Wiklund L, Mantovani V, Nilsson B, Nilsson F N, Berggren H E
Department of Heart and Lung Diseases, Sahlgren' Hospital, Gothenburg, Sweden.
Transplantation. 1994 May 15;57(9):1314-7. doi: 10.1097/00007890-199405150-00004.
The purpose of this study was to determine the effects of different temperatures of University of Wisconsin solution on the reactivity of the coronary vasculature in retrogradely perfused isolated rat hearts. Hearts were perfused for 30 min at 20 degrees C or single-flush perfused at 12 degrees C and 4 degrees C. To study both endothelium-dependent and direct effects on smooth muscle, vasodilation was induced with 5-hydroxytryptamine (5-HT) and nitroglycerin (GTN). The vasodilatory effects of 5-HT and GTN during basal conditions were completely lost and instead a vasoconstriction was observed after 30-min perfusion at 20 degrees C (5-HT: 23.7 +/- 5% before to -19.2 +/- 8% after perfusion; GTN: 33.7 +/- 5.5% before and -11.9 +/- 6% after perfusion). The same response was observed after single-flush perfusion at 12 degrees C (5-HT: 26.5 +/- 5% and -6.5 +/- 3% and GTN: 35.9 +/- 6% and -11.2 +/- 4% before and after perfusion, respectively). Single-flush perfusion at 4 degrees C did not alter the response to 5-HT and GTN (5-HT: 25.9 +/- 6% and 30.4 +/- 7% and GTN: 45 +/- 5% and 32.7 +/- 7% before and after perfusion, respectively). This study suggests that the coronary reactivity after perfusion with University of Wisconsin solution is dependent of the temperature of the solution and provides good preservation of the coronary vascular function at 4 degrees C, whereas temperatures above 12 degrees C might be detrimental.
本研究的目的是确定不同温度的威斯康星大学溶液对逆行灌注的离体大鼠心脏冠状动脉血管反应性的影响。心脏在20℃下灌注30分钟,或在12℃和4℃下进行单次冲洗灌注。为了研究对内皮依赖性和平滑肌的直接影响,用5-羟色胺(5-HT)和硝酸甘油(GTN)诱导血管舒张。在基础条件下,5-HT和GTN的血管舒张作用完全丧失,取而代之的是在20℃灌注30分钟后观察到血管收缩(5-HT:灌注前23.7±5%,灌注后-19.2±8%;GTN:灌注前33.7±5.5%,灌注后-11.9±6%)。在12℃单次冲洗灌注后观察到相同的反应(5-HT:灌注前后分别为26.5±5%和-6.5±3%;GTN:灌注前后分别为35.9±6%和-11.2±4%)。4℃单次冲洗灌注未改变对5-HT和GTN的反应(5-HT:灌注前后分别为25.9±6%和30.4±7%;GTN:灌注前后分别为45±5%和32.7±7%)。本研究表明,用威斯康星大学溶液灌注后的冠状动脉反应性取决于溶液的温度,在4℃时能很好地保留冠状动脉血管功能,而高于12℃的温度可能有害。