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内源性内皮素在大鼠基础冠状动脉张力调节中的作用。

Role of endogenous endothelin in the regulation of basal coronary tone in the rat.

作者信息

Goodwin A T, Amrani M, Gray C C, Jayakumar J, Yacoub M H

机构信息

Department of Cardiac Surgery, Heart Science Centre, Harefield Hospital, Harefield, Middlesex UB9 6JH, UK.

出版信息

J Physiol. 1998 Sep 1;511 ( Pt 2)(Pt 2):549-57. doi: 10.1111/j.1469-7793.1998.549bh.x.

Abstract
  1. Coronary vascular tone is a vital factor that regulates the delivery of oxygen to cardiac muscle. We tested the hypothesis that basal coronary tone may depend on the release of an endogenous vasoconstrictor peptide, endothelin (ET). 2. Using an isolated, Krebs solution-perfused rat heart we measured the changes in coronary flow following the administration over a 30 min period of the ET antagonists Ro61-0612 (mixed ETA/ETB), PD155080 (ETA) and BQ788 (ETB). 3. In a second series of experiments, hearts were randomly assigned to perfusion with plain Krebs solution, or with Krebs solution to which L-NAME and/or indomethacin had been added. The effect on coronary flow following the addition of Ro61-0612 was then measured. 4. Perfusion with Ro61-0612 (10-4 M) alone increased coronary flow by 57.8 % vs. control (P = 0.00001). PD155080 (10-4 M) increased coronary flow by 28.9 % (P = 0.009), whereas BQ788 had no effect on coronary flow. 5. In the second series of experiments, Ro61-0612 increased coronary flow by 6.6 +/- 0.8 ml min-1 in hearts perfused with plain Krebs solution, by 3.8 +/- 0.8 ml min-1 in hearts to which both L-NAME and indomethacin had been added, by 3.3 +/- 0.7 ml min-1 in hearts to which L-NAME had been added, and by 6. 9 +/- 0.5 ml min-1 in hearts to which indomethacin had been added to the Krebs buffer. 6. In hearts perfused with Krebs solution alone, nitric oxide (NO) release into the coronary sinus increased from 219. 8 to 544.9 pmol min-1 g-1 following the addition of Ro61-0612 (P = 0. 06). There was no detectable release of NO from hearts perfused with L-NAME alone or in combination with indomethacin either before or after the addition of Ro61-0612. 7. We conclude that endogenous ET plays a role in coronary tone mediated via ETA receptors. This vasodilatation is partially due to an increase in endogenous NO release. However, a significant vasodilatation is still seen following the inhibition of NO synthesis. We propose that basal coronary tone depends on a balance between the endogenous release of vasodilators such as NO and vasoconstrictors such as ET.
摘要
  1. 冠状动脉张力是调节心肌氧输送的一个关键因素。我们检验了这样一个假设,即基础冠状动脉张力可能取决于内源性血管收缩肽内皮素(ET)的释放。2. 使用一个用Krebs溶液灌注的离体大鼠心脏,我们测量了在30分钟内给予ET拮抗剂Ro61 - 0612(ETA/ETB混合型)、PD155080(ETA型)和BQ788(ETB型)后冠状动脉血流的变化。3. 在第二系列实验中,心脏被随机分配用普通Krebs溶液灌注,或用添加了L - NAME和/或吲哚美辛的Krebs溶液灌注。然后测量添加Ro61 - 0612后对冠状动脉血流的影响。4. 单独用Ro61 - 0612(10⁻⁴ M)灌注使冠状动脉血流比对照组增加了57.8%(P = 0.00001)。PD155080(10⁻⁴ M)使冠状动脉血流增加了28.9%(P = 0.009),而BQ788对冠状动脉血流没有影响。5. 在第二系列实验中,Ro61 - 0612使在用普通Krebs溶液灌注的心脏中冠状动脉血流增加了6.6±0.8 ml·min⁻¹,在添加了L - NAME和吲哚美辛的心脏中增加了3.8±0.8 ml·min⁻¹,在添加了L - NAME的心脏中增加了3.3±0.7 ml·min⁻¹,在向Krebs缓冲液中添加了吲哚美辛的心脏中增加了6.9±0.5 ml·min⁻¹。6. 在仅用Krebs溶液灌注的心脏中,添加Ro61 - 0612后,进入冠状窦的一氧化氮(NO)释放量从219.8增加到544.9 pmol·min⁻¹·g⁻¹(P = 0.06)。在添加Ro61 - 0612之前或之后,单独用L - NAME或与吲哚美辛联合灌注的心脏中均未检测到NO释放。7. 我们得出结论,内源性ET通过ETA受体介导在冠状动脉张力中起作用。这种血管舒张部分归因于内源性NO释放的增加。然而,在抑制NO合成后仍可见显著的血管舒张。我们提出基础冠状动脉张力取决于内源性血管舒张剂如NO和血管收缩剂如ET释放之间的平衡。

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