Mirro R, Pharris L J, Armstead W M, Shibata M, Leffler C W
Department of Pediatrics, University of Tennessee, Memphis 38163.
J Appl Physiol (1985). 1993 Sep;75(3):1300-5. doi: 10.1152/jappl.1993.75.3.1300.
The present experiments were designed to determine whether hypocapnic cerebral vasoconstriction, like hypercapnic dilation, involves prostanoids and, if not, whether alternative mechanisms are related to the absolute arterial PCO2 (PaCO2) or the direction of change. We determined effects of indomethacin (5 mg/kg iv) on pial arteriolar responses to 1) increased PCO2 from normal, 2) decreased PCO2 from normal, and 3) increased PCO2 from hypocapnia to normocapnia in anesthetized newborn pigs. Pial arterioles constricted in response to hypocapnia (PaCO2 = 15-24 Torr) similarly before (-13 +/- 3%) and after (-16 +/- 2%) indomethacin. Cortical periarachnoid cerebrospinal fluid prostanoids were not increased by hypocapnia. As previously reported, cerebral vascular responses to hypercapnia (which increases cerebrospinal fluid prostanoids) were lost after indomethacin. To determine whether the failure of indomethacin to affect the responses to hypocapnia was due to the direction of change (decreasing) or the absolute level of PCO2, piglets were hyperventilated to approximately 15 Torr PaCO2. Increasing PaCO2 in these piglets to approximately 44 Torr caused pial arteriolar dilation (46 +/- 7%) that was not blocked by indomethacin (33 +/- 5%). Cortical periarachnoid prostanoids were not altered when PaCO2 was raised from hypocapnia to normocapnia. Therefore the relationship between CO2 and piglet cerebral vascular tone appears to involve multiple mechanisms. Specifically, dilation in response to CO2 above the normal range appears to involve prostanoids but changes in pial arteriolar diameter at low PaCO2 do not.
本实验旨在确定低碳酸血症性脑血管收缩是否与高碳酸血症性血管扩张一样涉及前列腺素类物质;若不涉及,其他机制是否与动脉血二氧化碳分压(PaCO₂)的绝对值或变化方向有关。我们测定了吲哚美辛(5mg/kg静脉注射)对麻醉新生猪软脑膜小动脉对以下三种情况的反应的影响:1)从正常水平升高PCO₂;2)从正常水平降低PCO₂;3)从低碳酸血症升高至正常碳酸血症时升高PCO₂。在注射吲哚美辛之前(-13±3%)和之后(-16±2%),软脑膜小动脉对低碳酸血症(PaCO₂ = 15 - 24 Torr)的反应相似,均表现为收缩。低碳酸血症并未使皮质蛛网膜下腔脑脊液中的前列腺素类物质增加。如先前报道,吲哚美辛注射后,脑血管对高碳酸血症(可增加脑脊液中的前列腺素类物质)的反应消失。为确定吲哚美辛未能影响对低碳酸血症反应的原因是变化方向(降低)还是PCO₂的绝对值,将仔猪过度通气至约15 Torr的PaCO₂。在这些仔猪中将PaCO₂升高至约44 Torr会导致软脑膜小动脉扩张(46±7%),且该扩张未被吲哚美辛(33±5%)阻断。当PaCO₂从低碳酸血症升高至正常碳酸血症时,皮质蛛网膜下腔前列腺素类物质未发生改变。因此,二氧化碳与仔猪脑血管张力之间的关系似乎涉及多种机制。具体而言,对高于正常范围的二氧化碳的扩张反应似乎涉及前列腺素类物质,但在低PaCO₂时软脑膜小动脉直径的变化则并非如此。