Clayton R A, Nally J E, Thomson N C, McGrath J C
Division of Neuroscience and Biomedical Systems, University of Glasgow, Scotland.
Pulm Pharmacol Ther. 1997;10(1):51-60. doi: 10.1006/pupt.1997.0070.
The ability of atrial natriuretic peptide, salbutamol, sodium nitroprusside and isosorbide dinitrate to protect against challenge with methacholine in bovine isolated bronchi was compared in different O2 tensions. Perfusing the Krebs-Henseleit solution with gas mixtures containing 95% O2 (hyperoxia), 20% O2 (approximately normoxia) and 0% O2 (hypoxia) produced O2 tensions in the organ-baths of 524, 147 and 26 mm Hg, respectively. In hyperoxia, pre-incubation of atrial natriuretic peptide at concentrations of 3 x 10(-7) M and 10(-6) M significantly attenuated responses to methacholine, whereas in normoxia, these concentrations of atrial natriuretic peptide had no effect. Furthermore, in hypoxia, 3 x 10(-7) M and 10(-6) M atrial natriuretic peptide significantly enhanced responses to methacholine. Salbutamol, at concentrations of 3 x 10(-7) M and 10(-6) M significantly attenuated responses to methacholine in hyperoxia, whereas in normoxia and hypoxia, pre-incubation of salbutamol did not alter the methacholine response. Pre-incubation of 10(-5) M sodium nitroprusside significantly attenuated methacholine-induced contractions in hyperoxia and when the oxygen tension in the gas mixture was lowered to 20% or 0%, the ability of sodium nitroprusside to protect against methacholine challenge was enhanced. In hyperoxia, isosorbide dinitrate, at the 10(-4) M level, evoked a rightward shift of the methacholine response curve. Lowering the oxygen tension to either 20% or 0% enhanced the protectant effect of isosorbide dinitrate, with the effect being greater in 20% O2. Thus, the effect of these bronchodilators on methacholine-induced challenge in hyperoxia O2 differed from those in normoxia and hypoxia, although the direction of the changes varied among the agents used. This suggests that the responses evoked by bronchodilators in 95% O2 may not necessarily predict those in the physiological range of oxygen tensions and that the relative effectiveness of bronchodilators may vary between normoxic and hypoxic conditions.
在不同氧张力条件下,比较了心房利钠肽、沙丁胺醇、硝普钠和硝酸异山梨酯对牛离体支气管乙酰甲胆碱激发试验的保护作用。用含95%氧气(高氧)、20%氧气(约为常氧)和0%氧气(低氧)的混合气体灌注克雷布斯 - 亨塞尔特溶液,分别使器官浴中的氧张力达到524、147和26 mmHg。在高氧条件下,浓度为3×10⁻⁷ M和10⁻⁶ M的心房利钠肽预孵育可显著减弱对乙酰甲胆碱的反应,而在常氧条件下,这些浓度的心房利钠肽无作用。此外,在低氧条件下,3×10⁻⁷ M和10⁻⁶ M的心房利钠肽显著增强了对乙酰甲胆碱的反应。浓度为3×10⁻⁷ M和10⁻⁶ M的沙丁胺醇在高氧条件下可显著减弱对乙酰甲胆碱的反应,而在常氧和低氧条件下,沙丁胺醇预孵育并未改变对乙酰甲胆碱的反应。10⁻⁵ M硝普钠预孵育可显著减弱高氧条件下乙酰甲胆碱诱导的收缩,当混合气体中的氧张力降至20%或0%时,硝普钠对乙酰甲胆碱激发试验的保护能力增强。在高氧条件下,10⁻⁴ M的硝酸异山梨酯使乙酰甲胆碱反应曲线右移。将氧张力降至20%或0%可增强硝酸异山梨酯的保护作用,在20%氧气条件下效果更明显。因此,尽管所使用药物的变化方向不同,但这些支气管扩张剂在高氧条件下对乙酰甲胆碱诱导激发试验的作用与在常氧和低氧条件下不同。这表明支气管扩张剂在95%氧气条件下引起的反应不一定能预测在生理氧张力范围内的反应,并且支气管扩张剂的相对有效性在常氧和低氧条件下可能会有所不同。