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肿瘤坏死因子抗体对清醒大鼠输注脂多糖后心血管后遗症的影响缺失

Lack of effect of TNF antibodies on the cardiovascular sequelae of lipopolysaccharide infusion in conscious rats.

作者信息

Waller J, Gardiner S M, Jose J, Bennett T

机构信息

Department of Physiology and Pharmacology, University of Nottingham Medical School, Queen's Medical Centre.

出版信息

Br J Pharmacol. 1995 Nov;116(5):2487-95. doi: 10.1111/j.1476-5381.1995.tb15100.x.

DOI:10.1111/j.1476-5381.1995.tb15100.x
PMID:8581289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1909041/
Abstract
  1. The aims of the present study were to determine the profile of tumour necrosis factor (TNF) release, and the effect of monoclonal antibodies to TNF, on the changes in regional haemodynamics and the responses to vasodilator and vasoconstrictor challenges, during a continuous 24 h low dose infusion of lipopolysaccharide (LPS) in conscious rats. 2. Male Long Evans rats were chronically instrumented for measurement of regional haemodynamics (renal, superior mesenteric and hindquarters) and were challenged with 3 min infusions of acetylcholine (22 nmol min-1), methoxamine (120 nmol min-1), salbutamol (0.83 nmol min-1) and bradykinin (14.4 nmol min-1). The rats were given either saline, or the TNF antibodies, TN3g1 or TN3g2a, 1 h before the start of a continuous infusion of LPS (150 micrograms kg-1 h-1) and were subsequently re-tested with the vasodilator and vasoconstrictor challenges 2, 6 and 24 h after the start of the LPS infusion. 3. Prior to infusion of LPS, TNF was not detectable in the plasma. During continuous infusion of LPS there was a transient elevation in plasma TNF levels, reaching a maximum (approximately 2300 pg ml-1) after approximately 1 h, and returning to undetectable levels after approximately 3 h of LPS infusion. 4. In the saline pretreated group, after 1-2 h of LPS infusion, there was a small hypotension and a marked renal vasodilation; 6 h after the start of LPS infusion there was a minor elevation in MAP above control levels, renal vasodilatation was maintained and a hindquarters vasoconstriction occurred; after 24 h of LPS infusion, there was a hypotension and renal and hindquarters vasodilatation. There were significant reductions in the tachycardic and renal vasodilator responses and an enhanced depressor response to acetylcholine after 24 h of LPS infusion. LPS infusion also caused a generalized hyporesponsiveness to the cardiovascular effects of methoxamine and salbutamol. The major changes in response to bradykinin were reduced tachycardic and enhanced depressor responses throughout the LPS infusion, a biphasic decrease and increase in renal conductance and enhanced hindquarters vasodilatation at 24 h. 5. Pretreatment with either TN3g1 or TN3g2a antibodies had no major effects on the changes in resting haemodynamics, or on the changes in response to methoxamine, salbutamol or bradykinin challenges during LPS infusion. However, the tachycardic responses to acetylcholine were generally preserved, and its hypotensive effect after 24 h of LPS infusion was not enhanced after TN3g1 or TN3g2a pretreatment. Thus, despite substantial, but transient, elevation of plasma TNF levels during continuous LPS infusion, it appears that the majority of cardiovascular changes were dependent on factors other than plasma TNF.
摘要
  1. 本研究的目的是确定在清醒大鼠连续24小时低剂量输注脂多糖(LPS)期间,肿瘤坏死因子(TNF)释放的情况,以及抗TNF单克隆抗体对局部血流动力学变化以及对血管舒张剂和血管收缩剂刺激反应的影响。2. 雄性长爪沙鼠长期植入用于测量局部血流动力学(肾、肠系膜上动脉和后肢)的装置,并接受3分钟的乙酰胆碱(22 nmol·min⁻¹)、甲氧明(120 nmol·min⁻¹)、沙丁胺醇(0.83 nmol·min⁻¹)和缓激肽(14.4 nmol·min⁻¹)输注刺激。在开始连续输注LPS(150 μg·kg⁻¹·h⁻¹)前1小时,给大鼠注射生理盐水或TNF抗体TN3g1或TN3g2a,随后在LPS输注开始后2、6和24小时,再次用血管舒张剂和血管收缩剂刺激进行测试。3. 在输注LPS前,血浆中未检测到TNF。在连续输注LPS期间,血浆TNF水平有短暂升高,在约1小时后达到最高值(约2300 pg·ml⁻¹),在LPS输注约3小时后恢复到检测不到的水平。4. 在生理盐水预处理组中,LPS输注1 - 2小时后,出现轻度低血压和明显的肾血管舒张;LPS输注开始6小时后,平均动脉压(MAP)比对照水平略有升高,肾血管舒张持续存在,后肢血管收缩;LPS输注24小时后,出现低血压以及肾和后肢血管舒张。LPS输注24小时后,对乙酰胆碱的心动过速和肾血管舒张反应显著降低,降压反应增强。LPS输注还导致对甲氧明和沙丁胺醇心血管效应的普遍反应性降低。对缓激肽反应的主要变化是在整个LPS输注过程中,心动过速反应降低,降压反应增强,肾电导呈双相性降低和升高,在24小时时后肢血管舒张增强。5. 用TN3g1或TN3g2a抗体预处理对LPS输注期间静息血流动力学变化或对甲氧明、沙丁胺醇或缓激肽刺激反应的变化没有重大影响。然而,对乙酰胆碱的心动过速反应通常得以保留,并且在LPS输注24小时后,TN3g1或TN3g2a预处理后其降压作用未增强。因此,尽管在连续LPS输注期间血浆TNF水平有显著但短暂的升高,但似乎大多数心血管变化取决于血浆TNF以外的因素。

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