Suzuki Y, Satoh S, Oyama H, Takayasu M, Shibuya M
Department of Neurosurgery, Nagoya University School of Medicine, Japan.
Stroke. 1993 Jul;24(7):1049-53; discussion 1053-4. doi: 10.1161/01.str.24.7.1049.
The aim of this study was to investigate the regional differences in the in vivo vasodilator responses to vasopressin, which is thought to stimulate the release of nitric oxide from the endothelium, in canine cerebral arteries by angiography.
Angiograms were performed through a catheter inserted directly into the right vertebral artery and were taken periodically after the infusion of vasopressin. The diameters of various segments of the major arteries were measured using a computerized image analysis system.
The bolus administration of vasopressin (10 pmol to 1 nmol) into the vertebral artery produced a long-lasting, dose-dependent vasodilation in the major cerebral arteries centering around the circle of Willis. One nanomole of vasopressin appeared to be the optimal dose for producing maximal vasodilation. The internal diameters of the basilar, posterior communicating, and internal carotid arteries experienced the most dilation (approximately 150% that of control) 2 minutes after the infusion of 1 nmol of vasopressin, followed by those of the middle cerebral, the intracranial portion of the vertebral, and the anterior spinal arteries (approximately 130% that of control). The extracranial portion of the vertebral artery (109.8 +/- 4.8% that of control, n = 4) was less sensitive to 1 nmol of vasopressin. Pretreatment with an intracisternal injection of 10 mumol of NG-monomethyl L-arginine suppressed the vasodilator effect of vasopressin and substance P, whereas it did not affect the response to vasoactive intestinal peptide.
These results suggest that the arteries composing the circle of Willis at the base of the brain are more sensitive to nitric oxide release induced by vasopressin compared with other intracranial and extracranial arteries.
本研究旨在通过血管造影术研究犬脑动脉对血管加压素的体内血管舒张反应的区域差异,血管加压素被认为可刺激内皮细胞释放一氧化氮。
通过直接插入右椎动脉的导管进行血管造影,并在注入血管加压素后定期拍摄。使用计算机图像分析系统测量主要动脉各段的直径。
向椎动脉推注血管加压素(10皮摩尔至1纳摩尔)可在以 Willis 环为中心的主要脑动脉中产生持久的、剂量依赖性的血管舒张。1纳摩尔血管加压素似乎是产生最大血管舒张的最佳剂量。注入1纳摩尔血管加压素后2分钟,基底动脉、后交通动脉和颈内动脉的内径扩张最为明显(约为对照组的150%),其次是大脑中动脉、椎动脉颅内段和脊髓前动脉(约为对照组的130%)。椎动脉颅外段(为对照组的109.8±4.8%,n = 4)对1纳摩尔血管加压素的敏感性较低。脑池内注射10微摩尔 NG-单甲基 L-精氨酸预处理可抑制血管加压素和 P 物质的血管舒张作用,而不影响对血管活性肠肽的反应。
这些结果表明,与其他颅内和颅外动脉相比,构成脑底部 Willis 环的动脉对血管加压素诱导的一氧化氮释放更为敏感。