Kimura M, Dietrich H H, Dacey R G
Department of Neurological Surgery, Washington University, School of Medicine, St Louis, Mo.
Stroke. 1994 Nov;25(11):2227-33; discussion 2233-4. doi: 10.1161/01.str.25.11.2227.
Although cerebral penetrating arterioles are main regulators of the brain microcirculation, little is known about the effect of endothelium-derived relaxation factor on these vessels. This study examined the effects of nitric oxide synthase inhibitors on the spontaneous tone of isolated rat cerebral arterioles.
Intraparenchymal penetrating arterioles (53 to 102 microns in passive diameter) isolated from Sprague-Dawley rats were cannulated with glass pipettes and subjected to 60 mm Hg of intraluminal pressure. The diameter response to intraluminal and extraluminal treatments was observed with an inverted microscope.
Extraluminal application of Nw-nitro-L-arginine (10(-5) mol/L) contracted the arterioles to 63.9 +/- 2.8% (P < .05) of the control diameter. This contracting effect was stereospecific and easily reversed by L-arginine dose dependently (10(-3), 10(-2) mol/L) but not by D-arginine. Intraluminally applied Nw-nitro-L-arginine also induced a similar degree of contraction. Another nitric oxide synthase inhibitor, NG-monomethyl L-arginine (10(-5), 10(-4) mol/L), applied extraluminally induced a dose-dependent contraction to 77.5 +/- 6.6% and 68.6 +/- 5.4% of the control (P < .05), which was also reversed by L-arginine. L-Arginine alone did not significantly affect vessel diameter, however. Treatment with indomethacin, a cyclooxygenase inhibitor, dilated the vessel to 115.2 +/- 7% (P < .05) but did not change the constricting effect of Nw-nitro-L-arginine.
Nw-Nitro-L-arginine and NG-monomethyl L-arginine produce substantial contraction in isolated brain arterioles, suggesting that nitric oxide of brain arterioles is continuously produced within the vessel wall. The dilatory effect of indomethacin appears to be independent of the vasoconstriction induced by nitric oxide synthase inhibitor. In these vessels, the effect of nitric oxide synthase inhibitors is not mediated by an indomethacin-sensitive mechanism. A balance probably exists between factors tending to constrict these arterioles and the elaboration of nitric oxide from endothelial cells, which tends to dilate them. The production of nitric oxide from isolated vessels indicates that parenchymal and vessel wall sources of nitric oxide are probably important in brain microcirculatory regulation.
尽管脑穿通小动脉是脑微循环的主要调节者,但关于内皮源性舒张因子对这些血管的作用却知之甚少。本研究检测了一氧化氮合酶抑制剂对离体大鼠脑小动脉自发张力的影响。
从Sprague-Dawley大鼠分离出的脑实质内穿通小动脉(被动直径为53至102微米)用玻璃微管插管,并施加60毫米汞柱的管腔内压力。用倒置显微镜观察管腔和管腔外处理后的直径反应。
管腔外应用Nω-硝基-L-精氨酸(10⁻⁵摩尔/升)使小动脉收缩至对照直径的63.9±2.8%(P<.05)。这种收缩作用具有立体特异性,且可被L-精氨酸剂量依赖性地轻易逆转(10⁻³、10⁻²摩尔/升),但不能被D-精氨酸逆转。管腔内应用Nω-硝基-L-精氨酸也诱导了相似程度的收缩。另一种一氧化氮合酶抑制剂,N⁰-甲基-L-精氨酸(10⁻⁵、10⁻⁴摩尔/升),管腔外应用诱导剂量依赖性收缩至对照的77.5±6.6%和68.6±5.4%(P<.05),这也可被L-精氨酸逆转。然而,单独的L-精氨酸对血管直径无显著影响。用环氧化酶抑制剂吲哚美辛处理使血管扩张至115.2±7%(P<.05),但未改变Nω-硝基-L-精氨酸的收缩作用。
Nω-硝基-L-精氨酸和N⁰-甲基-L-精氨酸在离体脑小动脉中产生显著收缩,提示脑小动脉的一氧化氮在血管壁内持续产生。吲哚美辛的舒张作用似乎独立于一氧化氮合酶抑制剂诱导的血管收缩。在这些血管中,一氧化氮合酶抑制剂的作用不是由吲哚美辛敏感机制介导的。在倾向于收缩这些小动脉的因素与内皮细胞产生的倾向于舒张它们的一氧化氮之间可能存在平衡。离体血管产生一氧化氮表明一氧化氮的实质和血管壁来源在脑微循环调节中可能很重要。