Liang C S
J Clin Invest. 1977 Jul;60(1):61-9. doi: 10.1172/JCI108769.
The circulatory effects of selective metabolic inhibition of glycolysis and of the tricarboxylic acid cycle by iodoacetate and fluoroacetate were studied in intact chloralose-anesthetized dogs. Pulmonary arterial blood pressure and vascular resistance increased after administration of both inhibitors, but neither systemic hemodynamics nor myocardial contractility changed significantly. Coronary blood flow did not change after iodoacetate administration but increased four- to five-fold after fluoroacetate. Administration of normal saline had no effect on any of the parameters. The changes in pulmonary arterial blood pressure and coronary blood flow after fluoroacetate were not mediated via the autonomic nerves or adrenergic neurohumors because they still occurred after autonomic nervous system inhibition. Neither myocardial oxygen consumption nor left ventricular work changed. A selective increase in myocardial blood flow also occurred in conscious dogs after fluoroacetate administration; hepatic artery flow was reduced, but other organ flows did not change significantly. These results indicate that pulmonary pressor and coronary dilator effects may be produced in intact dogs by selective metabolic blockade, in the absence of reduced oxygen supply or impairment in the electron transport system. These results also suggest that the increases in pulmonary arterial blood pressure, coronary blood flow, and cardiac output that occur during hypoxia probably are related to separate metabolic events in the tissue.
在氯醛糖麻醉的完整犬中,研究了碘乙酸盐和氟乙酸盐对糖酵解和三羧酸循环的选择性代谢抑制的循环效应。给予两种抑制剂后,肺动脉血压和血管阻力均升高,但全身血流动力学和心肌收缩力均无显著变化。给予碘乙酸盐后冠状动脉血流量未改变,但给予氟乙酸盐后增加了4至5倍。给予生理盐水对任何参数均无影响。氟乙酸盐给药后肺动脉血压和冠状动脉血流量的变化不是通过自主神经或肾上腺素能神经体液介导的,因为在自主神经系统抑制后这些变化仍然发生。心肌耗氧量和左心室作功均未改变。给予氟乙酸盐后,清醒犬的心肌血流量也有选择性增加;肝动脉血流量减少,但其他器官血流量无显著变化。这些结果表明,在完整犬中,通过选择性代谢阻断,在没有氧供应减少或电子传递系统受损的情况下,可能会产生肺血管加压和冠状动脉扩张效应。这些结果还表明,缺氧期间肺动脉血压、冠状动脉血流量和心输出量的增加可能与组织中不同的代谢事件有关。