Estrada C, Dieguez G, Conde M V, Gómez B, Lluch S
Stroke. 1981 Mar-Apr;12(2):204-10. doi: 10.1161/01.str.12.2.204.
We studied the in vivo and in vitro effects of diazoxide on the cerebral circulation of 8 normotensive (mean arterial pressure = 100 mm Hg) and 5 renal hypertensive (mean arterial pressure = 146 mm Hg) goats. Injections of diazoxide (0.3-27 mg) into the internal maxillary artery of unanesthetized goats produced dose-dependent increases in cerebral blood flow (electromagnetic flowmeter), this effect being significantly higher in hypertensive goats. Intravenous injection of 5 mg/kg of diazoxide into normotensive goats increased cerebral blood flow 40 ml/min/100 g and mean arterial pressure dropped 22 mm Hg whereas in hypertensive goats cerebral blood flow was unchanged and mean arterial pressure decreased 50 mm Hg. The increase in heart rate due to intravenous diazoxide was similar in normotensive and hypertensive goats (35 beats/min). Cumulative applications of diazoxide (10(-5) to 10(-3)M) on isolated middle cerebral arteries produced dilatory responses both under resting conditions and after previous tonic contraction by serotonin. This relaxation was significantly greater in arterial segments from hypertensive goats. The results indicate that diazoxide exerts powerful dilatatory effects on cerebral vessels, both in vivo and in vitro, and that these effects are particularly evident in hypertensive animals.
我们研究了二氮嗪对8只血压正常(平均动脉压 = 100毫米汞柱)和5只肾性高血压(平均动脉压 = 146毫米汞柱)山羊脑循环的体内和体外作用。向未麻醉山羊的上颌内动脉注射二氮嗪(0.3 - 27毫克)可使脑血流量(电磁流量计)呈剂量依赖性增加,这种效应在高血压山羊中更为显著。向血压正常的山羊静脉注射5毫克/千克二氮嗪可使脑血流量增加40毫升/分钟/100克,平均动脉压下降22毫米汞柱,而在高血压山羊中,脑血流量不变,平均动脉压下降50毫米汞柱。静脉注射二氮嗪引起的血压正常和高血压山羊心率增加相似(35次/分钟)。在离体大脑中动脉上累积应用二氮嗪(10⁻⁵至10⁻³摩尔),在静息状态下以及先前经5-羟色胺进行强直性收缩后均产生舒张反应。来自高血压山羊的动脉节段的这种舒张更为显著。结果表明,二氮嗪在体内和体外均对脑血管发挥强大的舒张作用,且这些作用在高血压动物中尤为明显。