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猫局灶性脑缺血后内皮素介导的血管张力

Endothelin-mediated vascular tone following focal cerebral ischaemia in the cat.

作者信息

Patel T R, Galbraith S, McAuley M A, McCulloch J

机构信息

Wellcome Surgical Institue, University of Glasgow, Scotland, UK.

出版信息

J Cereb Blood Flow Metab. 1996 Jul;16(4):679-87. doi: 10.1097/00004647-199607000-00019.

Abstract

The actions of Bosentan and PD155080, nonpeptide endothelin receptor antagonists, were examined in feline pial arterioles in situ following middle cerebral artery (MCA) occlusion to gain insight into the cerebrovascular influence of endogenous endothelins in focal cerebral ischaemia. Immediately following permanent MCA occlusion, all pial arterioles overlying the suprsylvian and ectosylvian gyri displayed marked dilatations, which were maintained in a population of vessel but differentiated into sustained constrictions in others. Perivascular subarachnoid microinjections of Bosentan (30 microM), PD155080 (30 microM), and artificial CSF (pH 7.2) were performed between 30 and 210 min following MCA occlusion. The perivascular microapplication of Bosentan (30 microM) and PD155080 (30 microM) around pial vessels overlying the suprasylvian and ectosylvian gyri, which are within the territory of the occluded MCA, elicited in increase in the calibre of postocclusion dilated and constricted pial arterioles. The perivascular microapplication of PD155080 (30 microM) around postocclusion constricted arterioles overlying the ectosylvian and suprasylvian gyri elicited an increase in the calibre of arterioles (69 +/- 49% from preinjection baseline; n = 8). The perivascular microapplication of Bosentan (30 microM) around postocclusion constricted arterioles overlying the ectosylvian and suprasylvian gyri also elicited an increase in the calibre of arterioles (68 +/- 60% from preinjection baseline; n = 13). In contrast, the microapplication of CSF (pH 7.2) elicited small reductions in pial arteriolar calibre of postocclusion constricted arterioles (-8 +/- 13% from preinjection baseline; n = 8). The perivascular microapplication of PD155080 (30 microM) around postocclusion dilated pial arterioles overlying the ectosylvian and suprasylvian gyri elicited an increase in the calibre of arterioles (11 +/- 10% from preinjection baseline; n = 38). The perivascular microapplication of Bosentan (30 microM) around postocclusion dilated arterioles elicited an increase in the calibre of arterioles (16 +/- 15% from preinjection baseline; n = 36). In contrast, the microapplication of CSF (pH 7.2) elicited small reductions in pial arteriolar calibre of postocclusion dilated arterioles (-9 +/- 6% from preinjection baseline; n = 44). Perivascular microapplication of Bosentan or PD155080 had minimal effect on the calibre of pial arterioles on the parasagittal gyrus (anterior cerebral artery territory), although these arterioles had also displayed sustained dilatation following MCA occlusion. These results indicate that contractile factors (whose effects can be reversed with endothelin receptor antagonists) constrict or impair dilatation of cortical resistance arterioles in an acute cerebral ischaemic episode.

摘要

在大脑中动脉(MCA)闭塞后,对猫的软脑膜小动脉原位研究了非肽类内皮素受体拮抗剂波生坦和PD155080的作用,以深入了解内源性内皮素在局灶性脑缺血中对脑血管的影响。在永久性MCA闭塞后,覆盖在大脑上薛氏回和外薛氏回上的所有软脑膜小动脉立即出现明显扩张,在一部分血管中这种扩张持续存在,但在其他血管中则转变为持续性收缩。在MCA闭塞后30至210分钟之间,对覆盖在大脑上薛氏回和外薛氏回上的软脑膜血管进行血管周围蛛网膜下腔微量注射波生坦(30微摩尔)、PD155080(30微摩尔)和人工脑脊液(pH 7.2)。在闭塞的MCA区域内,对覆盖在大脑上薛氏回和外薛氏回上的软脑膜血管周围微量应用波生坦(30微摩尔)和PD155080(30微摩尔),可使闭塞后扩张和收缩的软脑膜小动脉口径增加。对覆盖在大脑外薛氏回和上薛氏回上的闭塞后收缩的小动脉周围微量应用PD155080(30微摩尔),可使小动脉口径增加(相对于注射前基线增加69±49%;n = 8)。对覆盖在大脑外薛氏回和上薛氏回上的闭塞后收缩的小动脉周围微量应用波生坦(30微摩尔),也可使小动脉口径增加(相对于注射前基线增加68±60%;n = 13)。相比之下,应用脑脊液(pH 7.2)可使闭塞后收缩的软脑膜小动脉口径略有减小(相对于注射前基线减小8±13%;n = 8)。对覆盖在大脑外薛氏回和上薛氏回上的闭塞后扩张的软脑膜小动脉周围微量应用PD155080(30微摩尔),可使小动脉口径增加(相对于注射前基线增加11±10%;n = 38)。对闭塞后扩张的小动脉周围微量应用波生坦(30微摩尔),可使小动脉口径增加(相对于注射前基线增加16±15%;n = 36)。相比之下,应用脑脊液(pH 7.2)可使闭塞后扩张的软脑膜小动脉口径略有减小(相对于注射前基线减小9±6%;n = 44)。对矢状旁回(大脑前动脉区域)的软脑膜小动脉周围微量应用波生坦或PD155080对其口径影响极小,尽管这些小动脉在MCA闭塞后也出现了持续性扩张。这些结果表明,收缩因子(其作用可被内皮素受体拮抗剂逆转)在急性脑缺血发作时会使皮质阻力小动脉收缩或扩张受损。

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