Sato N, Shen Y T, Kiuchi K, Shannon R P, Vatner S F
Department of Medicine, Harvard Medical School, Boston 02115, USA.
Am J Physiol. 1995 Aug;269(2 Pt 2):H491-503. doi: 10.1152/ajpheart.1995.269.2.H491.
We investigated the extent to which sympathomimetic amines induced splenic contraction and associated increases in arterial O2 content (CaO2) and how these mechanisms affected control of the coronary circulation by sympathomimetic amines in conscious dogs. Blood hemoglobin (Hb) and CaO2 increased by 16 +/- 2 and 18 +/- 2%, respectively, during norepinephrine (NE, 0.8 micrograms.kg-1.min-1 iv) in the intact, conscious state after splenic contraction. Phenylephrine (PE) induced similar effects. After either alpha 1-adrenergic-receptor blockade or splenectomy, these effects were abolished. Isoproterenol (Iso) also decreased splenic thickness, which was abolished after ganglionic, alpha-, or beta 1/beta 2-adrenergic-receptor blockade. Direct infusions of NE and PE into the splenic artery decreased splenic thickness and increased Hb and CaO2, whereas Iso had no effect. After splenectomy, NE did not increase CaO2, but coronary blood flow (CBF) increased more (73 +/- 6%) vs. before splenectomy (49 +/- 7%) without any differences before and after splenectomy in the responses of pressures, contractility, and myocardial O2 consumption (MVO2). In contrast, renal, mesenteric, and iliac artery blood flows were not significantly different in response to sympathomimetic amines before and after splenectomy. These data indicate that sympathomimetic amines induced splenic contraction either directly or reflexly via alpha-adrenergic-receptor stimulation. The consequent increase in Hb and CaO2 allows for equivalent increases in MVO2, but at a smaller increase in CBF.
我们研究了拟交感胺类药物诱导脾脏收缩的程度以及随之而来的动脉血氧含量(CaO2)的增加,以及这些机制如何影响清醒犬体内拟交感胺类药物对冠脉循环的调控。在完整清醒状态下,脾脏收缩后静脉注射去甲肾上腺素(NE,0.8微克·千克⁻¹·分钟⁻¹)期间,血色素(Hb)和CaO2分别增加了16±2%和18±2%。苯肾上腺素(PE)也产生了类似的效果。在α1-肾上腺素能受体阻断或脾切除术后,这些效果消失。异丙肾上腺素(Iso)也会使脾脏厚度减小,在神经节、α-或β1/β2-肾上腺素能受体阻断后这种作用消失。将NE和PE直接注入脾动脉会使脾脏厚度减小,Hb和CaO2增加,而Iso则无此作用。脾切除术后,NE不会增加CaO2,但冠脉血流量(CBF)增加得更多(73±6%),而脾切除术前为(49±7%),脾切除前后在压力、收缩性和心肌耗氧量(MVO2)反应方面没有差异。相比之下,脾切除前后拟交感胺类药物对肾动脉、肠系膜动脉和髂动脉血流量的影响无显著差异。这些数据表明,拟交感胺类药物通过α-肾上腺素能受体刺激直接或反射性地诱导脾脏收缩。随之而来的Hb和CaO2增加使得MVO2等量增加,但CBF的增加幅度较小。