukuzaki H, Watanabe Y

出版信息

Circ Res. 1983 Jul;53(1):63-71. doi: 10.1161/01.res.53.1.63.

Abstract

This study was undertaken to examine the response to ergonovine, an agent used to provoke spastic constriction of large epicardial coronary arteries, to elucidate the responsible underlying mechanism, and to determine the impact of endogenous hyperlipidemia on contractile properties of isolated vessels from different beds. The isolated arteries from both control and Watanabe hereditary hyperlipidemic rabbits (WHHL rabbits) were suspended for recording isometric force in oxygenated Krebs buffer and exposed to agonists and antagonists. In atherosclerotic aortas from WHHL rabbits, the concentration-response relations for ergonovine and serotonin exhibited a marked leftward shift with significantly depressed constrictor threshold concentration and lowered one-half maximally effective concentration values. In coronary arteries with no atherosclerotic lesions detectable macroscopically from WHHL rabbits, the concentration-response relations showed a leftward shift for ergonovine but not serotonin. Coronary contraction evoked by ergonovine was remarkably inhibited by 0.1 microM cyproheptadine and 0.3 microM methysergide, serotonergic antagonists, in both groups. alpha-Adrenergic blockade with 0.1 microM prazosin was effective in inhibiting ergonovine-induced contraction of aortas from control rabbits, but not that of atherosclerotic ones. The constrictor response to ergonovine of atherosclerotic aortas was inhibited by cyproheptadine. The responsiveness to ergonovine of both carotid and femoral arteries from WHHL rabbits with no sclerotic lesions, which was suppressed by prazosin was not different from that of control rabbits. In contrast, the concentration-response relations for phenylephrine in the four different types of arteries did not differ appreciably between the two groups, and the constrictor responses to 20 mM KCl were virtually identical. Thus, aortas and coronary arteries exposed to endogenous hyperlipidemia appear to be hyperreactive to ergonovine mediated by a serotonergic mechanism.

摘要

本研究旨在检测对麦角新碱(一种用于诱发心外膜大冠状动脉痉挛性收缩的药物)的反应,以阐明其潜在机制,并确定内源性高脂血症对来自不同血管床的离体血管收缩特性的影响。将对照兔和渡边遗传性高脂血症兔(WHHL兔)的离体动脉悬挂于充氧的Krebs缓冲液中记录等长力,并使其暴露于激动剂和拮抗剂。在WHHL兔的动脉粥样硬化主动脉中,麦角新碱和5-羟色胺的浓度-反应关系呈现明显的左移,收缩阈值浓度显著降低,最大有效浓度值减半。在从WHHL兔中宏观上未检测到动脉粥样硬化病变的冠状动脉中,浓度-反应关系显示麦角新碱左移,但5-羟色胺未左移。两组中,0.1μM赛庚啶和0.3μM甲基麦角新碱(5-羟色胺能拮抗剂)可显著抑制麦角新碱诱发的冠状动脉收缩。0.1μM哌唑嗪进行α-肾上腺素能阻断可有效抑制对照兔主动脉中麦角新碱诱导的收缩,但对动脉粥样硬化主动脉无效。赛庚啶可抑制动脉粥样硬化主动脉对麦角新碱的收缩反应。在无硬化病变的WHHL兔中,哌唑嗪抑制的颈动脉和股动脉对麦角新碱的反应性与对照兔无差异。相反,两组中四种不同类型动脉对去氧肾上腺素的浓度-反应关系无明显差异,对20mM氯化钾的收缩反应基本相同。因此,暴露于内源性高脂血症的主动脉和冠状动脉似乎对由5-羟色胺能机制介导的麦角新碱反应性增强。

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