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[皮质类固醇对大鼠胃黏膜的适应性保护作用及其机制]

[The adaptation-protective effect of corticosteroids on the rat gastric mucosa and its mechanism].

作者信息

Filaretov A A, Filaretova L P, Bogdanov A I, Makarov F N, Granstrem E E, Levkovich Iu I, Mal'tsev N A

出版信息

Fiziol Zh Im I M Sechenova. 1996 Mar;82(3):141-50.

PMID:8963311
Abstract

The influence of stress-induced corticosteroid production on gastric ulceration, blood flow velocity in gastric microvessels and blood pressure was studied in rats. The role of plasma corticosteroids was investigated by means of blockade of the pituitary-adrenocortical system (PACS) and following corticosterone replacement therapy (400 mu/100 g b.w.). The blockade which was induced by Fi. hydrocortisone administration (7 days before stress, 30 mg/100 g b. w.) resulted in an insufficient corticosteroid production. To evaluate the influence of corticosteroids on blood flow velocity in gastric microvessels of muscular, submucosal and mucosal coats it was used intravital microfilming by means of a dark-field contact epiobjective. Stress (water immersion + restraint) induces an ulceration, a decrease in the systemic arterial blood pressure (3 h after stress onset) and a decrease in blood flow velocity in the gastric microvessels (3 h after stress onset). In rats with insufficient corticosteroid production stress-induced ulceration, a decrease in blood pressure and gastric blood velocity were more greater than in rats with intact PACS. Replacement corticosterone therapy corrected all parameters. The results revealed that antiulcerogenic effect of stress-induced glucocorticoid production is realised owing to normalisation of gastric blood supply which is provided by an increase in systemic blood pressure.

摘要

研究了应激诱导的皮质类固醇产生对大鼠胃溃疡、胃微血管血流速度和血压的影响。通过阻断垂体-肾上腺皮质系统(PACS)并进行皮质酮替代治疗(400μg/100g体重)来研究血浆皮质类固醇的作用。氟氢可的松给药(应激前7天,30mg/100g体重)诱导的阻断导致皮质类固醇产生不足。为了评估皮质类固醇对胃肌层、黏膜下层和黏膜层微血管血流速度的影响,采用暗视野接触式落射物镜进行活体显微拍摄。应激(水浸+束缚)会诱发溃疡、全身动脉血压降低(应激开始后3小时)以及胃微血管血流速度降低(应激开始后3小时)。皮质类固醇产生不足的大鼠中,应激诱导的溃疡、血压降低和胃血流速度降低比PACS完整的大鼠更严重。皮质酮替代治疗纠正了所有参数。结果表明,应激诱导的糖皮质激素产生的抗溃疡作用是通过全身血压升高所提供的胃血液供应正常化来实现的。

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