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腹壁下动脉的血管收缩特性

Vasoconstrictor profile of the inferior epigastric artery.

作者信息

Tadjkarimi S, O'Neil G S, Schyns C J, Borland J A, Chester A H, Yacoub M H

机构信息

Department of Surgery, National Heart and Lung Institute, Harefield Hospital, Middlesex, England.

出版信息

Ann Thorac Surg. 1993 Nov;56(5):1090-5. doi: 10.1016/0003-4975(95)90021-7.

DOI:10.1016/0003-4975(95)90021-7
PMID:8239806
Abstract

The inferior epigastric artery is a putative arterial bypass graft. The receptor mechanisms that control vascular tone are thought to play a role in the performance of bypass conduits. We have compared the vascular reactivity of the inferior epigastric artery with that of the internal mammary artery. Segments from a total of 15 inferior epigastric and 12 internal mammary arteries were examined for their response to increasing concentrations of noradrenaline, 5-hydroxytryptamine, dopamine, histamine, endothelin-1, or the thromboxane analogue U46619. The responsiveness of the smooth muscle was significantly greater in the inferior epigastric artery (p < 0.05) as judged by contractions elicited by 90 mmol/L potassium chloride. However, although the response of the inferior epigastric artery tended to be greater, this significant enhancement of smooth muscle function was not paralleled by the maximal responses of noradrenaline, 5-hydroxytryptamine, dopamine, histamine, or endothelin-1. However, the tension generated in response to U46619 did differ significantly, with maximal responses in the inferior epigastric and internal mammary arteries of 59.2 +/- 8.3 mN and 35.0 +/- 3.6 mN, respectively. When receptor function was compared by expressing the response as a percentage of that of 90 mmol/L potassium chloride, it was revealed that noradrenaline was capable of inducing significantly greater relative contractions in the internal mammary artery (114.8% +/- 20.5%) as compared with the inferior epigastric artery (49.9% +/- 19.1%); the potency of this constrictor was sixfold greater in the internal mammary artery.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

腹壁下动脉是一种公认的动脉搭桥移植物。控制血管张力的受体机制被认为在搭桥血管的性能中起作用。我们比较了腹壁下动脉和乳内动脉的血管反应性。共检查了15条腹壁下动脉和12条乳内动脉的节段,观察它们对去甲肾上腺素、5-羟色胺、多巴胺、组胺、内皮素-1或血栓素类似物U46619浓度增加的反应。根据90mmol/L氯化钾引起的收缩判断,腹壁下动脉平滑肌的反应性明显更大(p<0.05)。然而,尽管腹壁下动脉的反应往往更大,但平滑肌功能的这种显著增强并未伴随着去甲肾上腺素、5-羟色胺、多巴胺、组胺或内皮素-1的最大反应。然而,对U46619产生的张力确实有显著差异,腹壁下动脉和乳内动脉的最大反应分别为59.2±8.3mN和35.0±3.6mN。当通过将反应表示为90mmol/L氯化钾反应的百分比来比较受体功能时,发现与腹壁下动脉(49.9%±19.1%)相比,去甲肾上腺素能够在乳内动脉中诱导显著更大的相对收缩(114.8%±20.5%);这种收缩剂在乳内动脉中的效力大六倍。(摘要截短于250字)

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