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糖尿病期间脑动脉对β-肾上腺素能受体激活的反应。

Responses of cerebral arterioles to activation of beta-adrenergic receptors during diabetes mellitus.

作者信息

Mayhan W G

机构信息

Department of Physiology and Biophysics, University of Nebraska Medical Center, Omaha 68198-4575.

出版信息

Stroke. 1994 Jan;25(1):141-6. doi: 10.1161/01.str.25.1.141.

Abstract

BACKGROUND AND PURPOSE

Diabetes mellitus impairs reactivity of large peripheral arteries and arterioles to activation of beta-adrenergic receptors. The goal of this study was to determine whether diabetes mellitus alters dilatation of cerebral arterioles to activation of beta-adrenergic receptors.

METHODS

In vivo diameter of pial arterioles was measured in nondiabetic and diabetic (streptozotocin 50 to 60 mg/kg IP) rats during superfusion with isoproterenol, forskolin, and nitroglycerin. In addition, we examined the contribution of nitric oxide or a nitric oxide-containing compound in dilatation of pial arterioles in response to the agonists.

RESULTS

Dilatation of pial arterioles in response to isoproterenol was significantly less in diabetic compared with nondiabetic rats (3 +/- 2% versus 14 +/- 1%, respectively, for 1.0 mumol/L isoproterenol). In contrast, dilatation of pial arterioles in response to nitroglycerin and forskolin was similar in nondiabetic and diabetic rats. Furthermore, dilatation of pial arterioles in nondiabetic rats in response to isoproterenol and forskolin was not related to the synthesis and release of nitric oxide or a nitric oxide-containing compound.

CONCLUSIONS

The findings of the present studies suggest that diabetes mellitus impairs dilatation of cerebral resistance arterioles in response to activation of beta-adrenergic receptors. Impairment of beta-adrenergic-mediated dilatation of cerebral arterioles during diabetes mellitus does not appear to be related to an alteration in cyclic adenosine monophosphate, since forskolin produced similar vasodilatation in nondiabetic and diabetic rats.

摘要

背景与目的

糖尿病会损害外周大动脉和小动脉对β-肾上腺素能受体激活的反应性。本研究的目的是确定糖尿病是否会改变脑小动脉对β-肾上腺素能受体激活的舒张反应。

方法

在非糖尿病和糖尿病(腹腔注射链脲佐菌素50至60mg/kg)大鼠中,用异丙肾上腺素、福斯高林和硝酸甘油进行灌注时,测量软脑膜小动脉的体内直径。此外,我们研究了一氧化氮或含一氧化氮化合物在软脑膜小动脉对激动剂舒张反应中的作用。

结果

与非糖尿病大鼠相比,糖尿病大鼠对异丙肾上腺素的软脑膜小动脉舒张反应明显减弱(对于1.0μmol/L异丙肾上腺素,分别为3±2%和14±1%)。相比之下,非糖尿病和糖尿病大鼠对硝酸甘油和福斯高林的软脑膜小动脉舒张反应相似。此外,非糖尿病大鼠对异丙肾上腺素和福斯高林的软脑膜小动脉舒张反应与一氧化氮或含一氧化氮化合物的合成和释放无关。

结论

本研究结果表明,糖尿病会损害脑阻力小动脉对β-肾上腺素能受体激活的舒张反应。糖尿病期间β-肾上腺素能介导的脑小动脉舒张受损似乎与环磷酸腺苷的改变无关,因为福斯高林在非糖尿病和糖尿病大鼠中产生了相似的血管舒张作用。

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