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收缩模式对正常血压和自发性高血压大鼠冠状动脉乙酰胆碱介导舒张机制的影响。

Influence of mode of contraction on the mechanism of acetylcholine-mediated relaxation of coronary arteries from normotensive and spontaneously hypertensive rats.

作者信息

Bund S J

机构信息

University Department of Medicine, Manchester Royal Infirmary, U.K.

出版信息

Clin Sci (Lond). 1998 Mar;94(3):231-8. doi: 10.1042/cs0940231.

Abstract
  1. Endothelium-dependent acetylcholine-mediated relaxations of small coronary arteries (approximately 200 microns internal diameter) from 20 weeks old spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto (WKY) controls were compared under pressurized no-flow conditions after the development of myogenic tone or constriction with the thromboxane A2 mimetic U46619. 2. Relaxations of WKY and SHR arteries following development of myogenic tone did not differ and were not significantly influenced by indomethacin alone (10 mumol/l) or in combination with N omega-nitro-L-arginine (L-NNA, 0.1 mmol/l). Maximum relaxations were significantly attenuated by 30 mmol/l K+ in the SHR, from 85 +/- 7% (n = 11) to 20 +/- 8% (n = 8), P < 0.001, and in the WKY from 86 +/- 5% (n = 9) to 39 +/- 14% (n = 8), P < 0.01. 3. Relaxations following constriction with U46619 were also similar in both rat strains. Maximum relaxations were 50 +/- 11% (n = 8) in SHR and 60 +/- 7% (n = 6) in WKY. Indomethacin did not influence these relaxations. The combination of indomethacin and L-NNA attenuated relaxations in WKY (P < 0.01), but in the SHR the attenuation did not achieve statistical significance (P = 0.07) compared with controls; the maximum responses were reduced to 25 +/- 7% (n = 8) and 14 +/- 11% (n = 6) in the SHR and WKY respectively, but only in the WKY was this reduction significant (P < 0.05). 4. These data demonstrate that, under control conditions, SHR and WKY coronary arteries relax equally effectively, regardless of mode of contraction, and also that the mechanism of acetylcholine-mediated relaxation differs according to the mode of contraction. Acetylcholine relaxes myogenic tone by a K(+)-sensitive mechanism in both WKY and SHR, consistent with a role for endothelium-derived hyperpolarizing factor; NO contributes substantially to the relaxation of U46619-induced tone by acetylcholine in the WKY, but to a diminished extent in the SHR. 5. These data indicate that the choice of vasoconstrictor agent is of critical concern when assessing mechanisms of endothelium-dependent relaxation and abnormalities thereof in hypertension.
摘要
  1. 在产生肌源性张力或用血栓素A2类似物U46619引起收缩后,于无血流加压条件下,比较了20周龄自发性高血压大鼠(SHR)和正常血压的Wistar - Kyoto(WKY)对照大鼠的内径约200微米的小冠状动脉的内皮依赖性乙酰胆碱介导的舒张作用。2. WKY和SHR动脉在产生肌源性张力后的舒张作用无差异,且单独使用吲哚美辛(10 μmol/l)或与Nω-硝基-L-精氨酸(L-NNA,0.1 mmol/l)联合使用时,对其无显著影响。在SHR中,30 mmol/l K⁺使最大舒张作用显著减弱,从85±7%(n = 11)降至20±8%(n = 8),P < 0.001;在WKY中,从86±5%(n = 9)降至39±14%(n = 8),P < 0.01。3. 用U46619收缩后两者的舒张作用在两种大鼠品系中也相似。SHR的最大舒张作用为50±11%(n = 8),WKY为60±7%(n = 6)。吲哚美辛不影响这些舒张作用。吲哚美辛和L-NNA联合使用使WKY的舒张作用减弱(P < 0.01),但在SHR中与对照组相比,减弱未达到统计学显著意义(P = 0.07);SHR和WKY的最大反应分别降至25±7%(n = 8)和14±11%(n = 6),但仅在WKY中这种降低具有显著意义(P < 0.05)。4. 这些数据表明,在对照条件下,SHR和WKY的冠状动脉无论收缩方式如何,舒张效果均相同,并且乙酰胆碱介导的舒张机制因收缩方式而异。在WKY和SHR中,乙酰胆碱均通过K⁺敏感机制舒张肌源性张力,这与内皮源性超极化因子的作用一致;在WKY中,NO对乙酰胆碱舒张U46619诱导的张力起主要作用,但在SHR中的作用程度较小。5. 这些数据表明,在评估高血压中内皮依赖性舒张机制及其异常时,血管收缩剂的选择至关重要。

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