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L-精氨酸甲酯(L-NAME)对大鼠动脉血流动力学的一氧化氮阻断急性效应。

Acute effects of nitric oxide blockade with L-NAME on arterial haemodynamics in the rat.

作者信息

Hu C T, Chang K C, Wu C Y, Chen H I

机构信息

Department of Physiology and Cardiovascular Research Laboratory, Tzu Chi College of Medicine, Hualien, Republic of China.

出版信息

Br J Pharmacol. 1997 Nov;122(6):1237-43. doi: 10.1038/sj.bjp.0701496.

Abstract
  1. We employed the technique of impedance spectral analysis to investigate the role of endogenous nitric oxide (NO) in the regulation of steady and pulsatile haemodynamics in Wistar Kyoto rat (WKY). 2. A total of 12 WKYs was anaesthetized with pentobarbitol sodium (40 mg kg-1, i.p.) and artificially ventilated with an animal respirator. The aortic pressure wave was monitored with a high fidelity Millar sensor, and aortic flow wave with an electromagnetic flow probe. The pressure and flow waves were subjected to Fourier transform for the analysis of impedance spectra. 3. The baseline cardiovascular parameters were mean arterial pressure (APm) 95 +/- 9 mmHg, heart rate (HR) 338 +/- 9 b.p.m., stroke volume (SV) 0.23 +/- 0.01 ml, cardiac output (CO) 77.8 +/- 1.6 ml min-1, total peripheral resistance (TPR) 98 +/- 11 (x10(3)) dyne s cm-5, characteristic impedance (Zc) 2046 +/- 141 dyne s cm-5, arterial compliance at mean AP (Cm) 3.78 +/- 0.22 microliters mmHg-1 and backward pulse wave (Pb) 12.9 +/- 0.6 mmHg. 4. An NO synthase inhibitor, NG-nitro-L-arginine monomethyl ester (L-NAME) was administered at graded intravenous doses. This agent caused dose-dependent increases in AP and TPR with decreases in HR. At an accumulative dose of 10 mg kg-1, APm was increased by 29 +/- 3 mmHg (+31%) and TPR by 49 +/- 6 (x10(3)) dyne s cm-5 (+50%), while HR was reduced by 37 +/- 5 b.p.m. (-11%) and CO by 10.4 +/- 0.8 ml min-1 (-14%). The pulsatile haemodynamics including Zc and Pb were slightly increased by 14-15%. Cm was decreased by 1.09 microliters mmHg-1 (-29%). L-NAME also did not significantly affect the ventricular work including the steady, oscillatory and total work. 5. Aminoguanidine, a specific inhibitor for inducible NO synthase (iNOS), in dose 10-60 mg kg-1 i.v. did not alter the AP, HR and other parameters. The result indicated that blockade of constitutive NOS, but not iNOS is involved in these changes. 6. Angiotensin II (Ang) in various infusion doses was used to produce a profile of AP increase similar to that caused by L-NAME. Ang remarkably increased Zc, while TPR was moderately elevated. The pattern of haemodynamic changes was different from that following L-NAME. 7. The results suggest that blockade of the endogenous NO affects predominantly the arterial pressure and peripheral resistance. The Windkessel functions such as arterial impedance and pulse wave reflection are slightly increased. Ventricular works are not significantly altered.
摘要
  1. 我们采用阻抗谱分析技术来研究内源性一氧化氮(NO)在Wistar Kyoto大鼠(WKY)稳定和搏动性血流动力学调节中的作用。2. 总共12只WKY大鼠用戊巴比妥钠(40 mg kg-1,腹腔注射)麻醉,并用动物呼吸机进行人工通气。用高保真Millar传感器监测主动脉压力波,用电磁流量探头监测主动脉血流波。对压力波和血流波进行傅里叶变换以分析阻抗谱。3. 基线心血管参数为平均动脉压(APm)95±9 mmHg,心率(HR)338±9次/分钟,每搏输出量(SV)0.23±0.01 ml,心输出量(CO)77.8±1.6 ml min-1,总外周阻力(TPR)98±11(×10(3))达因秒厘米-5,特征阻抗(Zc)2046±141达因秒厘米-5,平均AP时的动脉顺应性(Cm)3.78±0.22微升毫米汞柱-1,以及反向脉搏波(Pb)12.9±0.6 mmHg。4. 静脉内给予不同剂量的NO合酶抑制剂NG-硝基-L-精氨酸甲酯(L-NAME)。该药物导致AP和TPR呈剂量依赖性增加,HR降低。在累积剂量为10 mg kg-1时,APm增加29±3 mmHg(+31%),TPR增加49±6(×10(3))达因秒厘米-5(+50%),而HR降低37±5次/分钟(-11%),CO降低10.4±0.8 ml min-1(-14%)。包括Zc和Pb在内的搏动性血流动力学略有增加14 - 15%。Cm降低1.09微升毫米汞柱-1(-29%)。L-NAME也未显著影响心室功,包括稳定功、振荡功和总功。5. 氨基胍,一种诱导型NO合酶(iNOS)的特异性抑制剂,静脉注射剂量为10 - 60 mg kg-1,未改变AP、HR和其他参数。结果表明,组成型NOS的阻断而非iNOS参与了这些变化。6. 不同输注剂量的血管紧张素II(Ang)用于产生与L-NAME引起的AP升高相似的情况。Ang显著增加Zc,而TPR适度升高。血流动力学变化模式与L-NAME后的不同。7. 结果表明,内源性NO的阻断主要影响动脉血压和外周阻力。诸如动脉阻抗和脉搏波反射等风箱功能略有增加。心室功没有显著改变。

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