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氟烷、二氧化碳分压和一氧化氮合酶阻断对脑激光多普勒血流振荡的影响

Modification of cerebral laser-Doppler flow oscillations by halothane, PCO2, and nitric oxide synthase blockade.

作者信息

Hudetz A G, Smith J J, Lee J G, Bosnjak Z J, Kampine J P

机构信息

Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, USA.

出版信息

Am J Physiol. 1995 Jul;269(1 Pt 2):H114-20. doi: 10.1152/ajpheart.1995.269.1.H114.

DOI:10.1152/ajpheart.1995.269.1.H114
PMID:7543253
Abstract

We investigated whether nitric oxide (NO) played a role in the generation of cerebrocortical flow oscillations and their modification by hypocapnia, hypercapnia, and halothane administration. Parietal cortical laser-Doppler flow (LDF) was monitored transcranially in anesthetized (barbiturate + 0-1.0% halothane), artificially ventilated, adult male Sprague-Dawley rats. Thirty minutes after infusion of N omega-nitro-L-arginine methyl ester (L-NAME, 20 mg/kg i.v.) mean arterial pressure (MAP) increased from 105 +/- 10 to 132 +/- 15 mmHg (P < 0.02), while mean LDF decreased from 159 +/- 36 to 135 +/- 30 perfusion units (PU, P < 0.05). Oscillations in LDF at a frequency of 6.3-7.8 cycles/min and amplitude of 10% were induced or augmented by L-NAME but not by D-NAME or indomethacin (2 mg/kg i.p.). L-arginine (200 mg/kg) abolished the oscillations post-L-NAME at constant MAP. Sodium nitroprusside infusion (10(-5) M, 5-50 microliters/min) reversed the L-NAME-induced increase in MAP and decrease in mean LDF but did not attenuate the flow oscillations. Hypocapnia post-L-NAME decreased LDF to 110 +/- 20 PU (P < 0.001) and augmented the flow oscillations (amplitude: 11-31%). Hypercapnia (5% CO2) or halothane (0.4-1.0%) suspended the oscillations in the presence of L-NAME. The results suggest that NO synthase activity inhibits cerebrocortical flow oscillations, and NO is not an obligatory mediator of the effects of halothane, hypocapnia, and hypercapnia on oscillatory activity.

摘要

我们研究了一氧化氮(NO)是否在脑皮质血流振荡的产生以及低碳酸血症、高碳酸血症和氟烷给药对其的调节中发挥作用。在麻醉(巴比妥类药物 + 0 - 1.0%氟烷)、人工通气的成年雄性Sprague-Dawley大鼠中,经颅监测顶叶皮质激光多普勒血流(LDF)。静脉注射Nω-硝基-L-精氨酸甲酯(L-NAME,20 mg/kg)30分钟后,平均动脉压(MAP)从105±10 mmHg升高至132±15 mmHg(P < 0.02),而平均LDF从159±36灌注单位(PU)降至135±30 PU(P < 0.05)。L-NAME可诱导或增强频率为6.3 - 7.8次/分钟、幅度为10%的LDF振荡,但D-NAME或吲哚美辛(2 mg/kg腹腔注射)则不能。在MAP恒定的情况下,L-精氨酸(200 mg/kg)可消除L-NAME注射后的振荡。硝普钠输注(10(-5) M,5 - 50微升/分钟)可逆转L-NAME引起的MAP升高和平均LDF降低,但并未减弱血流振荡。L-NAME注射后的低碳酸血症使LDF降至110±20 PU(P < 0.001)并增强了血流振荡(幅度:11 - 31%)。在存在L-NAME的情况下,高碳酸血症(5% CO2)或氟烷(0.4 - 1.0%)可使振荡停止。结果表明,一氧化氮合酶活性抑制脑皮质血流振荡,并且NO不是氟烷、低碳酸血症和高碳酸血症对振荡活动影响的必需介质。

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