Neely C F, Matot I
Department of Anesthesia, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Am J Physiol. 1996 Feb;270(2 Pt 2):H610-9. doi: 10.1152/ajpheart.1996.270.2.H610.
Under conditions of controlled pulmonary blood flow and constant left atrial pressure, adenosine produces dose-dependent, tone-dependent responses in the pulmonary vascular (PV) bed of intact-chest, spontaneously breathing cats. The potency profile for adenosine receptor agonists to produce vasoconstriction at low baseline PV tone is 5'-(N-ethylcarboxamido)adenosine > or = CGS-21680 > or = 2-chloroadenosine (2-CADO) > or = [R]-N6-(2-phenylisopropyl)adenosine (R-PIA) > or = N6-cyclopentyladenosine > adenosine > > CV-1808. After an increase in PV tone with the use of an intralobar infusion of the thromboxane mimic U-46619, the potency profile for adenosine receptor agonists to produce vasodilation at elevated PV tone is 2-CADO > or = CV-1808 > or = CGS-21680 > R-PIA > or = adenosine. The selective A1 adenosine receptor antagonists xanthine amine congener (XAC) and 8-cyclopentyl-1,3-dipropylxanthine (DP-CPX) significantly antagonize the vasoconstrictor responses of adenosine and R-PIA at low baseline PV tone while having less effect on the vasodilator responses of adenosine, 2-CADO, and R-PIA at elevated PV tone. DPCPX antagonizes the vasoconstrictor responses of CGS-21680 at low baseline PV tone. The nonselective A1 and A2 adenosine receptor antagonist BWA-1433U significantly antagonizes vasoconstrictor responses of R-PIA and vasodilator responses of adenosine, 2-CADO, and R-PIA. These data support that adenosine produces vasoconstriction at low baseline PV tone and vasodilation at elevated PV tone in the feline PV bed by acting on A1 and A2 adenosine receptors, respectively. Compared with the adenosine receptor agonists tested in this in vivo model, R-PIA and CV-1808 are the most selective adenosine receptor agonists for A1 and A2 adenosine receptors, respectively, in the feline PV bed. R-PIA, CV-1808, DPCPX, and XAC may be used in this in vivo model to define the roles of A1 and A2 adenosine receptors in acute lung injury and pathophysiological changes in the pulmonary vasculature associated with pulmonary hypertension and edema formation in the same animal model.
在肺血流量受控且左心房压力恒定的条件下,腺苷在完整胸腔、自主呼吸的猫的肺血管(PV)床中产生剂量依赖性、张力依赖性反应。在低基线PV张力下,腺苷受体激动剂产生血管收缩的效价顺序为:5'-(N-乙基甲酰胺基)腺苷≥CGS-21680≥2-氯腺苷(2-CADO)≥[R]-N6-(2-苯异丙基)腺苷(R-PIA)≥N6-环戊基腺苷>腺苷>>CV-1808。在使用血栓素类似物U-46619进行叶内输注使PV张力增加后,腺苷受体激动剂在升高的PV张力下产生血管舒张的效价顺序为:2-CADO≥CV-1808≥CGS-21680>R-PIA≥腺苷。选择性A1腺苷受体拮抗剂黄嘌呤胺同类物(XAC)和8-环戊基-1,3-二丙基黄嘌呤(DP-CPX)在低基线PV张力时能显著拮抗腺苷和R-PIA的血管收缩反应,而对腺苷、2-CADO和R-PIA在升高的PV张力下的血管舒张反应影响较小。DP-CPX在低基线PV张力时能拮抗CGS-21680的血管收缩反应。非选择性A1和A2腺苷受体拮抗剂BWA-1433U能显著拮抗R-PIA的血管收缩反应以及腺苷、2-CADO和R-PIA的血管舒张反应。这些数据支持腺苷在猫的PV床中,通过分别作用于A1和A2腺苷受体,在低基线PV张力时产生血管收缩,在升高的PV张力时产生血管舒张。与在此体内模型中测试的腺苷受体激动剂相比,R-PIA和CV-1808分别是猫PV床中对A1和A2腺苷受体最具选择性的腺苷受体激动剂。在同一动物模型中,R-PIA、CV-1808、DP-CPX和XAC可用于确定A1和A2腺苷受体在急性肺损伤以及与肺动脉高压和肺水肿形成相关的肺血管病理生理变化中的作用。