Tei Y, Mutoh N, Shibata H, Harasawa S, Miwa T
6th Department of Internal Medicine, Tokai University School of Medicine.
Nihon Shokakibyo Gakkai Zasshi. 1994 Jul;91(7):1170-81.
Stress ulcer formation is reportedly much less frequent in SHR than in normotensive control rats (Wistar Kyoto Rat: WKY). The purpose of this study was to investigate the mechanism of maintenance of gastric mucosal blood flow (GMBF) during imposed stress in SHR. In stressed-only SHR, GMBF did not significantly change during water immersion and restraint conditions and ulcer index (UI) was significantly lower than that of WKY. Stress conditions led to a fall in blood pressure and a gradual fall in heart rate in WKY and SHR. It was assumed that the changes in blood pressure and heart rate during stress were due to vagal hyperfunction. The catecholamine level in the fundic gland of the gastric tissue was higher in the non-stressed SHR than in the non-stressed WKY. The administration of 6-hydroxydopamine to SHR produced a significant reduction in GMBF during stress conditions and UI was significantly higher in this group than in the stressed-only SHR. In SHR treated with nifedipine, UI was lower than that of the control group and GMBF showed no significant change compared with the stressed-only SHR. However, the administration of verapamil produced a significant reduction in GMBF during stress conditions and increased UI. The norepinephrine and dopamine levels of the groups treated with verapamil were significantly lower than those in the groups treated with nifedipine. These results suggest that local regulation of gastric mucosa mediated by sympathetic hyperfunction in SHR is more important for the maintenance of GMBF during stress conditions than changes in peripheral artery resistance.
据报道,应激性溃疡在自发性高血压大鼠(SHR)中的形成频率远低于正常血压对照大鼠(Wistar Kyoto大鼠:WKY)。本研究的目的是探讨SHR在施加应激期间胃黏膜血流量(GMBF)维持的机制。在仅应激的SHR中,在水浸和束缚条件下GMBF没有显著变化,溃疡指数(UI)显著低于WKY。应激条件导致WKY和SHR的血压下降和心率逐渐下降。据推测,应激期间血压和心率的变化是由于迷走神经功能亢进。非应激SHR胃组织胃底腺中的儿茶酚胺水平高于非应激WKY。给SHR注射6-羟基多巴胺在应激条件下导致GMBF显著降低,该组的UI显著高于仅应激的SHR。在用硝苯地平治疗的SHR中,UI低于对照组,与仅应激的SHR相比,GMBF没有显著变化。然而,注射维拉帕米在应激条件下导致GMBF显著降低并增加UI。维拉帕米治疗组的去甲肾上腺素和多巴胺水平显著低于硝苯地平治疗组。这些结果表明,在应激条件下,SHR中由交感神经功能亢进介导的胃黏膜局部调节对维持GMBF比外周动脉阻力的变化更重要。