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内皮在非胰岛素依赖型糖尿病大鼠主动脉收缩反应增强中的作用:胰岛素治疗的影响。

The role of the endothelium on enhanced contractile response of non-insulin-dependent diabetic rat aortae: effects of insulin treatment.

作者信息

Karasu C, Altan V M

机构信息

Department of Pharmacology, Faculty of Pharmacy, Ankara University, Turkey.

出版信息

Gen Pharmacol. 1994 Jul;25(4):795-802. doi: 10.1016/0306-3623(94)90262-3.

DOI:10.1016/0306-3623(94)90262-3
PMID:7958744
Abstract
  1. The role of the endothelium on the constrictor effect of noradrenaline (NA), and endothelium-dependent and endothelium-independent vasodilator effects of different agonists were determined in rings of aortae obtained from nondiabetic (control), non-insulin-dependent (NID-) diabetic and NID-diabetic rats treated with insulin. 2. The NA-induced contractions are markedly increased with no change in agonist potency (pD2 value) in aortae with intact endothelium obtained from NID-diabetic rats when compared to those from age-matched controls. Mechanical removal of the endothelium resulted in a significant increase in maximum contractile response of control aortae but not NID-diabetic aortae to NA relative to presence of endothelium. No significant difference was observed between the contractile responses of NID-diabetic and control aortae to NA after the removal of endothelium. 3. Endothelium-dependent relaxations elicited by acetylcholine (ACh), histamine, ATP and insulin strongly depressed in NID-diabetic aortae but the relaxations stimulated by sodium nitroprusside (SNP) did not change when compared to corresponding controls. There was no significant changes in the pD2 values calculated by agonist-induced relaxations of aortae from either untreated or insulin-treated NID-diabetic rats compared with controls. 4. NID-diabetes-induced alterations on the reactivity of aortae were significantly restored by in vivo insulin treatment. 5. These data indicate that impaired endothelium-dependent vasodilatory responses of aortae from NID-diabetic rats results in increased NA-induced contractions. It is possible that, impaired endothelium-dependent vasodilatory modulation of vasoconstriction may play a important role in development of vasospasm and hypertension in NID-diabetics.
摘要
  1. 研究了内皮在去甲肾上腺素(NA)的收缩作用以及不同激动剂的内皮依赖性和非内皮依赖性血管舒张作用中的作用,实验采用从非糖尿病(对照)、非胰岛素依赖型(NID -)糖尿病以及接受胰岛素治疗的NID - 糖尿病大鼠获取的主动脉环。2. 与年龄匹配的对照大鼠的主动脉相比,从NID - 糖尿病大鼠获取的具有完整内皮的主动脉中,NA诱导的收缩显著增强,而激动剂效力(pD2值)无变化。机械去除内皮后,对照主动脉对NA的最大收缩反应相对于内皮存在时显著增加,但NID - 糖尿病主动脉对NA的最大收缩反应无显著增加。去除内皮后,NID - 糖尿病主动脉和对照主动脉对NA的收缩反应之间未观察到显著差异。3. 乙酰胆碱(ACh)、组胺、ATP和胰岛素引发的内皮依赖性舒张在NID - 糖尿病主动脉中显著降低,但与相应对照相比,硝普钠(SNP)刺激的舒张无变化。与对照相比,未治疗或胰岛素治疗的NID - 糖尿病大鼠主动脉由激动剂诱导的舒张所计算出的pD2值无显著变化。4. NID - 糖尿病诱导的主动脉反应性改变通过体内胰岛素治疗得到显著恢复。5. 这些数据表明,NID - 糖尿病大鼠主动脉内皮依赖性血管舒张反应受损导致NA诱导的收缩增加。内皮依赖性血管舒张对血管收缩的调节受损可能在NID - 糖尿病患者血管痉挛和高血压的发生中起重要作用。

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