Abran D, Varma D R, Li D Y, Chemtob S
Centre de recherche de l'Hôpital Sainte-Justine, Department of Pediatrics, Montréal, PQ, Canada.
Can J Physiol Pharmacol. 1994 Feb;72(2):168-73. doi: 10.1139/y94-026.
The upper blood pressure limit of retinal blood flow autoregulation is lower in the newborn than in the adult; this suggests an insufficient vasoconstrictor response in the newborn when perfusion pressure is increased. Because prostaglandins (PGs) have an important role in autoregulation of retinal blood flow, we compared the effects of PGE2, PGF2 alpha, carbacyclin (PGI2 analogue), and U46619 (thromboxane analogue), as well as that of agonists for the three different PGE2 receptor subtypes, 17-phenyl trinor PGE2 (EP1), butaprost (EP2), and M&B 28,767 (EP3), on the retinal vasculature of newborn and adult pigs, using isolated eyecup preparations. PGF2 alpha and PGE2 caused a markedly greater constriction of retinal arteries and veins of the adult than of the newborn animals. Further analysis of the response to PGE2, using receptor subtype agonists, revealed that the EP1 receptor agonist, 17-phenyl trinor PGE2, and the EP3 receptor agonist, M&B 28,767, caused a significant constriction of adult arteries and veins but produced minimal effects on newborn vessels; the EP2 receptor agonist, butaprost, caused a small and comparable dilation of newborn and adult arteries and veins. The PGI2 analogue, carbacyclin, caused a greater dilation of the adult than of the newborn arteries, but produced comparable dilation of veins from both newborn and adult animals. In contrast to the effects of PGF2 alpha and PGE2, the thromboxane analogue, U46619, as well as the alpha 1-adrenoceptor agonist, phenylephrine, significantly constricted newborn arteries and veins, and this effect was comparable with that observed on retinal vessels of the adult.(ABSTRACT TRUNCATED AT 250 WORDS)
新生儿视网膜血流自动调节的血压上限低于成年人;这表明当灌注压升高时,新生儿的血管收缩反应不足。由于前列腺素(PGs)在视网膜血流自动调节中起重要作用,我们使用离体眼杯制剂,比较了前列腺素E2(PGE2)、前列腺素F2α(PGF2α)、卡前列环素(前列环素I2类似物)和U46619(血栓素类似物),以及三种不同PGE2受体亚型激动剂17-苯基三降PGE2(EP1)、布他前列素(EP2)和M&B 28767(EP3)对新生猪和成年猪视网膜血管的影响。PGF2α和PGE2对成年动物视网膜动脉和静脉的收缩作用明显大于新生动物。使用受体亚型激动剂对PGE2反应的进一步分析表明,EP1受体激动剂17-苯基三降PGE2和EP3受体激动剂M&B 28767可使成年动物的动脉和静脉显著收缩,但对新生血管的作用极小;EP2受体激动剂布他前列素可使新生动物和成年动物的动脉和静脉产生轻微且相当的扩张。前列环素I2类似物卡前列环素对成年动物动脉的扩张作用大于新生动物,但对新生动物和成年动物的静脉产生的扩张作用相当。与PGF2α和PGE2的作用相反,血栓素类似物U46619以及α1-肾上腺素能受体激动剂去氧肾上腺素可使新生动物的动脉和静脉显著收缩,且这种作用与在成年动物视网膜血管上观察到的作用相当。(摘要截短于250词)