Csákó G, Szilágyi T, Csernyánszky H, Tóth S
Med Biol. 1976 Aug;54(4):243-53.
The action of endotoxin, trypsin or hypothermia on the vascular reactivity to catecholamines was investigated in rabbits, and with trypsin in normothermic dogs as well. In rabbits, LD10 of Escherichia coli 0111 endotoxin increased the blood pressor effect of i.v. adrenaline or noradrenaline with maxima at 60-90 min. LD50 endotoxin elicited a vascular hyporeactivity to catecholamines within an hour. 22 hours later, however, a hyperreactivity to catecholamines developed. At this time, repeated administration of LD50 endotoxin did not reduce the increased catecholamine responsiveness. Trypsin (i.v. 1.5 mg/kg) also potentiated the pressor effect of catecholamines in rabbits and dogs with maxima at 5-10 min. Higher trypsin doses induced a hyporeactivity. LD50 endotoxin in a single or a repeated dose after 22 hours did not decrease the blood pressure of cooled rabbits and failed to alter the vascular reactivity to adrenaline or noradrenaline. The blood pressure effect of trypsin differed in character in normo- and hypothermic rabbits, depending on the depth of cooling. Low body temperature eliminated the potentiating effect of trypsin to the blood pressor action of catecholamines. In normothermic rabbits pretreated with amino-pyrine and phenylbutazone, the blood pressure and the catecholamine potentiation effects of endotoxin or trypsin were inhibited or considerably reduced. The results support the significance of altered vascular reactivity to catecholamines under different pathologic conditions where endotoxin and/or proteases may occur.
研究了内毒素、胰蛋白酶或低温对家兔血管对儿茶酚胺反应性的影响,同时也研究了常温犬体内胰蛋白酶的作用。在家兔中,大肠杆菌0111内毒素的半数致死剂量(LD50)静脉注射可增强肾上腺素或去甲肾上腺素的升压作用,60 - 90分钟时达到最大值。内毒素的致死剂量(LD10)在一小时内会引发血管对儿茶酚胺的反应性降低。然而,22小时后,血管对儿茶酚胺的反应性会增强。此时,重复给予LD50内毒素并不会降低儿茶酚胺反应性的增强。胰蛋白酶(静脉注射1.5毫克/千克)也会增强家兔和犬体内儿茶酚胺的升压作用,5 - 10分钟时达到最大值。更高剂量的胰蛋白酶会引发反应性降低。22小时后单次或重复给予LD50内毒素并不会降低体温降低的家兔的血压,也不会改变血管对肾上腺素或去甲肾上腺素的反应性。在正常体温和低温的家兔中,胰蛋白酶对血压的影响因降温深度而异。低体温消除了胰蛋白酶对儿茶酚胺升压作用的增强效果。在预先用氨基比林和苯基丁氮酮处理过的常温家兔中,内毒素或胰蛋白酶的血压及儿茶酚胺增强作用受到抑制或显著降低。这些结果支持了在可能存在内毒素和/或蛋白酶的不同病理条件下,血管对儿茶酚胺反应性改变的重要性。