高碳酸血症逆转诱导急性代谢性碱中毒兔基底动脉内皮依赖性收缩

Seong Hun Yoon , Mario Zuccarello , Robert M. Rapoport
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引用次数: 6

摘要

我们最近得出结论,急性代谢性碱中毒兔呼吸性低碳酸血症和代偿性高碳酸血症引起的基底动脉收缩与NO和KATP通道无关。基于内皮素-1介导的兔基底动脉低碳酸缩窄的报道,我们进一步研究了呼吸诱导的低碳酸缩窄是否是内皮素-1介导的。氯胺酮/噻嗪注射后急性代谢性碱中毒。ETA + ETB受体拮抗剂PD145065 (1 μM)和选择性ETB受体拮抗剂BQ610 (3 μM)在颅窗下可以完全放松低碳缩窄。出乎意料的是,ETB受体拮抗剂BQ788和RES-701-1 (3 μM)分别使收缩率为72.1±2.8%(4)和77.2±8.7%(5)(均值±S.E.)(n))。为了研究对ETA和ETB受体拮抗剂的大幅度松弛是否由于拮抗剂的非选择性,我们评估了拮抗剂对外源性内皮素-1的收缩作用。BQ610、BQ788和RES-701-1对3 - 5 nM内皮素-1的抑制作用分别为64.3±7.6%(4)、43.5±8.5%(5)和26.7±4.8%(3)(平均值±S.E.)(n)),与这些拮抗剂的选择性阻断作用一致。为了研究BQ610、BQ788和RES-701-1在低capic收缩血管和外源性内皮素-1收缩血管中的更大程度的松弛是否由于内源性内皮素-1和外源性内皮素-1引起的收缩差异,我们评估了内皮素受体拮抗剂对异capic碱性suffusate收缩的影响。PD145065 (1 μM)和0.1 mM的内皮素转换酶抑制剂磷酰胺对异apapnic碱性suffusate的抑制作用分别为83.8±7.8%(6)和74.3±9.7%(8)(平均值±S.E.)(n)),与缩窄的内皮素-1依赖性一致。BQ610、BQ788和RES-701-1分别使异氧腺苷碱性弥漫收缩减轻74.9±6.7%(5)、65.5±6.4%(5)和78.0±6.5%(4)(平均值±S.E.)分别(n))。因此,与内皮素-1收缩血管相比,选择性内皮素受体拮抗剂在异碱收缩血管中的松弛曲线更接近于在低碱收缩血管中观察到的松弛曲线。低碳酸血症不改变5 nM内皮素-1的收缩。这些结果表明,在急性代谢性碱中毒和代偿性高碳酸血症的情况下,随后的低碳酸血症收缩是内皮素介导的。ETA和ETB受体的激活都可能介导低碳酸缩窄。低碳酸缩窄不是由于内皮素-1收缩增强,而是由于内皮素-1和/或额外的内皮素的释放。
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Reversal of hypercapnia induces endothelin-dependent constriction of basilar artery in rabbits with acute metabolic alkalosis

We recently concluded that constriction of basilar artery due to respiration-induced hypocapnia in rabbits with acute metabolic alkalosis and accompanying compensatory hypercapnia was independent of NO and KATP channels. Based on reports that endothelin-1-mediated hypocapnic constriction of the rabbit basilar artery in vitro, we further investigated whether the respiration-induced hypocapnic constriction was endothelin-1 mediated. Metabolic alkalosis was induced acutely following ketamine/xylazine injection. The ETA plus ETB receptor antagonist, PD145065 (1 μM), and the selective ETA receptor antagonist, BQ610 (3 μM), completely relaxed the hypocapnic constriction, as determined in a cranial window. Unexpectedly, the ETB receptor antagonists, BQ788 and RES-701-1 (3 μM), relaxed the constriction by 72.1±2.8% (4) and 77.2±8.7% (5), respectively (means±S.E. (n)). To investigate whether the large magnitudes of relaxation to both ETA and ETB receptor antagonists were due to nonselectivity of the antagonists, the effects of the antagonists on the constriction to exogenous endothelin-1 were evaluated. BQ610, BQ788, and RES-701-1 relaxed the 3–5 nM endothelin-1 constriction by only 64.3±7.6% (4), 43.5±8.5% (5), and 26.7±4.8% (3) (means±S.E. (n)), respectively, consistent with the selective blocking action of these antagonists. To investigate whether the greater magnitude of BQ610, BQ788, and RES-701-1 relaxation of hypocapnic constricted versus exogenous endothelin-1-constricted vessels was due to differences between constriction elicited by endogenous versus exogenous endothelin-1, the effects of the endothelin receptor antagonists on constriction to isocapnic alkaline suffusate were evaluated. PD145065 (1 μM) and 0.1 mM phosphoramidon, an endothelin-converting enzyme inhibitor, inhibited the constriction to isocapnic alkaline suffusate by 83.8±7.8% (6) and 74.3±9.7% (8) (means±S.E. (n)), respectively, consistent with the endothelin-1 dependency of the constriction. BQ610, BQ788, and RES-701-1 relaxed the isocapnic alkaline suffusate constriction by 74.9±6.7% (5), 65.5±6.4% (5), and 78.0±6.5% (4) (means±S.E. (n)), respectively. Thus, the relaxation profile to the selective endothelin receptor antagonists in isocapnic alkaline constricted vessels more closely approximated the relaxation profile observed in hypocapnic constricted as compared to endothelin-1-constricted vessels. Hypocapnia did not alter the 5 nM endothelin-1 constriction. These results suggest that, under conditions of acute metabolic alkalosis and accompanying compensatory hypercapnia, subsequent hypocapnic constriction is endothelin mediated. Both ETA and ETB receptor activation may mediate the hypocapnic constriction. The hypocapnic constriction is not due to enhanced endothelin-1 constriction and, thus, is due to the release of endothelin-1 and/or additional endothelins.

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