Açikgöz B, Ozgen T, Ozdoğan F, Sungur A, Tekkök I H
Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey.
Acta Neurochir (Wien). 1996;138(4):460-5. doi: 10.1007/BF01420309.
Nests of cells within the central nervous system, namely the circumventricular organs (CVOs) which include the subfornical organ (SFO), organum vasculosum lamina terminalis (OVLT), area postrema (AP) and the median eminence (ME) are known to contain not only receptors for angiotensin II (ANG II) but also ANG II itself. Though the significance of this central ANG II network in the pathophysiology of certain conditions like hypertension is well established, there appears to be a lack of knowledge as to how this system might be involved after subarachnoid haemorrhage (SAH). In this study, we have investigated ANG II receptor content change at various circumventricular organs after experimental subarachnoid haemorrhage in rats using a transcervical transclival model. ANG II receptor content was detected by in vivo autoradiography using intracisternal ANG II Sar 1, Ile 8 labelled with iodine (I) 125 both at 30 minutes and 48 hours after the SAH. Serum angiotensin converting enzyme activity was also detected during the time course reflecting the involvement of the peripheral angiotensin system and showed an early rise and a fall after two days. Immunohistochemistry was utilized to show the ANG II-containing cells within the circumventricular organs. SFO and OVLT were found to have a statistically significant increase in ANG II receptor content persisting over two days after the SAH. These alterations in the receptor content of CVOs may indicate their possible role in delayed ischaemic deficits seen after SAH.
中枢神经系统内的细胞巢,即室周器官(CVOs),包括穹窿下器官(SFO)、终板血管器(OVLT)、最后区(AP)和正中隆起(ME),已知不仅含有血管紧张素II(ANG II)受体,还含有ANG II本身。尽管这种中枢ANG II网络在高血压等某些疾病的病理生理学中的重要性已得到充分证实,但对于蛛网膜下腔出血(SAH)后该系统可能如何参与其中,似乎还缺乏了解。在本研究中,我们使用经颈经斜坡模型,研究了大鼠实验性蛛网膜下腔出血后不同室周器官中ANG II受体含量的变化。在SAH后30分钟和48小时,通过使用脑池内用碘(I)125标记的ANG II Sar 1,Ile 8进行体内放射自显影检测ANG II受体含量。在整个时间过程中还检测了血清血管紧张素转换酶活性,以反映外周血管紧张素系统的参与情况,结果显示其在早期升高,两天后下降。利用免疫组织化学方法显示室周器官内含有ANG II的细胞。发现SAH后两天内,SFO和OVLT的ANG II受体含量有统计学意义的持续增加。CVOs受体含量的这些变化可能表明它们在SAH后出现的延迟性缺血性缺陷中可能发挥的作用。