Hauser G J, Dayao E K, Zukowska-Grojec Z
Division of Pediatric Critical Care Medicine, Georgetown University Children's Medical Center, Washington, DC 20007, USA.
Res Commun Mol Pathol Pharmacol. 1995 Nov;90(2):289-300.
Studies of cardiovascular physiology are frequently performed under barbiturate anesthesia even though the effect of barbiturates on the pressor response to catecholamines is controversial, and their effect on the response to other agonists is unknown. The effect of pentobarbital (PB) anesthesia on the pressor and heart rate (HR) dose responses to norepinephrine (NE), angiotensin II (AII), vasopressin (VP) and neuropeptide Y (NPY) was studied in vivo in normal and endotoxemic rats. Four groups of rats (5-6 rats/group) were studied for each agonist: 1) anesthetized/endotoxemic, 2) anesthetized/control, 3) conscious/endotoxemic, and 4) conscious/control. Anesthesia was maintained with 10 mg/kg of PB i.v. q 45 minutes. Endotoxemia was established by infusion of a non-hypotensive dose of E. coli lipopolysaccharide 0127:B8, (LPS, 10 micrograms/10 microliters/min) throughout the experiment. One hour after the LPS (or saline control) infusion was started, dose response curves of the pressor and HR responses to agonists were established. LPS infusion resulted in marked suppression of the pressor response to NE, AII, and VP in both conscious and anesthetized rats. LPS infusion suppressed the response to NPY in conscious, but not in anesthetized rats. LPS did not affect the baroreceptor reflex. In both normal and endotoxemic rats, PB anesthesia suppressed the pressor response and attenuated the baroreceptor reflex to AII and NPY, enhanced the pressor response without affecting the heart rate response to NE, and attenuated the baroreceptor reflex to VP. The pressor response to VP was suppressed by anesthesia in normal, but not in endotoxemic rats. PB anesthesia interferes with the cardiovascular effects of different agonists in a variable manner, depending on the agonist tested and the presence or absence of endotoxemia, indicating their different modes of action. These effects should be considered when planning in vivo experiments with these and other agonists.
尽管巴比妥类药物对儿茶酚胺升压反应的影响存在争议,且其对其他激动剂反应的影响尚不清楚,但心血管生理学研究仍经常在巴比妥类麻醉下进行。本研究在正常大鼠和内毒素血症大鼠体内,探讨了戊巴比妥(PB)麻醉对去甲肾上腺素(NE)、血管紧张素II(AII)、血管加压素(VP)和神经肽Y(NPY)升压及心率(HR)剂量反应的影响。每种激动剂均研究了四组大鼠(每组5 - 6只):1)麻醉/内毒素血症组,2)麻醉/对照组,3)清醒/内毒素血症组,4)清醒/对照组。通过静脉注射10 mg/kg PB,每45分钟给药一次维持麻醉。在整个实验过程中,通过输注非低血压剂量的大肠杆菌脂多糖0127:B8(LPS,10微克/10微升/分钟)建立内毒素血症。在开始输注LPS(或生理盐水对照)1小时后,建立激动剂升压和HR反应的剂量反应曲线。LPS输注导致清醒和麻醉大鼠对NE、AII和VP的升压反应均显著抑制。LPS输注抑制了清醒大鼠对NPY的反应,但未抑制麻醉大鼠的反应。LPS不影响压力感受器反射。在正常和内毒素血症大鼠中,PB麻醉均抑制了对AII和NPY的升压反应并减弱了压力感受器反射,增强了对NE的升压反应但不影响心率反应,减弱了对VP的压力感受器反射。在正常大鼠中,麻醉抑制了对VP的升压反应,但在内毒素血症大鼠中未出现此现象。PB麻醉以可变方式干扰不同激动剂的心血管效应,这取决于所测试的激动剂以及内毒素血症的有无,表明它们的作用方式不同。在计划使用这些及其他激动剂进行体内实验时,应考虑这些影响。