在高海拔肺水腫中,內甲林釋放過度
C Sartori1, L Vollenweider, B M Löffler
1Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Circulation
|May 25, 1999
概括
易患高海拔肺 (HAPE) 的登山者表现出更高的内衣林-1水平,这种会导致肺血管收缩. 这表明内甲素-1通过在高海拔地区增加肺高血压来促进HAPE.
科学领域:
- 高度医学 高度医学
- 心血管生理学心血管生理学
- 肺高血压研究 肺高血压研究
背景情况:
- 肺高血压与高海拔肺 (HAPE) 病变发生有关.
- 作为一种强有力的血管收缩剂的内甲素-1,增加了微血管的透性.
研究的目的:
- 为了研究内甲素-1在HAPE敏感性中的作用.
- 为了比较HAPE易受HAPE抵抗的登山者在不同高度的血内衣素-1水平和肺动脉压力.
主要方法:
- 测量内甲素-1 血水平和肺动脉压力.
- 16名HAPE易感和16名HAPE抗性的登山者之间的比较.
- 在低 (580米) 和高 (4559米) 的高度收集数据.
主要成果:
- 在高海拔地区,HAPE易受感染的登山者比HAPE耐药的个体具有~33%更高的内甲蛋白-1水平 (22.2对16.8ppg/mL,P<0.01).
- 观察到内甲素-1水平变化与静脉肺动脉压力 (r=0.82,P<0.01) 之间存在直接相关性.
- 内甲素-1水平与高海拔地区的肺动脉压力相关 (r=0.35,P=0.05).
结论:
- 增加内甲素-1释放或减少清除可能会导致HAPE敏感个体的过度肺高血压.
- 内末林-1是高海拔地区HAPE病原体的潜在机制.
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