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门静脉高压大鼠肠系膜阻力动脉反应性降低

Hyporeactivity of mesenteric resistance arteries in portal hypertensive rats.

作者信息

Sogni P, Sabry S, Moreau R, Gadano A, Lebrec D, Dinh-Xuan A T

机构信息

Laboratoire d'Hémodynamique Splanchnique, INSERM U-24, Hôpital Beaujon, Clichy, France.

出版信息

J Hepatol. 1996 Apr;24(4):487-90. doi: 10.1016/s0168-8278(96)80170-x.

Abstract

BACKGROUND/AIMS: Hyporesponsiveness to vasoconstrictors in portal hypertension has been shown to involve increased production of nitric oxide in large arteries in vitro. Small arteries (diameter 50-500 microns) are partly responsible for peripheral resistance and probably have different regulatory mechanisms from large arteries. The purpose of this study was to investigate the hyporeactivity of small mesenteric resistance arteries in portal hypertensive rats and to determine the role of nitric oxide and prostaglandins in this hyporesponsiveness.

METHODS

Third branch mesenteric arteries from normal and portal hypertensive rats obtained by portal vein ligation were isolated and suspended in myographs for isometric tension recording. Reactivity to vasoconstrictors was assessed by dose-responses to phenylephrine (Phe 10(-8) to 10(-3) M) and by potassium chloride (KCl 45 mM). Acetylcholine (Ach 10(-5) M) was administered in pre-contracted KCl 45 mM arterial rings to evaluate endothelium-dependent relaxation. Pre-incubations with N-nitro-L-arginine (L-NNA 10(-4) M, a specific inhibitor of nitric oxide synthase, or with indomethacin (10(-5) M), a specific inhibitor of cyclo-oxygenase, were performed to compare the individual roles of nitric oxide and prostaglandins in KCl 45 mM-induced contractions.

RESULTS

Impaired responses to Phe (3731 +/- 851 microN and 5971 +/- 745 microN, respectively; p < 0.05) and to KCl (2197 +/- 251 vs 2804 +/- 222 microN, respectively; p < 0.05) were observed in mesenteric resistance arterial rings from portal hypertensive rats compared to rings from normal rats. Ach-dependent relaxation did not significantly differ between normal (-25.7 +/- 5.1%) and portal hypertensive (-17.3 +/- 3.3%) rats. Indomethacin induced a similar significant increase in KCl-induced contraction in normal (3472 +/- 400 microN) and portal hypertensive (3432 +/- 654 rats. Nitric oxide synthesis inhibition had no effect in normal rats (3032 +/- 368 microN) but significantly increased KCl-induced contraction in portal hypertensive rats (3331 +/- 551 microN).

CONCLUSION

These results demonstrate the existence of a hyporesponsiveness to vasoconstrictors in small mesenteric resistance arteries of portal hypertensive rats, which seems to be due to increased production of nitric oxide.

摘要

背景/目的:门静脉高压时对血管收缩剂反应性降低已证实在体外大动脉中涉及一氧化氮生成增加。小动脉(直径50 - 500微米)部分负责外周阻力,其调节机制可能与大动脉不同。本研究目的是探讨门静脉高压大鼠肠系膜小阻力动脉的反应性降低情况,并确定一氧化氮和前列腺素在这种反应性降低中的作用。

方法

通过门静脉结扎获得的正常和门静脉高压大鼠的肠系膜动脉第三分支被分离并悬挂于肌动描记器中进行等长张力记录。通过对去氧肾上腺素(Phe 10(-8)至10(-3) M)的剂量反应以及对氯化钾(KCl 45 mM)的反应来评估对血管收缩剂的反应性。在预先用45 mM KCl收缩的动脉环中给予乙酰胆碱(Ach 10(-5) M)以评估内皮依赖性舒张。用N - 硝基 - L - 精氨酸(L - NNA 10(-4) M,一氧化氮合酶的特异性抑制剂)或吲哚美辛(10(-5) M,环氧化酶的特异性抑制剂)进行预孵育,以比较一氧化氮和前列腺素在45 mM KCl诱导的收缩中的各自作用。

结果

与正常大鼠的动脉环相比,门静脉高压大鼠的肠系膜阻力动脉环对去氧肾上腺素(分别为3731±851微牛顿和5971±745微牛顿;p < 0.05)和氯化钾(分别为2197±251与2804±222微牛顿;p < 0.05)的反应受损。正常大鼠(-25.7±5.1%)和门静脉高压大鼠(-17.3±3.3%)之间乙酰胆碱依赖性舒张无显著差异。吲哚美辛在正常大鼠(3472±400微牛顿)和门静脉高压大鼠(3432±654微牛顿)中诱导氯化钾诱导的收缩有相似的显著增加。一氧化氮合成抑制在正常大鼠(3032±368微牛顿)中无作用,但在门静脉高压大鼠中显著增加氯化钾诱导的收缩(3331±551微牛顿)。

结论

这些结果表明门静脉高压大鼠肠系膜小阻力动脉中存在对血管收缩剂的反应性降低,这似乎是由于一氧化氮生成增加所致。

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