McCormack D G, Rees R G, Crawley D, Barnes P J, Evans T W
Department of Thoracic Medicine, National Heart and Lung Institute, London.
Thorax. 1993 May;48(5):554-7. doi: 10.1136/thx.48.5.554.
Endogenous vasodilators such as endothelially derived relaxant factor have been shown to modulate hypoxic pulmonary vasoconstriction. Sensory peptides such as substance P (SP) and calcitonin gene related peptide (CGRP) are also potent pulmonary vasodilators in both animals and humans. Their possible role in the modulation of the normal hypoxic pressor response has been examined in an isolated, ventilated, and blood perfused rat lung preparation.
Animals (n = 7) were pretreated with 50 mg/kg capsaicin administered subcutaneously to deplete nerve endings of sensory neuropeptides. A control group (n = 7) received a subcutaneous dose of capsaicin vehicle. One week later the rats were killed and the rise in pulmonary artery pressure was measured during four successive periods of hypoxic ventilation (FIO2 0.03), and after four injections of angiotensin II (1.0 microgram).
A 60% depletion of SP levels was measured in the sciatic nerves of animals treated with capsaicin. The hypoxic pressor response was not significantly altered in capsaicin treated animals compared with controls, except during the fourth hypoxic episode when it was augmented. The angiotensin II pressor response was the same in both groups during each of the injections.
The sensory neuropeptide SP (and possibly CGRP) does not have a major role in modulating the pulmonary vascular response to hypoxia.
内源性血管舒张剂,如内皮源性舒张因子,已被证明可调节低氧性肺血管收缩。感觉肽,如P物质(SP)和降钙素基因相关肽(CGRP),在动物和人类中也是强大的肺血管舒张剂。它们在调节正常低氧升压反应中的可能作用已在离体、通气和血液灌注的大鼠肺制备模型中进行了研究。
对7只动物皮下注射50mg/kg辣椒素以耗尽感觉神经肽的神经末梢。对照组(7只)皮下注射辣椒素赋形剂。一周后处死大鼠,在连续四个低氧通气期(吸入氧分数0.03)以及四次注射血管紧张素II(1.0微克)后测量肺动脉压力的升高。
在用辣椒素处理的动物的坐骨神经中测得SP水平减少了60%。与对照组相比,辣椒素处理的动物的低氧升压反应没有明显改变,但在第四次低氧发作期间有所增强。两组在每次注射血管紧张素II时的升压反应相同。
感觉神经肽SP(可能还有CGRP)在调节肺血管对低氧的反应中没有主要作用。