Lévy B I, el Fertak L, Pieddeloup C, Barouki F, Safar M E
INSERM, Units 141, Paris, France.
J Hypertens. 1993 Jan;11(1):57-63. doi: 10.1097/00004872-199301000-00009.
Calcium blockade has been reported to inhibit the contraction of the vascular smooth muscle and the liberation of vasoactive substances by endothelial cells. We tested the effects of calcium blockade on the mechanical properties of the carotid artery in normotensive Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) in the presence and in the absence of endothelium.
The pressure-volume relationships of isolated carotid arteries were recorded in situ in SHR (n = 20) and WKY rats (n = 20) before and after calcium blockade by local incubation with clentiazem.
With intact endothelium, calcium blockade induced a significant shift in the pressure-volume curve in both strains, volume being significantly higher after calcium blockade than under control conditions. In WKY rats the carotid mechanical properties were similar after calcium blockade and after abolition of the smooth muscle tone by potassium cyanide (KCN) poisoning. In SHR the carotid compliance measured after incubation with clentiazem was significantly lower than that measured after KCN poisoning. Removal of the endothelium induced a significant shift in the pressure-volume curve towards the volume axis in both strains, and an increase in carotid compliance. Local incubation with clentiazem or KCN did not induce further modifications of the pressure-volume relationship either in WKY rats or in SHR. Furthermore, in SHR and WKY rat carotid arteries, the pressure-volume relationship and the compliance measured after incubation with clentiazem were identical in the presence and in the absence of endothelium.
In WKY rat and SHR carotid arteries, acute calcium blockade increases the arterial compliance independently of the endothelium integrity. Furthermore, part of the compliance enhancement induced by the calcium antagonist could be related to an antagonizing mechanism of the production of endothelial constricting factor or factors.
据报道,钙通道阻滞可抑制血管平滑肌收缩及内皮细胞释放血管活性物质。我们测试了在有内皮和无内皮情况下,钙通道阻滞对正常血压的Wistar-Kyoto(WKY)大鼠和自发性高血压大鼠(SHR)颈动脉力学特性的影响。
通过局部孵育克仑硫䓬对SHR(n = 20)和WKY大鼠(n = 20)的离体颈动脉在钙通道阻滞前后的压力-容积关系进行原位记录。
在内皮完整时,钙通道阻滞使两种品系的压力-容积曲线均发生显著偏移,钙通道阻滞后的容积显著高于对照条件下的容积。在WKY大鼠中,钙通道阻滞后的颈动脉力学特性与用氰化钾(KCN)中毒消除平滑肌张力后的相似。在SHR中,用克仑硫䓬孵育后测得的颈动脉顺应性显著低于KCN中毒后测得的顺应性。去除内皮导致两种品系的压力-容积曲线均显著向容积轴偏移,且颈动脉顺应性增加。用克仑硫䓬或KCN局部孵育在WKY大鼠或SHR中均未引起压力-容积关系的进一步改变。此外,在SHR和WKY大鼠的颈动脉中,有内皮和无内皮时用克仑硫䓬孵育后测得的压力-容积关系及顺应性相同。
在WKY大鼠和SHR的颈动脉中,急性钙通道阻滞可独立于内皮完整性增加动脉顺应性。此外,钙拮抗剂诱导的顺应性增强部分可能与内皮收缩因子产生的拮抗机制有关。