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内皮素-1及内皮素A受体阻断对骨骼肌动脉、静脉和毛细血管功能的体内效应

In-vivo effects of endothelin-1 and ETA receptor blockade on arterial, venous and capillary functions in skeletal muscle.

作者信息

Ekelund U, Albert U, Edvinsson L, Mellander S

机构信息

Department of Physiology & Biophysics, University of Lund, Sweden.

出版信息

Acta Physiol Scand. 1993 Jul;148(3):273-83. doi: 10.1111/j.1748-1716.1993.tb09558.x.

Abstract

Results from in vitro studies have indicated that endothelin-1 is a main candidate for endothelium-derived contracting factors. The aim of this in vivo study was to describe in quantitative terms the effects of endothelin-1 (ET-1), and of ETA receptor blockade, on vascular tone (resistance) in large-bore arterial resistance vessels (> 25 microns), small arterioles (< 25 microns) and the veins, as well as on capillary pressure and fluid exchange in cat gastrocnemius muscle. Endothelin-1 (100-1600 ng kg-1 min-1, i.a.) elicited, after an initial transient dilation, a strong dose-dependent constrictor response in all three consecutive vascular sections, yet with a preferential action on the small arterioles and the veins. The vasoconstriction developed very slowly over about 1 h and was also long-lasting after cessation of the infusion. Our main quantitative analysis refers to effects elicited by 20 min long i.a. infusions of ET-1 at a dose of 400 ng kg-1 min-1. At the end of this period, the peptide caused, on average, a three-fold increase in total regional vascular resistance, in turn explained by a 70% increase in large-bore arterial resistance, a 280% increase in arteriolar resistance and a 220% increase in venous resistance. The latter effect was also manifested as a pronounced capacitance response, and as a decrease in the pre- to post-capillary resistance ratio leading regularly to a rise in capillary pressure, net transcapillary fluid filtration and oedema formation which is unusual for a vasoconstrictor. The new specific competitive ETA receptor antagonist FR 139317 was found to be fully effective in vivo, insofar as it abolished the constrictor response to endothelin-1. ETA receptor blockade, or administration of phosphoramidon, an inhibitor of ET-1 production, did not influence the level of basal vascular tone, indicating no significant endogenous release of ET-1 under resting conditions. This contrasts to the established pronounced endogenous release of endothelium-derived nitric oxide. Finally, vascular myogenic regulation was found not to be mediated by ET-1. The results, taken together, suggest a possible role of ET-1 in long-term, rather than short-term, regulation of vascular tone in vivo, perhaps especially during pathophysiological conditions.

摘要

体外研究结果表明,内皮素 -1是内皮源性收缩因子的主要候选物质。本体内研究的目的是定量描述内皮素 -1(ET -1)以及ETA受体阻断对大口径动脉阻力血管(>25微米)、小动脉(<25微米)和静脉的血管张力(阻力)的影响,以及对猫腓肠肌毛细血管压力和液体交换的影响。内皮素 -1(100 - 1600纳克·千克⁻¹·分钟⁻¹,动脉内注射)在最初短暂扩张后,在所有三个连续的血管节段中引发了强烈的剂量依赖性收缩反应,但对小动脉和静脉有优先作用。血管收缩在约1小时内发展非常缓慢,并且在输注停止后也持续很长时间。我们的主要定量分析涉及以400纳克·千克⁻¹·分钟⁻¹的剂量进行20分钟动脉内输注ET -1所引发的效应。在此期间结束时,该肽平均使总区域血管阻力增加了三倍,这依次由大口径动脉阻力增加70%、小动脉阻力增加280%和静脉阻力增加220%来解释。后一种效应还表现为明显的容量反应,以及毛细血管前与毛细血管后阻力比值降低,这通常会导致毛细血管压力升高、跨毛细血管净液体滤过增加和水肿形成,而这对于血管收缩剂来说是不寻常的。新型特异性竞争性ETA受体拮抗剂FR 139317在体内被发现完全有效,因为它消除了对内皮素 -1的收缩反应。ETA受体阻断或给予磷酰胺(一种ET -1产生的抑制剂)并未影响基础血管张力水平,表明在静息条件下ET -1没有显著的内源性释放。这与已确定的内皮源性一氧化氮的显著内源性释放形成对比。最后,发现血管肌源性调节不是由ET -1介导的。综合这些结果表明,ET -1在体内血管张力的长期而非短期调节中可能发挥作用,也许特别是在病理生理条件下。

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