Sulakvelidze I, McDonald D M
Cardiovascular Research Institute, University of California, San Francisco 94143.
Am J Respir Crit Care Med. 1994 Jan;149(1):232-8. doi: 10.1164/ajrccm.149.1.7509246.
The beta 2-adrenergic agonist formoterol has been shown to inhibit plasma extravasation in the respiratory mucosa associated with neurogenic inflammation as well as that caused by histamine or bradykinin. It is unknown whether these effects of formoterol are mediated through an action of sensory nerves or through a direct effect on the leaky blood vessels. In the present study we sought to determine whether capsaicin-sensitive sensory nerves are essential for the anti-edema effect of formoterol in the rat trachea. Substance P (5 micrograms/kg), PAF (hexadecyl-PAF, 5 micrograms/kg), or bradykinin (10 mg/kg) was injected intravenously to increase vascular permeability. The amount of plasma extravasation was measured with two tracers, Evans blue dye and Monastral blue pigment. The effectiveness of formoterol's anti-edema action was assessed in two groups of rats. One was pretreated with capsaicin to eliminate tachykinin-containing sensory nerves and another, the control group, was not pretreated. We found that in control rats formoterol inhibited to a similar extent the extravasation of Evans blue and Monastral blue caused by all three mediators. The highest intravenous dose of formoterol (10 micrograms/kg) reduced substance P-induced extravasation of Monastral blue by 59%, reduced PAF-induced extravasation by 74%, and reduced bradykinin-induced extravasation by 58%. Pretreatment of rats with a dose of capsaicin that eliminated at least 94% of the substance P-immunoreactive nerve fibers did not significantly reduce the effectiveness of formoterol against any of the mediators.(ABSTRACT TRUNCATED AT 250 WORDS)
β2肾上腺素能激动剂福莫特罗已被证明可抑制与神经源性炎症相关的呼吸道黏膜以及由组胺或缓激肽引起的血浆外渗。尚不清楚福莫特罗的这些作用是通过感觉神经的作用介导的,还是通过对渗漏血管的直接作用介导的。在本研究中,我们试图确定辣椒素敏感的感觉神经对于福莫特罗在大鼠气管中的抗水肿作用是否必不可少。静脉注射P物质(5微克/千克)、PAF(十六烷基-PAF,5微克/千克)或缓激肽(10毫克/千克)以增加血管通透性。用两种示踪剂伊文思蓝染料和酸性蓝颜料测量血浆外渗量。在两组大鼠中评估福莫特罗抗水肿作用的有效性。一组用辣椒素预处理以消除含速激肽的感觉神经,另一组为对照组,未进行预处理。我们发现,在对照大鼠中,福莫特罗对由所有三种介质引起的伊文思蓝和酸性蓝外渗的抑制程度相似。福莫特罗的最高静脉剂量(10微克/千克)使P物质诱导的酸性蓝外渗减少59%,使PAF诱导的外渗减少74%,使缓激肽诱导的外渗减少58%。用能消除至少94%的P物质免疫反应性神经纤维的辣椒素剂量预处理大鼠,并未显著降低福莫特罗对任何一种介质的作用效果。(摘要截短至250字)