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急性高血压时的颈动脉收缩

Carotid artery constriction in acute hypertension.

作者信息

Grammas P, Giacomelli F, Wiener J

出版信息

Am J Pathol. 1981 May;103(2):226-33.

Abstract

The effects of carotid artery constriction on cerebrovascular ultrastructure and permeability in acute hypertension have been assessed. The right common carotid artery of 26 male Wistar-Kyoto normotensive rats was constricted with a silver wire clip. Forty-eight hours later these animals received an angiotensin amide injection (1 microgram/kg body weight) or infusion for 3--4 hours (0.5 or 1.7 microgram/min/kg body weight) or were subjected to subdiaphragmatic aortic constriction. All animals were injected with horseradish peroxidase (HRP) (20 mg/100 g body weight) and sacrificed after 5--15 minutes. Parietal cortex from both hemispheres was processed for light and electron-microscopic examination. The arterial vessels of the right hemisphere from animals given injections of or infused with angiotensin II exhibited increased permeability to HRP, as manifested by the presence of reaction product in interendothelial cell clefts, in subendothelial space, in endothelial and smooth muscle cell pinocytotic vesicles, and along smooth muscle cell basal laminas. In contrast, no alterations in the permeability of ipsilateral vessels were seen in rats with aortic constriction. Cerebral cortical arterial vessels from the left hemisphere in all groups of animals exhibited segmental dilatation and constriction and abnormal permeability to HRP. The results suggest that angiotensin administration can produce increased permeability of cerebral cortical vessels in the absence of elevated blood pressure.

摘要

评估了颈动脉缩窄对急性高血压时脑血管超微结构和通透性的影响。用银线夹夹闭26只雄性Wistar-Kyoto正常血压大鼠的右侧颈总动脉。48小时后,这些动物接受血管紧张素酰胺注射(1微克/千克体重)或输注3 - 4小时(0.5或1.7微克/分钟/千克体重),或进行膈下主动脉缩窄。所有动物均注射辣根过氧化物酶(HRP)(20毫克/100克体重),并在5 - 15分钟后处死。对双侧大脑半球的顶叶皮质进行光镜和电镜检查。注射或输注血管紧张素II的动物右半球的动脉血管对HRP的通透性增加,表现为在内皮细胞间裂、内皮下间隙、内皮和平滑肌细胞吞饮小泡以及沿平滑肌细胞基膜处有反应产物。相比之下,主动脉缩窄大鼠同侧血管的通透性未见改变。所有动物组左半球的大脑皮质动脉血管均表现出节段性扩张和收缩以及对HRP的异常通透性。结果表明,在血压未升高的情况下,给予血管紧张素可使大脑皮质血管的通透性增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b1/1903821/e7a634060e34/amjpathol00218-0071-a.jpg

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