Metcalf K, Sundqvist T, Lisander B
Department of Anaesthesiology and Intensive Care, University Hospital, Linköping, Sweden.
Acta Anaesthesiol Scand. 1998 Sep;42(8):966-73. doi: 10.1111/j.1399-6576.1998.tb05357.x.
It is unclear whether activation of the inducible nitric oxide synthase (iNOS) increases or decreases the extravasation of plasma.
Chloralose anaesthetised male Wistar rats received E. coli lipopolysaccharide (LPS), 3 mg kg-1 i.v., or the corresponding volume of saline, 3 or 5 h before the end of the experiment. Mean arterial pressure (MAP) and heart rate (HR) were recorded. Tissue clearance of radio-labelled albumin, during the last 2 h of each experiment, was determined by a double-isotope method. In separate animals, the serum concentration of nitrite and nitrate was determined, 5 h after LPS or the solvent.
LPS initially decreased MAP and lastingly increased HR. In the 3-h LPS animals (n = 8), tissue plasma clearance was lower in the heart and calf muscle and increased only in diaphragm, compared to corresponding control animals (n = 8). In the 5-h LPS rats, clearance was lowered (n = 8) in the entire gastrointestinal tract and in testes, compared to controls (n = 8). The serum nitrite/nitrate concentration was higher in animals given LPS (n = 6) than in controls (n = 6).
After LPS, tissue clearance of albumin was not increased in any major tissue, in spite of increased serum levels of NO end products. Apparently, after activation of iNOS, the augmented release of NO is not necessarily associated with increased albumin extravasation.
诱导型一氧化氮合酶(iNOS)的激活是增加还是减少血浆外渗尚不清楚。
在实验结束前3或5小时,用氯醛糖麻醉的雄性Wistar大鼠静脉注射3 mg kg-1大肠杆菌脂多糖(LPS)或相应体积的生理盐水。记录平均动脉压(MAP)和心率(HR)。在每个实验的最后2小时,通过双同位素法测定放射性标记白蛋白的组织清除率。在单独的动物中,在给予LPS或溶剂5小时后测定血清亚硝酸盐和硝酸盐浓度。
LPS最初降低MAP,持续增加HR。与相应的对照动物(n = 8)相比,在3小时LPS处理的动物(n = 8)中,心脏和小腿肌肉的组织血浆清除率较低,仅膈肌中的清除率增加。与对照组(n = 8)相比,在5小时LPS处理的大鼠中,整个胃肠道和睾丸的清除率降低(n = 8)。给予LPS的动物(n = 6)的血清亚硝酸盐/硝酸盐浓度高于对照组(n = 6)。
给予LPS后,尽管血清中NO终产物水平升高,但任何主要组织中的白蛋白组织清除率均未增加。显然,iNOS激活后,NO释放增加不一定与白蛋白外渗增加相关。