人类肺循环是内甲素-1的清除和生产的重要部位
J Dupuis1, D J Stewart, P Cernacek
1Department of Medicine, Montreal Heart Institute, St. Michael's Hospital, Toronto, Canada.
Circulation
|October 1, 1996
概括
人类肺部积极清除并产生内甲林-1 (ET-1),保持平衡,这解释了尽管有显著的肺部提取,但血水平一致. 这一发现澄清了ET-1的情况.
科学领域:
- 心血管生理学心血管生理学
- 肺循环 肺循环 肺循环
- 内分泌学 在内分泌学.
背景情况:
- 动物研究表明,肺循环在清除内甲蛋白-1 (ET-1) 中起着重要的作用.
- 人类肺循环对血ET-1清除的贡献仍未得到量化.
- 以前的研究解释了血ET-1中缺少动脉静脉 (AV) 梯度的缺失,作为反对循环ET-1的肺调节的证据.
研究的目的:
- 在人类中量化肺ET-1清除.
- 要区分肺ET-1清除和产生.
- 研究人类肺在调节循环ET-1水平中的作用.
主要方法:
- 使用了多个指标稀释技术.
- 测量了免疫反应性ET-1 (irET-1) 水平.
- 研究了13名患者,他们的左心室喷射分数正常,血动力学基线正常.
主要成果:
- 平均肺ET-1提取率为47 +/- 7%.
- 提取的ET-1被隔离在一个速率常数Kseq = 0.048 +/- 0.019 s-1.
- 肺动脉和大动脉之间的irET-1水平没有显著差异 (P = .22).
结论:
- 人类肺部作为ET-1清除和生产的关键部位.
- 在肺循环中,ET-1清除和产生之间存在生理平衡.
- 这种平衡解释了AV ET-1差异的缺乏,尽管肺部清除量很大,这对心血管疾病有影响.
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