The cardiovascular system in acute infectious disease

Myocarditis may result from a wide variety of acute infectious diseases, but electrocardiographic abnormalities interpreted as indicating myocarditis may arise from a number of other causes. Among the factors which may cause myocarditis are direct invasion by an organism, the toxic products of an organism, hypersensitivity to the products of an organism, drugs used in therapy, deficiency in nutrients, electrolyte imbalance, and, rarely, fever. Recently emphasis has been placed on the finding that circulatory failure in acute infectious diseases is often primarily peripheral, although heart failure due to myocarditis is not uncommon.     

老年人中枢交感神经紧张性增加对心血管系统的影响

随着年龄的增加,中枢交感神经的紧张性增加,这会引起心血管系统的结构和功能有所改变,如四肢血流量减少、动脉血压调节发生改变、压力反射作用减弱、动脉管腔增厚以及心血管系统对肾上腺素受体的刺激反应性降低等。这些改变可能是在机体衰老过程中维持自身生理功能和机体稳态的重要代偿因素,同时也是促发老年人心血管疾病和代谢性疾病的危险因素。因此,研究老年人群交感神经的慢性紧张性增加对心血管系统的影响对进一步改善和提高老年人生活质量,治疗老年人疾病有着很大的意义。     

The regulatory effects of opioid peptides--enkephalins--in controlling the activities of the cardiovascular system

In this review we analyse the experimental and clinical findings demonstrating important regulatory significance of met-enkephalin, leu-enkephalin and their derivatives in the control of cardiovascular system activity. Enkephalin-positive immunoreactivity is revealed in the heart of different species of animals, and their cardiovascular effects are established in numerous investigations. It is determined that cardiac effects of enkephalins are essentially associated with modulatory influence at the presynaptic and postsynaptic levels on the activity of extracardiac neural regulation. Cardiovascular effects of endogenous opioid system are extremely important in developing of myocardial ischemia, cardiac arrhythmias and congestive heart failure. The cellular mechanisms of opioid effects are associated with stimulation of mu- and delta-subtypes of opiate receptors which stimulation of mu- and delta-subtypes of opiate receptors which are coupled with conductivity of ion channels, adenylate cyclase activity, phosphoinositide turnover and calcium-calmodulin-dependent protein kynases.     

The effects of prior experience with capsaicin on ratings of its burn

The experiments reported here found that judgments of ‘burn’intensity are affected by long-term memory (LTM). The implicationof these findings for range-frequency theory and the role ofLTM in intensity judgments are discussed.     

Nongenomic effects of mineralocorticoid receptor activation in the cardiovascular system

Fifteen years ago Wehling and colleagues showed unequivocal rapid effects of aldosterone, neither mimicked by cortisol nor blocked by spironolactone, and postulated that these nongenomic effects are mediated via a membrane receptor distinct from the classical mineralocorticoid receptor (MR). Several recent studies have challenged this view. Alzamora et al. showed 11beta-hydroxysteroid denydrogenase 1 and 2 (11betaHSD1, 11betaHSD2) expression in human vascular smooth muscle cells, and that aldosterone rapidly raises intracellular pH via sodium-hydrogen exchange; cortisol is without effect and spironolactone does not block the aldosterone response. When, however, 11betaHSD activity is blocked by carbenoxolone, cortisol shows agonist effects indistinguishable from aldosterone; in addition, the effect of both aldosterone and cortisol is blocked by the open E-ring, water soluble MR antagonist RU28318. In rabbit cardiomyocytes, aldosterone increases intracellular [Na+] by activating Na+/K+/2Cl- cotransport, with secondary effects on Na+/K+ pump activity. Pump current rises approximately 10-fold within 15', is unaffected by actinomycin D or the MR antagonist canrenone, and not elevated by cortisol. Pump current is, however, completely blocked by the open E-ring, water soluble MR antagonist K+ canrenoate and stoichometrically by cortisol. PKCepsilon agonist peptides (but not PKCalpha, PKCdelta or scrambled PKCepsilon peptides) mimic the effect of aldosterone, and PKCepsilon antagonist peptides block the effect. Very recently, cortisol has been shown to mimic the effect of aldosterone when cardiomyocyte redox state is altered by the installation of oxidized glutathione (GSSG) via the pipet, paralleling the effect of carbenoxolone on vascular smooth cells and suggesting possible pathophysiologic roles for an always glucocorticoid occupied MR.     

辣椒素对离体豚鼠乳头状肌的电生理效应

应用细胞内微电极技术,观察了辣椒素(capsaicin,CAP)对豚鼠乳头状肌细胞的电生理效应。结果表明：(1)CAP(30、60、120μmol／L)可浓度依赖地缩短正常乳头状肌的动作电位时程。(2)对部分去极化乳头状肌,CAP(60μmol／L)除缩短动作电位时程外,还使动作电位幅值和超射值降低,零相最大上升速度减慢。(3)预先应用L型钙通道开放剂Bay K8644(0．5μmol／L),则可阻断CAP(60μmol／L)的电生理效应。(4)预先应用辣椒素受体(va-nilloid receptor,VR)阻断剂钌红(20μmol／L),不影响CAP(60μnol／L)的电生理效应。以上结果提示,CAP可能通过非受体途径抑制Ca^2 内流,从而影响豚鼠乳头状肌电生理效应。     

The water-tower analogy of the cardiovascular system

The cardiovascular system is a complex arrangement of hydraulic, yet living, components. The complexity of this system may make it difficult for students to see the "forest" instead of the "trees." To better explain the dynamics of cardiovascular function and control, an analogy has been drawn to the operation of a city water supply. In cities that use a water tower, fresh water is pumped up into the tower from a river or other source. The tower serves as a pressure reservoir for providing water to homes through a largely parallel arrangement of distribution pipes. Local homeowners control their own water usage through faucets, whereas the city maintains water pressure by monitoring the level in the tower. Key analogous points with the cardiovascular system are the heart as the city pump, the aorta as the water tower, arteries as parallel distribution pipes, and arterioles as faucets. Baroreceptor reflex control is discussed as well as such features as the capacitance role of veins, the skeletal muscle pump, and the competition between locally mediated vasodilation and sympathetically mediated vasoconstriction. Subjective student and peer evaluations have indicated that this analogy is effective in improving student comprehension of the cardiovascular system.     

The effects of copper deficiency on the pyridinium crosslinks of mature collagen in the rat skeleton and cardiovascular system

The 3-hydroxypyridinium crosslinks of collagen were quantified in tissues of the skeleton and cardiovascular system of normal and copper-deficient rats. The copper-deficient rats used in this study displayed retarded growth, cardiac hypertrophy, anemia, and lowered liver copper concentrations. Quantification of the crosslinks by high performance liquid chromatography indicated that there were lower concentrations of collagen crosslinks in the hearts of copper-deficient animals, a finding that was manifest in both right and left ventricles. This was in contrast to the collagen of the aorta where no alteration in crosslink concentration was observed. The femoral diaphysis of copper-deficient rats also had lower amounts of collagen crosslinks than copper-supplemented animals, whereas crosslinking in the tibial diaphysis and articular cartilage was relatively unaffected by copper deficiency. These results are discussed with reference to the cardiac and skeletal abnormalities that occur in copper-deficient animals.     

The effects of a series of capsaicin analogues on nociception and body temperature in the rat

A series of capsaicin analogues have been synthesized in an attempt to try to separate the antinociceptive properties of capsaicin from its hypothermic effects. In capsaicin analogues with an unbranched alkyl side-chain of varying length, maximum antinociceptive and hypothermic activity was achieved with a chain length of 8–9 C atoms. Decreasing the chain length decreased both parameters equally. Substitution in the aromatic ring abolished activity. Several compounds related to homovanilloyl dodecylamide, an analogue of capsaicin in which the acylamide linkage is reversed, produced some antinociceptive activity without concomitant hypothermia, but the maximum antinociceptive effect achieved was very small. In the present series of capsaicin analogues good antinociception without hypothermia was not found.     

Participation of the autonomic nervous system in the cardiovascular effects of milrinone

The cardiodynamic activity of intravenously administered milrinone was examined in alpha-chloralose anesthetized dogs. Two groups of dogs were used, one pretreated with hexamethonium to block autonomic reflexes, and a second group which received no pretreatment. In the untreated group milrinone produced dose-dependent increases in +dP/dt and heart rate while decreasing both systolic and diastolic blood pressure and left ventricular end diastolic pressure (LVEDP). After treatment with hexamethonium basal heart rate was significantly increased, whereas reflex changes in heart rate in response to i.v. norepinephrine or nitroglycerin were ablated. Systolic, but not diastolic blood pressure was also markedly reduced by hexamethonium. In the presence of hexamethonium responses to milrinone were qualitatively similar to milrinone responses in the absence of hexamethonium. However, the dose-response curves for milrinone were shifted dextrally for changes in +dP/dt and LVEDP, whereas the dose-response curve for blood pressure was shifted sinistrally. Thus, it appears that the autonomic nervous system enhances the effect of milrinone on +dP/dt and LVEDP, but attenuates its effect on blood pressure.     

The cardiovascular effects of the carotid sinus mechanism

The feedback mechanism by means of which the carotid sinus affects arterial blood pressure is represented with the use of the single chamber model of the cardiovascular system. The average pressure in the large arteries is the controlled variable. The resultant firstorder differential equation is easily solved. The theoretical results indicate that the feed-back mechanism of the carotid sinus serves to decrease the deviation of the average arterial pressure from an internal standard of pressure in the steady state and to hasten the stabilization of the pressure following environmental or pharmacological changes. This approach also suggests an experimentally feasible method for the determination of the internal standard of pressure.     

Topical problems in the study of remote effects of chemical compounds on the cardiovascular system

The main tasks in epidemiological and experimental study of remote effects on the cardiovascular system of exposure to chemical compounds were formulated. In the epidemiological respect, the most important points are development of methods for integral evaluation of the effect of the environment, including the industrial environment, and improvement of the methods of detecting early signs of cardiovascular pathology closely correlating with the structure of cardiovascular morbidity and mortality. The most topical experimental problem is to refine the criteria and methods of assessing the state of the heart and vessels of experimental animals so as to make possible a substantiated and adequate extrapolation of experimental data to man.     

The immediate and long-term effects of applying capsaicin to cutaneous nerves

Capsaicin has now been shown to have a neurotoxic action on C-fibres in adult rodents and several other mammalian species. In the adult the effect is preferentially on nociceptive C-fibres. The hypoalgesia and loss of neurogenic inflammation that follow capsaicin treatment are likely to be a direct consequence of the C-fibre loss. In addition to its long-term toxic action, capsaicin also has an immediate effect on conduction in nociceptive C-fibres. This action probably produces the short-term hypoalgesia and loss of antidromic plasma extravasation that follow application of capsaicin to peripheral nerves.     

Beneficial effects of Provinols: cardiovascular system and kidney

Red wine polyphenols have been reported to exert beneficial effects in preventing cardiovascular diseases but their molecular mechanisms of hemodynamic effects on functional cardiovascular and renal changes were studied much less. The review is focused on in vitro as well as in vivo effects of red wine extract containing polyphenolic compounds (Provinols) on cardiovascular systems and kidney in relation to the molecular and biochemical mechanisms of these compounds. This review provides the evidence that Provinols is able to produce ex vivo endothelium-dependent relaxation as a result of enhanced NO synthesis. Administration of Provinols partially prevents the development of hypertension during NO deficiency and accelerates the decrease of blood pressure in already established hypertension. The effects of Provinols include prevention and/or attenuation of myocardial fibrosis, reduction of aortic wall thickening and improvement of vascular functions. These functional and structural alterations are associated with significant augmentation of NO production, seen as the increase of NO synthase activity and eNOS protein expression. Moreover, it has been documented that Provinols decreased the oxidative stress within the cardiovascular system and kidney.     

The effects of cysteamine and capsaicin on somatostatin and substance P in medullary nuclei

Administration of the thiol reagent, cysteamine, reduced the somatostatin content (70-80%) in each of the discrete medullary nuclei assayed without altering the substance P content of the same nuclei. In contrast, capsaicin, the putative neurotoxin for primary sensory afferent neurons had no effect on the somatostatin content of any of the medullary nuclei assayed while depleting the substance P content of the spinal trigeminal nucleus in the same animals.