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自发性高血压大鼠小动脉中一氧化氮介导的血流诱导性扩张受损。

Impaired nitric oxide-mediated flow-induced dilation in arterioles of spontaneously hypertensive rats.

作者信息

Koller A, Huang A

机构信息

Department of Physiology, New York Medical College, Valhalla 10595.

出版信息

Circ Res. 1994 Mar;74(3):416-21. doi: 10.1161/01.res.74.3.416.

Abstract

We tested the hypothesis that impairment of flow-dependent dilator mechanisms of skeletal muscle arterioles is one of the underlying reasons for the increased peripheral resistance in hypertension. Isolated, cannulated arterioles (approximately 55 microns) of gracilis muscle of 12-week-old spontaneously hypertensive (SH) and normotensive Wistar (NW) rats were investigated. At a constant perfusion pressure (80 mm Hg), the active diameters of NW and SH arterioles were 57.7 +/- 1.9 and 51.5 +/- 3.2 microns, whereas their passive diameters (Ca(2+)-free solution) were 113.6 +/- 2.9 and 101.7 +/- 2.9 microns, respectively. Flow-induced dilation was elicited by increases in flow of the perfusion solution from 0 to 25 microL/min in 5-microL/min steps. This response was significantly less in arterioles of SH compared with NW rats. For example, at 25-microL/min flow, the diameter of arterioles of SH rats was approximately 56% less (P < .05) than those of NW rats. Indomethacin, an inhibitor of prostaglandin synthesis, significantly attenuated the flow-diameter curve in both strains of rats. In contrast, N omega-nitro-L-arginine, a nitric oxide synthase inhibitor, significantly shifted the flow-diameter curve to the right in NW rats, but it did not affect the flow-diameter curve in SH rats. Thus, the present findings demonstrate that in gracilis muscle arterioles of normotensive rats in response to increases in flow (shear stress), prostaglandins and nitric oxide are co-released, resulting in a dilation. In early hypertension, however, there is a reduced arteriolar dilation to increases in flow that is due to the impairment of the nitric oxide-mediated portion of the flow-dependent arteriolar dilation.

摘要

我们验证了这样一个假设

骨骼肌小动脉的流量依赖性扩张机制受损是高血压患者外周阻力增加的潜在原因之一。对12周龄自发性高血压(SH)大鼠和正常血压的Wistar(NW)大鼠的股薄肌分离插管小动脉(约55微米)进行了研究。在恒定灌注压力(80毫米汞柱)下,NW和SH小动脉的主动直径分别为57.7±1.9微米和51.5±3.2微米,而它们的被动直径(无钙溶液)分别为113.6±2.9微米和101.7±2.9微米。通过将灌注液流量以5微升/分钟的步长从0增加到25微升/分钟来引发流量诱导的扩张。与NW大鼠相比,SH大鼠小动脉的这种反应明显较弱。例如,在25微升/分钟的流量下,SH大鼠小动脉的直径比NW大鼠小约56%(P<.05)。前列腺素合成抑制剂吲哚美辛显著减弱了两种品系大鼠的流量-直径曲线。相比之下,一氧化氮合酶抑制剂Nω-硝基-L-精氨酸使NW大鼠的流量-直径曲线显著右移,但对SH大鼠的流量-直径曲线没有影响。因此,本研究结果表明,在正常血压大鼠的股薄肌小动脉中,随着流量(剪切应力)增加,前列腺素和一氧化氮共同释放,导致血管扩张。然而,在高血压早期,小动脉对流量增加的扩张减弱,这是由于流量依赖性小动脉扩张中一氧化氮介导部分受损所致。

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