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离体双灌注大鼠肝脏中肝血管阻力部位的定位

Localisation of hepatic vascular resistance sites in the isolated dual-perfused rat liver.

作者信息

Yang W, Benjamin I S, Alexander B

机构信息

Department of Surgery, King's College School of Medicine and Dentistry, The Rayne Institute, London, UK.

出版信息

Eur J Pharmacol. 1999 Jan 1;364(1):13-21. doi: 10.1016/s0014-2999(98)00813-9.

Abstract

The locations of the vascular resistance sites which regulate vascular tone in the hepatic arterial and portal venous vasculatures of the rat liver were identified using a new, in vitro, dual-perfused liver preparation. Twelve livers of male Wistar rats were perfused via the hepatic artery and portal vein at fixed flow and at physiological pressure. Dose-related vasoconstriction to injections or infusions of noradrenaline was measured as transient or sustained increases in perfusion pressure, respectively, in the hepatic arterial and portal venous vasculatures. Direct injections/infusions of noradrenaline refer to those administered into the vasculature from which pressure was recorded, e.g., the effects of hepatic arterial (direct) injections/infusions of noradrenaline upon hepatic arterial perfusion pressure. Indirect injections/infusions of noradrenaline were those administered to the adjacent afferent vasculature, e.g., the effects of portal venous (indirect) injections of noradrenaline upon hepatic arterial perfusion pressure. The converse applies for recordings of portal venous perfusion pressure. The -log(M) ED50 values to direct (hepatic arterial) and indirect (portal venous) injections in the hepatic artery were 4.25+/-0.20 and 3.40+/-0.10, respectively, and were significantly different (P < 0.01, Student's unpaired t-test); the -log(M) ED50 values to direct (portal venous) and indirect (hepatic arterial) injections in the portal vein were 3.91+/-0.08 and 3.85+/-0.11, respectively, and were not significantly different (P > 0.05, Student's unpaired t-test). Similarly, the -log(M) ED50 values to direct (hepatic arterial) and indirect (portal venous) infusions in the hepatic artery were 5.28+/-0.11 and 3.75+/-0.12, respectively, and were significantly different (P < 0.01, Student's unpaired t-test); the -log(M) ED50 values to direct (portal venous) and indirect (hepatic arterial) infusions in the portal vein were 5.31+/-0.19 and 5.70+/-0.16, respectively, and were not significantly different (P > 0.05, Student's unpaired t-test). These results demonstrated that there is little transfer of noradrenaline from the portal venous to the hepatic arterial resistance sites, but significant transfer from the hepatic artery to the portal venous suggesting that; (a) the portal venous resistance sites are located at the sinusoidal or post-sinusoidal level; and (b) the hepatic arterial resistance sites are located at the pre-sinusoidal level.

摘要

利用一种新的体外双灌注肝制备方法,确定了大鼠肝脏肝动脉和门静脉系统中调节血管张力的血管阻力部位。对12只雄性Wistar大鼠的肝脏,以固定流量和生理压力通过肝动脉和门静脉进行灌注。分别将去甲肾上腺素注射或输注引起的剂量相关血管收缩,测定为肝动脉和门静脉系统中灌注压力的短暂或持续升高。直接注射/输注去甲肾上腺素是指注入记录压力的血管,例如肝动脉直接注射/输注去甲肾上腺素对肝动脉灌注压力的影响。间接注射/输注去甲肾上腺素是指注入相邻的传入血管,例如门静脉间接注射去甲肾上腺素对肝动脉灌注压力的影响。门静脉灌注压力记录情况反之亦然。肝动脉中直接(肝动脉)和间接(门静脉)注射的-log(M) ED50值分别为4.25±0.20和3.40±0.10,且差异显著(P<0.01,学生氏非配对t检验);门静脉中直接(门静脉)和间接(肝动脉)注射的-log(M) ED50值分别为3.91±0.08和3.85±0.11,且差异不显著(P>0.05,学生氏非配对t检验)。同样,肝动脉中直接(肝动脉)和间接(门静脉)输注的-log(M) ED50值分别为5.28±0.11和3.75±0.12,且差异显著(P<0.01,学生氏非配对t检验);门静脉中直接(门静脉)和间接(肝动脉)输注的-log(M) ED50值分别为5.31±0.19和5.70±0.16,且差异不显著(P>0.05,学生氏非配对t检验)。这些结果表明,去甲肾上腺素从门静脉向肝动脉阻力部位的转移很少,但从肝动脉向门静脉有显著转移,这表明:(a)门静脉阻力部位位于窦状隙或窦后水平;(b)肝动脉阻力部位位于窦前水平。

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