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局部和静脉注射α2 - 肾上腺素能受体激动剂可乐定对犬软脑膜微循环的血管效应。

The vascular effects of topical and intravenous alpha2-adrenoceptor agonist clonidine on canine pial microcirculation.

作者信息

Ishiyama T, Dohi S, Iida H

机构信息

Department of Anesthesiology and Critical Care Medicine, Gifu University School of Medicine, Japan.

出版信息

Anesth Analg. 1998 Apr;86(4):766-72. doi: 10.1097/00000539-199804000-00017.

Abstract

UNLABELLED

To assess the direct cerebrovascular effects of clonidine, we investigated the pharmacological responses of pial vessels to its topical and i.v. administration using a cranial window. Forty-six dogs anesthetized with pentobarbital had the cranial window implanted. We administered six different concentrations of clonidine (10(-8), 10(-7), 10(-6), 10(-5), 10(-4), 10(-3) mol/L) dissolved in artificial cerebrospinal fluid under the window and measured the pial arterial and venous diameters. After pretreating pial vessels with either yohimbine, an alpha2-adrenoceptor antagonist, or glibenclamide, an adenosine triphosphate-sensitive K+-channel blocker, their action was examined after applying clonidine. We also evaluated the effects of i.v. clonidine (5 microg/kg) on pial vascular tone. Topical clonidine produced significant constriction of the pial large and small arteries and veins in a concentration-dependent manner (P < 0.05). Yohimbine abolished the clonidine-induced pial arterial (large P < 0.005; small P < 0.0005) and venous constriction (large and small P < 0.0001). Glibenclamide potentiated the clonidine-induced pial arterial constriction (P < 0.05). I.v. clonidine did not cause significant changes in pial arteries, but it caused significant constriction of small veins. These were associated with a significant decrease in heart rate and an increase in serum potassium level and glucose concentration. In the present study, we demonstrate that the topical application of clonidine constricts both pial arterial and venous vessels in a concentration-dependent manner and suggest that mechanisms of such action are caused by the activation of alpha2-adrenoceptors and adenosine triphosphate-sensitive K+-channels, whereas i.v. clonidine constricts only pial small veins.

IMPLICATIONS

In this study, we describe the direct and i.v. effects of clonidine on pial vessels using a cranial window in anesthetized dogs. The topical application of clonidine constricts pial vessels. This is mediated by the activation of alpha2-adrenoceptors and adenosine triphosphate-sensitive K+-channels. I.v. clonidine constricts only pial small veins.

摘要

未标记

为评估可乐定对脑血管的直接作用,我们使用颅窗研究了软脑膜血管对其局部和静脉给药的药理反应。46只戊巴比妥麻醉的犬植入了颅窗。我们在窗下给予六种不同浓度(10^(-8)、10^(-7)、10^(-6)、10^(-5)、10^(-4)、10^(-3)mol/L)溶解于人工脑脊液中的可乐定,并测量软脑膜动脉和静脉直径。在用α2肾上腺素能受体拮抗剂育亨宾或三磷酸腺苷敏感性钾通道阻滞剂格列本脲预处理软脑膜血管后,应用可乐定观察其作用。我们还评估了静脉注射可乐定(5μg/kg)对软脑膜血管张力的影响。局部应用可乐定以浓度依赖性方式使软脑膜大、小动脉和静脉显著收缩(P<0.05)。育亨宾消除了可乐定诱导的软脑膜动脉(大血管P<0.005;小血管P<0.0005)和静脉收缩(大、小血管P<0.0001)。格列本脲增强了可乐定诱导的软脑膜动脉收缩(P<0.05)。静脉注射可乐定未引起软脑膜动脉的显著变化,但引起小静脉的显著收缩。这些与心率显著降低、血清钾水平和血糖浓度升高有关。在本研究中,我们证明局部应用可乐定以浓度依赖性方式收缩软脑膜动脉和静脉血管,并提示这种作用机制是由α2肾上腺素能受体和三磷酸腺苷敏感性钾通道的激活引起的,而静脉注射可乐定仅收缩软脑膜小静脉。

启示

在本研究中,我们描述了可乐定对麻醉犬软脑膜血管的直接和静脉作用。局部应用可乐定可收缩软脑膜血管。这是由α2肾上腺素能受体和三磷酸腺苷敏感性钾通道的激活介导的。静脉注射可乐定仅收缩软脑膜小静脉。

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