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氟烷和异氟烷对大鼠主动脉血管平滑肌细胞溶质钙离子浓度及收缩的影响。

Effects of halothane and isoflurane on cytosolic calcium ion concentrations and contraction in the vascular smooth muscle of the rat aorta.

作者信息

Tsuchida H, Namba H, Yamakage M, Fujita S, Notsuki E, Namiki A

机构信息

Department of Anesthesiology, Sapporo Medical College, Japan.

出版信息

Anesthesiology. 1993 Mar;78(3):531-40. doi: 10.1097/00000542-199303000-00017.

Abstract

BACKGROUND

Halothane and isoflurane have been reported to suppress the contraction of vascular smooth muscle, although the exact mechanism has not been explained fully. This study examined the effect of halothane and isoflurane on cytosolic calcium ion (Ca2+) concentrations ([Ca2+]cyt), which was measured simultaneously with muscle tension in the vascular smooth muscle of the rat aorta to improve the understanding of the anesthetic's effect on vascular smooth muscle.

METHODS

Isolated spiral strips of rat thoracic aorta were suspended for isometric tension recordings in physiologic salt solution. The [Ca2+]cyt was measured concomitantly by using fura-2-Ca2+ fluorescence. During exposure to 0%, 1%, 2%, or 3% halothane or 0%, 2%, or 4% isoflurane, increases in muscle tension and [Ca2+]cyt induced by 32.8 mM K+ or 30 nM norepinephrine were measured and compared with the reference values. In the other series, the 3% halothane-induced increase in [Ca2+]cyt was measured in Ca2+)-free solution without and with a pretreatment of ryanodine, caffeine, or norepinephrine.

RESULTS

Halothane and isoflurane increased resting-state [Ca2+]cyt, although only 3% halothane elicited a transient increase in muscle tension during the resting state. By contrast, both anesthetic agents attenuated the high K(+)- and norepinephrine-induced increases in [Ca2+]cyt and muscle tension in a concentration-dependent manner. During 3% halothane or 4% isoflurane exposure, the pretreatment of the muscle strip with a 10(-6)-M dose of Bay K 8644 augmented the high K(+)-induced increase in [Ca2+]cyt to the level observed in the control (0% anesthetic exposure) state. However, the increase in muscle tension in the presence of Bay K 8644 was low; it was still attenuated from the control level during 3% halothane or 4% isoflurane administration. These results indicate that, not only [Ca2+]cyt-dependent, but also [Ca2+]cyt-independent, mechanisms are involved in the anesthetic-induced suppression of smooth muscle contraction. A 3% halothane-induced increase in [Ca2+]cyt was observed in the Ca(2+)-free solution even when the muscle strip was pretreated with a 10(-6)-M dose of ryanodine and a 20-mM dose of caffeine, whereas it was abolished completely after the muscle strip was pretreated with ryanodine, caffeine, and 100 nM norepinephrine. These results indicate that halothane can release Ca2+ from an intracellular Ca2+ store other than the caffeine-releasable site.

CONCLUSIONS

Halothane and isoflurane have multiple effects on the [Ca2+]cyt and induce [Ca2+]cyt-dependent and [Ca2+]cyt-independent suppression of the contraction in the vascular smooth muscle.

摘要

背景

据报道,氟烷和异氟烷可抑制血管平滑肌收缩,但其确切机制尚未完全阐明。本研究检测了氟烷和异氟烷对胞质钙离子(Ca2+)浓度([Ca2+]cyt)的影响,并同步测量大鼠主动脉血管平滑肌的肌肉张力,以增进对麻醉药对血管平滑肌作用的理解。

方法

将大鼠胸主动脉的离体螺旋条悬挂于生理盐溶液中进行等长张力记录。使用fura-2-Ca2+荧光法同步测量[Ca2+]cyt。在暴露于0%、1%、2%或3%氟烷或0%、2%或4%异氟烷期间,测量由32.8 mM K+或30 nM去甲肾上腺素诱导的肌肉张力和[Ca2+]cyt的增加,并与参考值进行比较。在另一组实验中,在无Ca2+溶液中测量3%氟烷诱导的[Ca2+]cyt增加,且肌肉条分别经ryanodine、咖啡因或去甲肾上腺素预处理。

结果

氟烷和异氟烷增加静息状态下的[Ca2+]cyt,尽管仅3%氟烷在静息状态下引起肌肉张力短暂增加。相比之下,两种麻醉药均以浓度依赖性方式减弱高钾和去甲肾上腺素诱导的[Ca2+]cyt和肌肉张力增加。在暴露于3%氟烷或4%异氟烷期间,用10(-6)-M剂量的Bay K 8644预处理肌肉条,可使高钾诱导的[Ca2+]cyt增加恢复至对照(0%麻醉暴露)状态下观察到的水平。然而,在Bay K 8644存在下肌肉张力增加较低;在给予3%氟烷或4%异氟烷期间,仍低于对照水平。这些结果表明,麻醉药诱导的平滑肌收缩抑制不仅涉及依赖[Ca2+]cyt 的机制,还涉及不依赖[Ca2+]cyt的机制。即使肌肉条用10(-6)-M剂量的ryanodine和20-mM剂量的咖啡因预处理,在无Ca(2+)溶液中仍观察到3%氟烷诱导的[Ca2+]cyt增加,而在用ryanodine、咖啡因和100 nM去甲肾上腺素预处理肌肉条后,该增加完全被消除。这些结果表明,氟烷可从除咖啡因可释放位点之外的细胞内Ca2+储存中释放Ca2+。

结论

氟烷和异氟烷对[Ca2+]cyt具有多种作用,并诱导血管平滑肌收缩的[Ca2+]cyt依赖性和[Ca2+]cyt非依赖性抑制。

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