Wagerle L C, Moliken W, Russo P
Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania 19102, USA.
Pediatr Res. 1995 Aug;38(2):237-42. doi: 10.1203/00006450-199508000-00017.
Ovine fetal cerebral arteries exhibit an enhanced contractile response to norepinephrine (NE) compared with newborns and adults. It is possible that beta-adrenergic receptors and/or nitric oxide (NO), a putative endothelium-dependent relaxing factor, differentially modulate cerebrovascular responsiveness to NE as a function of development. The present study evaluated the effect of the beta-adrenoceptor antagonist, propranolol, and the NO synthase inhibitor, NG-nitro-L-arginine methyl ester (LNAME), on the contractile response of isolated middle cerebral artery (MCA) and basilar artery (BA) to NE during fetal development. MCAs isolated from four preterm fetal lambs (105 d of gestation), seven near-term fetal lambs (125-130 d of gestation), and eight newborn lambs (2-7 d of age) were evaluated using organ baths. BAs isolated from the near-term fetal and newborn lambs were also evaluated. Contractile reactivity of MCAs to NE decreased significantly during fetal maturation as manifested by a marked decrease in Fmax (maximal relative contractile force generated) and an increase in EC50 (Fmax = 100 +/- 7, 41 +/- 7, and 28 +/- 8% of KCl contraction; EC50 = 0.14 +/- 0.03, 1.09 +/- 0.36, and 1.07 +/- 0.22 microM for preterm fetus, near-term fetus, and newborn lamb MCAs, respectively, p < or = 0.05). Propranolol treatment (10(-5) M) increased Fmax (2-fold) only for newborn lamb MCAs. Pretreatment with LNAME (10(-4) M) markedly enhanced the contractile response to NE (7-fold decrease in EC50 and 2-fold increase in Fmax, p < 0.05) for near-term fetus MCAs, whereas preterm fetus and newborn lamb MCAs were unaffected by the inhibitor.(ABSTRACT TRUNCATED AT 250 WORDS)
与新生羊和成年羊相比,绵羊胎儿脑动脉对去甲肾上腺素(NE)表现出增强的收缩反应。β-肾上腺素能受体和/或一氧化氮(NO,一种假定的内皮依赖性舒张因子)可能随着发育过程对脑血管对NE的反应性进行不同调节。本研究评估了β-肾上腺素能受体拮抗剂普萘洛尔和NO合酶抑制剂NG-硝基-L-精氨酸甲酯(LNAME)对胎儿发育期间分离的大脑中动脉(MCA)和基底动脉(BA)对NE收缩反应的影响。使用器官浴评估了从四只早产胎儿羔羊(妊娠105天)、七只足月胎儿羔羊(妊娠125 - 130天)和八只新生羔羊(2 - 7日龄)分离的MCA。还评估了从足月胎儿和新生羔羊分离的BA。随着胎儿成熟,MCA对NE的收缩反应性显著降低,表现为Fmax(产生的最大相对收缩力)明显降低,EC50增加(Fmax分别为氯化钾收缩的100±7%、41±7%和28±8%;早产胎儿、足月胎儿和新生羔羊MCA的EC50分别为0.14±0.03、1.09±0.36和1.07±0.22 microM,p≤0.05)。普萘洛尔治疗(10⁻⁵M)仅使新生羔羊MCA的Fmax增加(2倍)。用LNAME(10⁻⁴M)预处理显著增强了足月胎儿MCA对NE的收缩反应(EC50降低7倍,Fmax增加2倍,p < 0.05),而早产胎儿和新生羔羊MCA不受该抑制剂影响。(摘要截断于250字)