Wood J G, Darnell M P, Cheung L Y
Department of Surgery, University of Kansas Medical Center, Kansas City 66160.
Am J Physiol. 1993 Apr;264(4 Pt 1):G664-70. doi: 10.1152/ajpgi.1993.264.4.G664.
The purpose of this study was to assess the role of histamine, adenosine, and prostaglandins as mediators of ethanol-induced gastric vasodilation. In an ex vivo segment of canine stomach, vasodilation occurred within the first minute of replacing luminal saline with ethanol (40% vol/vol). Ethanol caused vascular resistance to progressively decrease by approximately 53% compared with control values. In other experiments, intra-arterial infusion of histamine (300 ng/ml) or adenosine (30 micrograms/ml) to the gastric segment produced similar degrees of vasodilation as observed with ethanol. The response to these vasodilators could be markedly attenuated with specific antagonists of these substances (histamine: pyrilamine plus cimetidine; adenosine: 8-phenyltheophylline). In our final experiments, indomethacin or histamine- or adenosine-receptor antagonists were given before application of topical ethanol. Indomethacin or histamine antagonists had no significant effect on the time course or magnitude of ethanol-induced vasodilation. In contrast, pretreatment with 8-phenyltheophylline significantly reduced changes in vascular resistance during exposure to luminal ethanol. These results suggest that locally released adenosine is an important mediator of ethanol-induced vasodilation in the canine stomach under these conditions.
本研究的目的是评估组胺、腺苷和前列腺素作为乙醇诱导胃血管舒张介质的作用。在犬胃的离体节段中,用乙醇(40%体积/体积)替代腔内生理盐水后的第一分钟内就出现了血管舒张。与对照值相比,乙醇使血管阻力逐渐降低约53%。在其他实验中,向胃节段动脉内输注组胺(300 ng/ml)或腺苷(30μg/ml)产生的血管舒张程度与乙醇观察到的相似。用这些物质的特异性拮抗剂(组胺:吡苄明加西咪替丁;腺苷:8-苯基茶碱)可明显减弱对这些血管舒张剂的反应。在我们的最终实验中,在局部应用乙醇之前给予吲哚美辛或组胺或腺苷受体拮抗剂。吲哚美辛或组胺拮抗剂对乙醇诱导的血管舒张的时间进程或幅度没有显著影响。相比之下,用8-苯基茶碱预处理可显著降低暴露于腔内乙醇期间血管阻力的变化。这些结果表明,在这些条件下,局部释放的腺苷是犬胃中乙醇诱导血管舒张的重要介质。