由体外循环引起的低血压:来自激活血小板的血清素触发了氧化释放的氧化
Piet Borgdorff1, Durk Fekkes, Geert Jan Tangelder
1Laboratory for Physiology, Institute for Cardiovascular Research, Vrije Universiteit Medical Center, Amsterdam, The Netherlands. p.borgdorff.physiol@med.vu.nl
Circulation
|November 13, 2002
概括
诱导的血小板激活会在心肺绕道和血液透析期间导致低血压,通过释放血清素,从而触发氧化的释放和血管扩张.
科学领域:
- 心血管生理学心血管生理学
- 血液动力学 血液动力学
- 血小板生物学 血小板生物学
背景情况:
- 众所周知,心肺旁路和血液透析会导致低血压.
- 潜在的机制,特别是诱导的效应,需要进一步研究.
研究的目的:
- 调查诱导的血小板激活和血清素释放在导致体外循环期间低血压的作用.
- 为了阐明参与诱导的血液动力学变化的信号通路.
主要方法:
- 实验室在老鼠身上建立了体外分流系统,用于 perfusion 和 autoperfusion.
- 血液动力学参数 (大动脉压力,大腿阻力) 和血血红素水平被监测.
- 评估了血小板聚合,血清素,5-二三胺 (5-HT) 2受体阻塞和氧化 (NO) 抑制的影响.
主要成果:
- 输液,与自输液不同,诱导了显著的血小板聚合和大动脉压力的快速下降.
- 低血压和变化的股骨抵抗与下游的血中血清血红素水平增加相关.
- 阻断5-HT2受体或抑制NO生产减弱或阻止观察到的血液动力学变化.
结论:
- 输液与动脉回归触发了血小板激活和血清素释放.
- 血清激素通过内皮氧化 (NO) 的释放调节低血压,通过5-HT2受体激活.
- 这些发现突出了在体外手术期间导致低血压的机制.
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