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氧张力依赖性肺血管对血管活性药物的反应。

Oxygen-tension-dependent pulmonary vascular responses to vasoactive agents.

作者信息

Tucker A, Weir E K, Grover R F, Reeves J T

出版信息

Can J Physiol Pharmacol. 1977 Apr;55(2):251-7. doi: 10.1139/y77-036.

Abstract

There have been recent indications that oxygen may nonspecifically oppose pulmonary vasoconstriction induced by a few vasoactive agents. Therefore, we examined the effect of four inspired oxygen tensions on the pulmonary vascular responses to exogenous prostaglandin F2alpha (PGF2alpha), serotonin (5-HT), 2-methylhistamine (2-MeH)(an H1-receptor agonist), histamine (after H2-receptor blockade with metiamide), and prostaglandin E1 (PGE1) in anesthetized dogs. An oxygen tension dependency on the pulmonary vascular responses to these vasoactive agents was observed, with each agent exhibiting maximal responses at different ranges of oxygen tension. PGF2alpha and PGE1 were most effective during hypoxia, while 5-HT, histamine, and 2-MeH produced maximal responses during normoxia. A comparison of dose-response curves for PGF2alpha during breathing of two inspired oxygen tensions indicated a decreased sensitivity, but not decreased reactivity, with the higher oxygen tension. The action of variable oxygen tensions on pulmonary vascular responsiveness to vasoactive agents suggests another role for oxygen in the control of the pulmonary circulation. It is not clear if oxygen acts non-specifically on the vascular smooth muscle, or if it alters the metabolic mechanisms of vasoactive agent action.

摘要

最近有迹象表明,氧气可能非特异性地对抗由几种血管活性药物引起的肺血管收缩。因此,我们研究了四种吸入氧分压对麻醉犬肺血管对外源性前列腺素F2α(PGF2α)、5-羟色胺(5-HT)、2-甲基组胺(2-MeH)(一种H1受体激动剂)、组胺(在用甲硫咪胺阻断H2受体后)和前列腺素E1(PGE1)反应的影响。观察到肺血管对这些血管活性药物的反应存在氧分压依赖性,每种药物在不同的氧分压范围内表现出最大反应。PGF2α和PGE1在低氧期间最有效,而5-HT、组胺和2-MeH在常氧期间产生最大反应。比较两种吸入氧分压下呼吸时PGF2α的剂量-反应曲线表明,较高的氧分压下敏感性降低,但反应性未降低。可变氧分压对肺血管对血管活性药物反应性的作用表明,氧气在肺循环控制中还有另一个作用。目前尚不清楚氧气是对血管平滑肌起非特异性作用,还是改变血管活性药物作用的代谢机制。

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