Casadevall M, Panés J, Piqué J M, Marroni N, Bosch J, Whittle B J
Gastroenterology Department, Hospital Clínic, Barcelona University, Spain.
Hepatology. 1993 Sep;18(3):628-34.
This study investigates the effects of inhibition of nitric oxide synthesis by NG-nitro-L-arginine methyl ester (L-NAME), the inhibition of prostaglandin synthesis with indomethacin and the combined effects on gastric mucosal hyperemia of ketamine-anesthetized rats with portal hypertension induced by partial portal vein ligation. The hydrogen gas-clearance technique was used for measurement of gastric mucosal blood flow. Blood pressure increased with L-NAME administration in a similar manner in portal-hypertensive and sham-operated rats. Low doses of L-NAME (1 and 3 mg/kg, intravenously) caused a significant and dose-dependent reduction in gastric mucosal blood flow in portal-hypertensive rats but had no effect on sham-operated animals. With a higher dose of L-NAME (13 mg/kg, intravenously), a significant decrease in gastric mucosal blood flow was observed in both portal-hypertensive and sham-operated rats. Indomethacin pretreatment (5 mg/kg, subcutaneously) caused a significant decrease in basal gastric mucosal blood flow of portal-hypertensive rats but did not modify this parameter in sham-operated animals. In sham-operated rats pretreated with indomethacin, the lower dose of L-NAME (3 mg/kg) did not significantly modify basal gastric mucosal blood flow. Likewise, pretreatment with indomethacin in sham-operated rats did not augment the significant reduction in gastric mucosal blood flow produced by the higher dose of L-NAME. In portal-hypertensive rats the significant dose-dependent reduction in gastric mucosal blood flow induced by L-NAME (3 and 13 mg/kg) was not significantly altered by pretreatment with indomethacin.(ABSTRACT TRUNCATED AT 250 WORDS)
本研究探讨了用N-硝基-L-精氨酸甲酯(L-NAME)抑制一氧化氮合成、用吲哚美辛抑制前列腺素合成以及二者联合作用对部分门静脉结扎诱导门静脉高压的氯胺酮麻醉大鼠胃黏膜充血的影响。采用氢气清除技术测量胃黏膜血流量。门静脉高压大鼠和假手术大鼠静脉注射L-NAME后血压升高的方式相似。低剂量的L-NAME(1和3mg/kg,静脉注射)可使门静脉高压大鼠的胃黏膜血流量显著且呈剂量依赖性降低,但对假手术动物无影响。较高剂量的L-NAME(13mg/kg,静脉注射)可使门静脉高压大鼠和假手术大鼠的胃黏膜血流量均显著降低。吲哚美辛预处理(5mg/kg,皮下注射)可使门静脉高压大鼠的基础胃黏膜血流量显著降低,但对假手术动物的该参数无影响。在吲哚美辛预处理的假手术大鼠中,较低剂量的L-NAME(3mg/kg)未显著改变基础胃黏膜血流量。同样,假手术大鼠用吲哚美辛预处理也未增强较高剂量L-NAME引起的胃黏膜血流量的显著降低。在门静脉高压大鼠中,L-NAME(3和13mg/kg)引起的胃黏膜血流量显著且呈剂量依赖性降低,吲哚美辛预处理对此无显著改变。(摘要截选至250字)