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脑肿瘤血管对组胺的反应改变:移植大鼠脑肿瘤中局部脑血流量的选择性增加。

Altered response to histamine in brain tumor vessels: the selective increase of regional cerebral blood flow in transplanted rat brain tumor.

作者信息

Nomura T, Ikezaki K, Natori Y, Fukui M

机构信息

Department of Neurosurgery, Kyushu University, Faculty of Medicine, Fukuoka, Japan.

出版信息

J Neurosurg. 1993 Nov;79(5):722-8. doi: 10.3171/jns.1993.79.5.0722.

Abstract

The authors studied the effect of intracarotid administration of histamine on the regional cerebral blood flow (rCBF) in transplanted rat C6 glioma by the hydrogen clearance method. Histamine infusion at doses of 1 and 10 micrograms/kg/min produced an increase of rCBF in the tumor (24.6% +/- 16.4%, p < 0.002, and 37.6% +/- 18.2%, p < 0.0001, respectively) and also in brain surrounding the tumor (26.8% +/- 16.2%, p < 0.002, and 34.9% +/- 9.2%, p < 0.0001, respectively) without any significant changes in the ipsilateral hemisphere. Intravenous administration of pyrilamine (H1 antagonist) and cimetidine (H2 antagonist) reduced blood flow responses to histamine; cimetidine was a more effective blocking agent than pyrilamine. Intracarotid infusion of histamine (1 and 10 micrograms/kg/min) with intravenous injection of Evans blue dye disclosed the selective extravasation of dye in the tumor and the brain surrounding the tumor. These results indicated that brain tumor vessels could respond to histamine differently than normal brain capillaries. The mechanism of selective response to histamine could be explained either by increased permeability or by altered characteristics of histamine receptors in the tumor vessels.

摘要

作者采用氢清除法研究了经颈内动脉给予组胺对移植大鼠C6胶质瘤局部脑血流量(rCBF)的影响。以1和10微克/千克/分钟的剂量输注组胺,可使肿瘤内的rCBF增加(分别为24.6%±16.4%,p<0.002,和37.6%±18.2%,p<0.0001),肿瘤周围脑组织的rCBF也增加(分别为26.8%±16.2%,p<0.002,和34.9%±9.2%,p<0.0001),而同侧半球无任何显著变化。静脉注射吡苄明(H1拮抗剂)和西咪替丁(H2拮抗剂)可降低对组胺的血流反应;西咪替丁是比吡苄明更有效的阻断剂。经颈内动脉输注组胺(1和10微克/千克/分钟)并静脉注射伊文思蓝染料,显示染料在肿瘤及肿瘤周围脑组织中选择性外渗。这些结果表明,脑肿瘤血管对组胺的反应可能与正常脑毛细血管不同。对组胺选择性反应的机制可能是由于肿瘤血管通透性增加或组胺受体特性改变所致。

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