Platelet activating factor impairs pressor responses to noradrenaline in the anaesthetized rat but does not mediate endotoxin-induced hyporeactivity.

Circulatory shock Pub Date : 1994-01-01
C Bouvier, M O Guc, B L Furman, J R Parratt
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Abstract

A nonhypotensive dose of endotoxin (Escherichia coli lipopolysaccharide, 250 micrograms kg-1 h-1) impaired both the pressor responsiveness to noradrenaline and its effects in reducing renal and hindquarter blood flow, measured using ultrasound Doppler flow probes. Platelet activating factor (PAF, 50 ng kg-1 h-1) similarly impaired pressor responsiveness to noradrenaline, although this effect was accompanied by marked hypotension. These actions of PAF were prevented by pretreatment with the PAF antagonists WEB 2086 (20 mg kg-1) or BN 50739 (10 mg kg-1) 15 min before commencing the infusion. However, neither antagonist modified the effect of endotoxin in impairing vascular responsiveness to noradrenaline. Thus, these results do not support a role for PAF in mediating endotoxin-induced vascular hyporeactivity, at least in the early stages of endotoxaemia.

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血小板活化因子损害麻醉大鼠对去甲肾上腺素的降压反应,但不介导内毒素诱导的低反应性。
非降压剂量的内毒素(大肠杆菌脂多糖,250微克kg-1 h-1)损害了降压对去甲肾上腺素的反应性及其减少肾脏和后部血流的作用,使用超声多普勒血流探头测量。血小板活化因子(PAF, 50 ng kg-1 h-1)同样会损害降压药对去甲肾上腺素的反应,尽管这种影响伴随着明显的低血压。在开始输注前15分钟,用PAF拮抗剂web2086 (20mg kg-1)或bn50739 (10mg kg-1)预处理PAF可以阻止这些作用。然而,这两种拮抗剂都不能改变内毒素对血管对去甲肾上腺素反应的影响。因此,这些结果不支持PAF介导内毒素诱导的血管低反应性的作用,至少在内毒素血症的早期阶段是这样。
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