Wang Y, Drakonakis C, Alderman J L, Rutlen D L
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510.
Am J Physiol. 1994 Aug;267(2 Pt 2):H535-9. doi: 10.1152/ajpheart.1994.267.2.H535.
The purpose of this study was to determine the effects of the prostaglandin I2 (prostacyclin; PGI2)-induced cardiac vagal reflex on intestinal and liver blood volumes and the intestinal vascular pressure-volume (P-V) relationship. In anesthetized pigs, blood volumes were measured by blood-pool scintigraphy. Portal venous pressure was varied by graded inflation of a portal vein constrictor to determine the intestinal vascular P-V relationship. Proximal right coronary infusion of PGI2 at a rate of 0.15 micrograms.kg-1.min-1 for 6 min increased intestinal blood volume by 7.0 +/- 1.2% (P < 0.01, means +/- SE) and shifted the intestinal vascular P-V relationship away from the pressure axis (i.e., a volume increase at a given venous pressure). This change was associated with decreases in liver blood volume and left ventricular end-diastolic pressure by 4.5 +/- 1.2 (P < 0.01) and 17 +/- 2% (P < 0.05), respectively. PGI2 also reduced central venous pressure by 16 +/- 2% from 3.2 +/- 0.5 mmHg (P < 0.05) and portal venous pressure by 7.0 +/- 0.6% from 7.6 +/- 0.6 mmHg (P < 0.05). These responses were abolished by bilateral vagotomy. The results demonstrate that intracoronary PGI2 infusion increases intestinal blood volume. This increase is mediated by a cardiac vagal reflex. The PGI2-induced shift in the intestinal vascular P-V relationship suggests that intestinal blood volume increases by an active change in vascular capacitance, whereas reductions in liver blood volume and left ventricular end-diastolic pressure appear to be due to passive mechanisms related to the shift of blood volume to the intestinal circulation.
本研究的目的是确定前列腺素I2(前列环素;PGI2)诱导的心脏迷走反射对肠道和肝脏血容量以及肠道血管压力-容积(P-V)关系的影响。在麻醉的猪中,通过血池闪烁显像法测量血容量。通过门静脉收缩器的分级充气来改变门静脉压力,以确定肠道血管的P-V关系。以0.15微克·千克-1·分钟-1的速率向近端右冠状动脉输注PGI2,持续6分钟,可使肠道血容量增加7.0±1.2%(P<0.01,均值±标准误),并使肠道血管P-V关系从压力轴偏移(即,在给定静脉压力下血容量增加)。这种变化与肝脏血容量减少4.5±1.2%(P<0.01)和左心室舒张末期压力降低17±2%(P<0.05)相关。PGI2还使中心静脉压力从3.2±0.5 mmHg降低了16±2%(P<0.05),使门静脉压力从7.6±0.6 mmHg降低了7.0±0.6%(P<0.05)。双侧迷走神经切断术消除了这些反应。结果表明,冠状动脉内输注PGI2可增加肠道血容量。这种增加是由心脏迷走反射介导的。PGI2诱导的肠道血管P-V关系的偏移表明,肠道血容量的增加是通过血管容量的主动变化实现的,而肝脏血容量和左心室舒张末期压力的降低似乎是由于血容量向肠道循环转移的被动机制所致。