前列腺素E1的中枢和反射性心血管作用

Harvey R. Kaplan , George J. Grega , Gerald P. Sherman, Joseph P. Buckley
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引用次数: 29

摘要

采用交叉循环方法研究前列腺素E1 (PGE1)在中枢介导的心血管作用。将PGE1注射到麻醉犬头部血管分离、自然完整的动脉流入(IA-R)中。在给药5和10 μg/kg PGE1 (IA-R)后,供体犬和受体离体躯干出现一致的抑制反应。给去缓冲受体(颈动脉窦-体双侧失神经区)5和10 μg/kg的PGE1 (IA-R)引起受体主干中枢介导的升压反应,并伴有供体的降压作用和受体灌注压下降。PGE1仅在非缓冲受体中抑制血管紧张素II中枢介导的升压反应。debuffcrcd受体对PGE1的升压反应被神经节阻断剂六甲溴铵阻断。这些数据加上去神经支配前后在颈动脉窦区人工给药PGE1的结果表明,颈动脉窦体结构,最有可能是压力感受器,主要涉及非缓冲受体躯干对PGE1的降压反应。另一方面,中枢神经系统本身似乎参与了在减缓冲制剂中获得的中枢加压反应的调解。这项研究为颈动脉窦体结构和中枢神经系统作为PGE1对心血管影响的额外位点的参与提供了证据。
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Central and reflexogenic cardiovascular actions of prostaglandin E1

The centrally mediated cardiovascular effects of prostaglandin E1 (PGE1) were investigated using cross-circulation procedures. PGE1 was injected into the arterial inflow (IA-R) of vascularly isolated, ncurally intact heads of anesthetized recipient dogs. Following the administration of 5 and 10 μg/kg of PGE1 (IA-R) consistent depressor responses occurred in the donor dogs and in the recipient's isolated trunk. The administration of 5 and 10 μg/kg of PGE1 (IA-R) to debuffered recipients (carotid sinus-body areas bilaterally denervated) elicited centrally mediated pressor responses in the recipient's trunk paralleled by depressor effects in the donor and a decline in the recipient's perfusion pressure. Centrally mediated pressor responses of angiotensin II were inhibited by PGE1 only in the non-debuffered recipients. Pressor responses to PGE1 in debuffcrcd recipients were blocked by the ganglionic blocking agent, hexamethonium. These data plus results from the intra-artcrial administration of PGE1 into the carotid sinus area before and after denervation suggest that the carotid sinusbody structures, most likely the baroreceptors, are primarily implicated in the hypotensive response to PGE1 in the non-debuffered recipient's trunk. On the other hand, the central nervous systemper se appears to be involved in mediation of the central pressor responses obtained in the debuffered preparations. This study provides evidence for the involvement of the carotid sinus-body structures and the central nervous system as additional loci for the cardiovascular effects of PGE1.

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