一氧化氮对失血性休克大鼠离体淋巴管收缩性双相变化的调节作用

本文旨在离体观察失血性休克后不同时间淋巴管的收缩性变化及一氧化氮(nitric oxide,NO)的作用。分离失血性休克进程中不同时间点(0,0.5,1,2,3h)的大鼠胸导管条,采用微血管压力-直径测定技术,离体观察淋巴管在不同跨壁压(1,3,5,7,9cmH2O)下的收缩频率(contraction frequency,CF)、收缩末期口径(end diastolic diameter,EDD)、舒张末期口径(end systolicdiameter,ESD)、被动管径(passive diameter,PD)的变化,计算淋巴管的收缩幅度(contraction amplitude,CA)、紧张性指数(tonicindex,TI)和泵流分数(fractional pump flow,FPF)。结果显示,在多个跨壁压下,休克0h、休克0.5h淋巴管的CF、TI、FPF显著高于对照组,随着休克的发展,休克2h和休克3h淋巴管在多个跨壁压下的CF、TI、FPF显著低于对照组。用NO相关的工具药单独或联合孵育休克0.5h和休克2h的淋巴管,然后在3cmH2O跨壁压条件下测定淋巴管的收缩性。NO供体L-Arg使休克...     

失血性休克大鼠淋巴管及血管压力对去甲肾上腺素反应的相关性研究

目的:观察失血性休克(HS)大鼠淋巴管与血管对去甲肾上腺素(NE)反应性的变化,探讨淋巴管与血管反应性的关系。方法:大鼠行左侧腹部手术,分离胸导管,测量淋巴管压力(LP);股部手术,经股动脉测量平均动脉血压(MAP)。休克组经股动脉放血复制HS模型(维持MAP40mmHg左右,3h),假手术(sham)组仅手术。在休克不同时间点(或相当),股静脉注射NE(5μg/kg.bw),观察给予NE前后两组大鼠LP以及MAP的变化。结果:休克即刻淋巴管对NE的反应性与sham组无明显差异,到休克0.5h时淋巴管对NE的升压反应开始减弱,至休克3h依然维持低反应性;与sham组相比,休克组血管对NE反应性呈双相表现,休克即刻血管高反应性,休克1h后对NE的升压作用开始减弱,表现为血管低反应性;休克后二者的反应性相关。结论:大鼠HS后淋巴管出现低反应性,且出现在血管低反应性之前;休克发展进程中淋巴管与血管对NE的低反应性呈正相关。     

P物质对蟾蜍离体心脏活动的影响

P物质(substance P,SP)既是一个局部作用激素、又是一个循环激素,在体内可对许多器官发挥作用,对心血管活动的调节具有重要影响,在这方面以对血管活动的影响研究较多,对心脏活动的影响报道较少,对其作用机制尚不十分清楚。本工作试图在蟾蜍离体心脏标本上观察SP对心脏活动的直接效应,并初步探讨其作用机制。     

淋巴液对失血性休克大鼠心肌收缩功能的影响

淋巴液对失血性休克大鼠心肌收缩功能的影响＊邱丽颖王德宝吕莉张静１（张家口医学院生理教研室,１病理生理教研室,张家口０７５０２９）淋巴系是组织液回流的主要途径,但我们发现淋巴液对失血性休克大鼠有明显的升压作用。为了围绕心脏功能探讨其抗休克机制及淋巴系的...     

一种大鼠失血性休克模型的建立

目的 :建立一种稳定、有效的大鼠失血性休克模型 ,满足血液代用品抗休克性能评价的特殊需求。方法 :采用梯度放血期加上血量调节期的双阶段放血方式 ,将休克程度统一到活存时间上来。结果 :大鼠平均失血率为5 0 .6 %± 5 .5 % ,平均活存时间为 ( 138± 2 7)min。结论 :模型具有满意的重现性和有效性 ,适用于血液代用品抗休克性能的评价     

P物质对兔离体输卵管峡部平滑肌活动的影响

本文在离体状态下观察P物质对不同性激素状态兔输卵管峡部平滑肌活动的影响。动物分成动情组、间情组、去卵巢组。实验结果:(1)P物质对间情兔输卵管峡部平滑肌的收缩有明显的抑制作用。(2)P物质对动情兔和去卵巢兔输卵管峡部平滑肌的收缩没有影响。结果表明P物质对不同性激素状态下的兔输卵管峡部平滑肌的作用不一致。     

腹腔复苏治疗创伤失血性休克大鼠的实验研究

目的:探讨在静脉输液通道无法建立的情况下,单纯腹腔复苏对创伤失血性休克是否有效.方法:40只SD大鼠被随机分为A组(空白对照组)、B组(休克不复苏组,出血+急救期不接受任何治疗)、C组(腹腔复苏组,出血+急救期给予腹腔注射平衡液10ml/100g体重)、D组(静脉输液组,出血+急救期静脉输入平衡液并保持大鼠MAP在60+5mmHg),B、C、D三组大鼠均制备为未控制创伤失血性休克模型,记录各组大鼠的生存时间,比较各组大鼠的生存率,在0、30、90和120 min时相点观察比较各组大鼠临床指标、血气分析指标和血清TNF-α.结果:C组大鼠的存活时间较B组明显延长(P＜0.05);C组大鼠72 h存活率明显高于B组,但低于D组(P＜0.05).C组大鼠的临床复苏指标、血气分析指标均优于B组,但较D组差;C组大鼠血清TNF-α低于B组,高于D组.C组大鼠生存率明显高于B组,低于D组.结论:腹腔复苏治疗创伤失血性休克大鼠是有效的但效果比静脉复苏差.     

P物质对大鼠DRG神经元胞体膜的作用

本文在大鼠ＤＲＧ神经元标本上应用细胞内记录,以确定ＳＰ对ＤＲＧ细胞的膜反应及其可能的离子机制。实验所测ＤＲＧ细胞静息膜电位为－５８．９±８．２ｍＶ（Ｘ±ＳＥ,ｎ＝８１）。传导速度：Ａ_（α／β）细胞为２０．４±４．８ｍ／ｓ（Ｘ±ＳＥ）,范围１４．１－２８．７ｍ／ｓ（４７／６０）;Ａδ及Ｃ类细胞为９．８±５．２ｍ／ｓ,范围１．２－１３．７ｍ／ｓ（１３／６０）。浴槽滴加ＳＰ（１０￣（－７）－３×１０￣（－４）ｍｏｌ／Ｌ）在大多数细胞可引起明显的膜去极化反应（５６／６０）。少数细胞对ＳＰ无反应（４／６０）。在ＳＰ去极化期间膜电导值有所增加,从平均值２．７２×１０￣（－８）ｍｈｏ增加２４．６％（ｎ＝３）。所测逆转电位值在＋４０－＋５０ｍＶ之间（ｎ＝３）。浊流平衡液（ＢＳＳ）中ＮａＣｌ以氯化胆碱置代,或用含ＴＴＸ（１０￣（－５）ｍｏｌ／Ｌ）的ＢＳＳ灌流,可使ＳＰ－去极化幅值大大减小但不能完全消除。而高（２０ｍｍｏｌ／Ｌ）和低（０ｍｍｏｌ／Ｌ）Ｃａ￣（２＋）的ＢＳＳ灌流时,使ＳＰ－去极化幅值相应的增加和降低。用含１０￣（－４）ｍｏｌ／ＬＣｄ￣（２＋）及１０￣（－２）ｍｏｌ／ＬＴＥＡ的ＢＳＳ灌流,均使ＳＰ－去极化明显减小。     

不同液体复苏对失血性休克大鼠肠粘膜的影响

目的：观察不同液体复苏对失血性休克大鼠肠粘膜的影响以及肠粘膜的变化。方法：利用大鼠失血性休克模型以及不同的补液方式,在复苏后120分钟时处死大鼠,取回肠4cm,做病理切片并根据Chiu等方法评估回肠黏膜上皮损伤指数。结果：液体复苏组的肠粘膜损伤程度小于休克不补液组（p〈0.05）,而限制型液体复苏组的肠粘膜损伤程度小于充分液体复苏组（p〈0.05）。结论：通过本实验对肠粘膜的观察可以得出,对于失血性休克,液体复苏时有效的抗休克方式,而对于复苏的方式来说,从肠黏膜的保护方面来说,限制型液体复苏是优于传统的充分液体复苏的。     

大鼠失血性休克后肠道微生态的改变

本研究对无特殊致病菌大鼠失血性休克后肠道微生态的改变及肠道细菌易位进行了动态观察。结果表明,失血性休克复苏后5小时,肠道微生态即发生改变,表现为回肠内肠杆菌菌量增多,肠道内类杆菌与肠杆菌菌量比值下降,而后这一改变随时间推移逐渐恢复;肠道细菌易位率也有类似变化,易位细菌以肠杆菌为主。结果提示,大鼠失血性休克后肠道细菌易位与肠道微生态的改变有密切关系。     

Dexmedetomidine suppresses serum syndecan-1 elevation and improves survival in a rat hemorrhagic shock model

Hemorrhagic shock causes vascular endothelial glycocalyx (EGCX) damage and systemic inflammation. Dexmedetomidine (DEX) has anti-inflammatory and EGCX-protective effects, but its effect on hemorrhagic shock has not been investigated. Therefore, we investigated whether DEX reduces inflammation and protects EGCX during hemorrhagic shock. Anesthetized Sprague-Dawley rats were randomly assigned to five groups (n=7 per group): no shock (SHAM), hemorrhagic shock (HS), hemorrhagic shock with DEX (HS+DEX), hemorrhagic shock with DEX and the α7 nicotinic type acetylcholine receptor antagonist methyllycaconitine citrate (HS+DEX/MLA), and hemorrhagic shock with MLA (HS+MLA). HS was induced by shedding blood to a mean blood pressure of 25–30 mmHg, which was maintained for 30 min, after which rats were resuscitated with Ringer’s lactate solution at three times the bleeding volume. The survival rate was assessed up to 3 h after the start of fluid resuscitation. Serum tumor necrosis factor-alpha (TNF-α) and syndecan-1 concentrations, and wet-to-dry ratio of the heart were measured 90 min after the start of fluid resuscitation. The survival rate after 3 h was significantly higher in the HS+DEX group than in the HS group. Serum TNF-α and syndecan-1 concentrations, and the wet-to-dry ratio of heart were elevated by HS, but significantly decreased by DEX. These effects were antagonized by MLA. DEX suppressed the inflammatory response and serum syndecan-1 elevation, and prolonged survival in rats with HS.     

Isolation and characterization of substance P, substance P 5-11, and substance K from two metastatic ileal carcinoids

Using an antiserum directed at the COOH-terminus of tachykinins, we have examined postmortem tissue from two cases of metastatic ileal carcinoid for the presence of tachykinin-like immunoreactivity. The vast majority of the immunoreactive tachykinin-like material eluted from a Sephadex G-50 column as two peaks at positions corresponding to molecular weights of 1300 and 850. The 1300 dalton peak was resolved by reverse-phase-HPLC into two components which by Edman sequencing, amino acid analysis, and fast atom bombardment (FAB)-mass spectrometry criteria, were identified as substance P and substance K. The 850 dalton peak was also resolved on RP-HPLC into two peaks which were resistant to Edman degradation but from amino acid analysis and FAB-mass spectrometry criteria were identified as pyro-Glu-substance P 5-11 and oxidized pyro-Glu-substance P 5-11. In control experiments substance P 5-11 was converted to pyro-Glu-substance P 5-11 during the extraction procedure. Both tumors also contained a minor immunoreactive peak which eluted from a Sephadex G-50 sizing column at a position corresponding to a molecular weight of 4000 which probably represents neuropeptide K. These results suggest that beta-preprotachykinin is preferentially expressed in carcinoid tumors and that substance K may also play a role in the carcinoid syndrome.     

Molecular basis of protective effect by crocetin on survival and liver tissue damage following hemorrhagic shock

Hemorrhagic shock (HS) causes reduction of cellular energy stores, as measured by levels of ATP and ADP. Furthermore, energy depletion may cause mitochondrial damage, which in turn leads to cell death by apoptosis. The hypothesis of the present study is that by enhancing the recovery of cellular ATP and ADP and mitochondrial damage can be reduced, and the extent of apoptosis minimized. Crocetin, a carotenoid compound, appears to enhance the diffusion of oxygen in aqueous solution, and hence may improve energy stores both to the cell and within it. HS was produced in Sprague–Dawley rats by withdrawing blood from the carotid cannula until a mean arterial pressure of 35–40 mm Hg was reached, and then maintained by further withdrawals of blood for 30 and 60 min. Crocetin was administered 2–4 mg/kg in resuscitation fluid through venus cannula and the animals survived for 24–48 h after HS. Experiments designed to promote tissue reconstitution of ATP using crocetin indicate that these approaches are successful in increasing ATP post-hemorrhage and survival. Crocetin treatment also inhibited cellular damage as indicated by increase of Bcl-2 following decrease in cytosolic cytochrome c and caspase-3 after resuscitation. The prolonged energy deficit seen after hemorrhagic shock can produce late damage and rapid restoration of ATP levels to baseline can reduce apoptosis. In conclusions, crocetin can minimize the cellular damage as evidenced by apoptosis and increased the survival of rats. (Mol Cell Biochem 278: 139–146, 2005)     

丙酮酸钠对失血性休克大鼠缺血/再灌注损伤的保护作用

目的:研究丙酮酸钠对失血性休克后缺血/再灌注损伤的保护作用。方法:制作失血性休克大鼠模型,回输全血,同时分别给予生理盐水、谷胱甘肽和丙酮酸钠适量,于再灌注后3h处死动物。检测血浆乳酸脱氢酶(LDH)和谷草转氨酶(GOT)的活性、组织丙二醛(MDA)的含量和髓过氧化物酶(MPO)的活性,观察心、肝、肺和肾组织的病理变化。结果:丙酮酸钠组与生理盐水组相比,血浆LDH和GOT的活性降低,肝、肺和肾组织MDA的含量下降,心、肺和肾组织MPO活性降低,效果优于谷胱甘肽。心、肝、肺和肾组织形态学观察显示,丙酮酸钠使组织损伤减轻。结论:丙酮酸钠对失血性休克后再灌注损伤具有保护作用。其作用机制可能与清除氧自由基、减少中性粒细胞的浸润、减轻炎性反应有关。     

A novel substance P binding site in rat brain regions modulates TRH receptor binding

Binding sites for thyrotropin-releasing hormone (TRH) were labelled with [³H](2-Me-His³)TRH ([³H]MeTRH) on membranes from rat brain regions at 0°C for 5 h. Amygdaloid membranes bound [³H]MeTRH with high-affinity (K _d=3.1±0.5 nM (n=4)). Five TRH analogs competed for this binding with the same rank order and with affinities that matched the pharmacological specificity of pituitary TRH receptors. Substance P (SP) and its C-terminal fragments reduced amygdaloid TRH receptor binding in a concentration dependent manner (IC₅₀ for SP=65 M). The rank order of potency of SP analogs at inhibiting TRH receptor binding was: SP>nonapeptide (3–11)>hexapeptide (6–11)>heptapeptide (5–11)>pentapeptide (7–11). However, other tachykinins were inactive in this system. SP was a potent inhibitor of [³H]MeTRH binding in hippocampus> spinal cord>retina>n. accumbens>hypothalamus>amygdaloid>olfactory bulb pituitary>pons/medulla in parallel assays. In amygdaloid membranes SP (50 M) reduced the apparent maximum receptor density by 39% (p<0.01) without altering the binding affinity, and 100 M SP induced a biphasic dissociation of [³H]MeTRH with kinetics faster than those induced by both TRH (10 M) and serotonin (100 M). In contrast, other neuropeptides such as neurotensin, proctolin, angiotensin II, bombesin and luteinizing hormone releasing hormone did not significantly inhibit [³H]MeTRH binding to amydaloid membranes. Thus, the SP site with low affinity in the rat brain is not like any of the previously described tachykinin/neurokinin binding sites but resembles the site found on neuroblastoma cells (108CC15) and on adrenal chromaffin cells that modulate cation permeability and nicotinic receptors respectively. The physiological role of these atypical SP sites in the rat brain remains to be determined.A preliminary account of these studies has been presented to the British Pharmacological Society (9).     

Further studies on the mechanism of action of substance P in rat brain,involving selective phosphatidylinositol hydrolysis

We have suggested that substance P, in cerebral cortex, causes a phosphatidylinositol (PI) breakdown by a dual mechanism suggesting the involvement of either phospholipase A₂ or phospholipase C. We have presently characterized further these effects. Substance P (65 pM) provoked an increase in lysoPI concomitant with a decrease in PI level. This finding confirms the involvement of phospholipase A₂ activation. To study the involvement of phospholipase C in the action of higher doses (0.65 M) of the peptide, we used pulse-chase experiments (where phospholipid depletion was monitored) and short-term³²P-labeled slices (where phospholipid synthesis was studied). Substance P evoked an acceleration of both hydrolysis and resynthesis of PI as early as 15 s. A prolonged exposure (30 min) resulted in stimulation of PI hydrolysis without subsequent resynthesis. The peptide did not cause any effect on inositol 1,4-bisphosphate and inositol 1,4,5-trisphosphate. These alterations in PI metabolism take place simultaneously with a generation of diacylglycerol which showed two maxima at both indicated times.     

P物质对大鼠骶髓后连合核神经元甘氨酸激活的氯电流的调控

采用制霉菌素穿孔膜片箍技术,研究了Ｐ物质对急性分离的大鼠骶髓后的核神经元士的宁敏感性甘氨酸反应的调控作用。在箍制电压为－４０ｍＶ时,ＳＰ时１ｍｍｏｌ／Ｌ－１μｍｏｌ／Ｌ之间呈浓度依赖性地增强３０μｍｏｌ／Ｌ甘氨酸激活的氯电流。ＳＰ既不改变ＩＧｌｙ的翻转电位,也不是影响Ｇｌｙ与其受体的亲和力。Ｓｐａｎｔｉｄｅ和选择性Ｎ中受体拮抗剂,Ｌ－６６８,１６９,可阻断ＳＰ的增强作用,而选择性ＮＫ２受体拮抗剂,     

脑内P物质在谷氨酸兴奋腹内侧核引起的升压反应中之作用

目的：分析谷氨酸兴奋下兵脑腹内侧核（NVM）引起升压反应的机制。方法：大鼠脑内或静脉注射不同药物,记录血压和心率的变化。结果：①L－谷氨酸（Glu)兴奋NVM、P物质（SP）注入背内侧核（NDM）室旁核（NPV）或延髓头端腹外侧区（RVL）均引起升压反应;②NVM升压反应可被双侧NDM、NPV或PVL内预先注射[D-Pro^2,D-Phe^7,D-Trp^9]-P物质（SP拮抗剂）衰减,但RVL内注射阿托品无此效应;③酚妥拉明（i.v.）也能使NVM升压反应减小,而心得安或甲基阿托品（i.v.）对该升压反应无影响。结论：兴奋NVM可通过NDM（SP受体）,作用于NPV（SP受体）升压区和RVL（SP受体）－交感缩血管神经系统产生升压反应。心交感和心迷走神经不参与该反应。     

肠淋巴液引流对失血性休克大鼠红细胞流变性的影响

目的:观察肠淋巴液引流对失血性休克大鼠红细胞流变性指标以及血液黏度的作用。方法:Wistar雄性大鼠均分为假休克组、休克组(复制失血性休克模型)、引流组(复制失血性休克模型,自低血压1 h引流休克肠淋巴液)。在低血压3 h或相应时间,经腹主动脉取血,检测红细胞参数、红细胞电泳、红细胞沉降率(ESR)以及血液黏度,计算红细胞聚集指数、红细胞变形指数。结果:与假休克组比较,休克组红细胞数量、红细胞比积(HCT)、血红蛋白(Hb)、平均红细胞血红蛋白浓度(MCHC)、红细胞电泳率与迁移率、红细胞变形指数、全血黏度、全血低切与高切相对黏度和还原黏度显著降低,休克组平均红细胞体积、红细胞电泳时间、ESR、血沉方程K值与校正K值、红细胞聚集性指数、血浆黏度显著升高;引流组MCHC、红细胞电泳率与迁移率、全血黏度、全血低切与高切还原黏度均显著降低,引流组红细胞体积分布宽度(RDW-SD)显著增加。同时,引流组HCT、RDW-SD、红细胞变形指数、全血黏度、全血低切与高切相对黏度显著高于休克组;ESR、血沉方程K值与校正K值、红细胞聚集性指数、血浆黏度显著低于休克组。结论:休克肠淋巴液引流可改善失血性休克大鼠红细胞流变行为,从而改善血液流变性。