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1.
Eur J Neurosci ; 16(5): 843-9, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12372020

RESUMO

We have investigated the role of somatostatin receptor subtypes sst2 and sst4 in limbic seizures and glutamate-mediated neurotransmission in mouse hippocampus. As compared to wild-type littermates, homozygous mice lacking sst2 receptors showed a 52% reduction in EEG ictal activity induced by intrahippocampal injection of 30 ng kainic acid (P < 0.05). The number of behavioural tonic-clonic seizures was reduced by 50% (P < 0.01) and the time to onset of seizures was doubled on average (P < 0.05). Seizure-associated neurodegeneration was found in the injected hippocampus (CA1, CA3 and hilar interneurons) and sporadically in the ipsilateral latero-dorsal thalamus. This occurred to a similar extent in wild-type and sst2 knock-out mice. Intrahippocampal injection of three selective sst2 receptor agonists in wild-type mice (Octreotide, BIM 23120 and L-779976, 1.5-6.0 nmol) did not affect kainate seizures while the same compounds significantly reduced seizures in rats. L-803087 (5 nmol), a selective sst4 receptor agonist, doubled seizure activity in wild-type mice on average. Interestingly, this effect was blocked by 3 nmol octreotide. It was determined, in both radioligand binding and cAMP accumulation, that octreotide had no direct agonist or antagonist action at mouse sst4 receptors expressed in CCl39 cells, up to micromolar concentrations. In hippocampal slices from wild-type mice, octreotide (2 micro m) did not modify AMPA-mediated synaptic responses while facilitation occurred with L-803087 (2 micro m). Similarly to what was observed in seizures, the effect of L-803087 was reduced by octreotide. In hippocampal slices from sst2 knock-out mice, both octreotide and L-803087 were ineffective on synaptic responses. Our findings show that, unlike in rats, sst2 receptors in mice do not mediate anticonvulsant effects. Moreover, stimulation of sst4 receptors in the hippocampus of wild-type mice induced excitatory effects which appeared to depend on the presence of sst2 subtypes, suggesting these receptors are functionally coupled.


Assuntos
Hipocampo/metabolismo , Receptores de Somatostatina/metabolismo , Convulsões/metabolismo , Animais , AMP Cíclico/metabolismo , Suscetibilidade a Doenças , Eletroencefalografia , Eletrofisiologia , Epilepsia/metabolismo , Hipocampo/fisiopatologia , Masculino , Proteínas de Membrana , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Ratos , Ratos Sprague-Dawley , Receptores de Somatostatina/genética , Convulsões/fisiopatologia , Transmissão Sináptica
2.
Br J Pharmacol ; 136(1): 111-9, 2002 May.
Artigo em Inglês | MEDLINE | ID: mdl-11976275

RESUMO

We have explored the effects of bacterial endotoxin (lipopolysaccharide; LPS) on the response of the airways of Brown Norway (BN) rats to adenosine. Comparisons have been drawn with the effects on responses to methacholine and 5-hydroxytryptamine. In vehicle-challenged animals, adenosine, given i.v. was only a weak bronchoconstrictor. In contrast, 1 h following intratracheal administration of LPS, 0.3 mg kg-1, bronchoconstrictor responses to adenosine were markedly and selectively enhanced. At this time point, there were no significant changes in leukocyte numbers, eosinophil peroxidase and myeloperoxidase activities or protein concentrations in bronchoalveolar lavage (BAL) fluid. Twenty-four hours after challenge, the sensitivity of the airways to both adenosine and methacholine was reduced relative to the earlier time point and there were substantial increases in each marker of inflammation in BAL fluid. The bronchoconstrictor response to adenosine was blocked selectively by methysergide, disodium cromoglycate and the broad-spectrum adenosine receptor antagonist, 8-SPT, but not by DPCPX or ZM 243185, selective antagonists for the A1 and A2A receptors, respectively. Thus, the response to adenosine augmented following LPS is mast cell mediated and involves a receptor which can be blocked by 8-SPT but not by selective A1 or A2A receptor antagonists. It thus bears similarity to the augmented response to adenosine induced by allergen challenge in actively sensitized BN rats. Exposure to LPS could be a factor along with allergen in determining the increased sensitivity of the airways of asthmatics to adenosine.


Assuntos
Adenosina/farmacologia , Hiper-Reatividade Brônquica/fisiopatologia , Lipopolissacarídeos , Adenosina/administração & dosagem , Adenosina/fisiologia , Animais , Antiasmáticos/farmacologia , Biomarcadores/análise , Pressão Sanguínea/efeitos dos fármacos , Hiper-Reatividade Brônquica/induzido quimicamente , Líquido da Lavagem Broncoalveolar/química , Líquido da Lavagem Broncoalveolar/citologia , Broncoconstrição/efeitos dos fármacos , Cromolina Sódica/farmacologia , Relação Dose-Resposta a Droga , Sinergismo Farmacológico , Frequência Cardíaca/efeitos dos fármacos , Inflamação/metabolismo , Lipopolissacarídeos/administração & dosagem , Masculino , Mastócitos/metabolismo , Cloreto de Metacolina/administração & dosagem , Cloreto de Metacolina/farmacologia , Metisergida/farmacologia , Antagonistas de Receptores Purinérgicos P1 , Ratos , Serotonina/administração & dosagem , Serotonina/farmacologia , Vasoconstritores/farmacologia
3.
Neuropharmacology ; 42(3): 396-413, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11897118

RESUMO

The peptide hormone/neurotransmitter somatostatin (somatotropin release inhibiting factor; SRIF) and its receptors (sst(1)-sst(5)) appear to regulate many physiological functions in the CNS. Semi-quantitative analysis of the densities of mRNA expression for sst(1-5) receptors and SRIF receptor binding sites were established in sst(2) receptor knock-out (KO) mice. Patterns of sst(1-5) receptor mRNA expression were largely conserved for sst(1,3,4) and sst(5) selective oligonucleotide probes; whereas sst(2) signals were completely absent in KO mouse brain. Autoradiographic analysis demonstrated [(125)I]LTT SRIF(28), [(125)I]CGP 23996 (two radioligands known to label all five recombinant SRIF receptors) and [(125)I]Tyr(3)-octreotide (sst(2) and sst(5) receptor selective) binding in wild type (WT) mouse brain sections; yet no specific binding of [(125)I]Tyr(3)-octreotide in KO mice. In contrast, [(125)I]LTT SRIF(28) and [(125)I]CGP 23996 binding was still present in a number of brain areas in KO mice, although to a lesser degree than in those regions where [(125)I]Tyr(3)-octreotide binding was found, in WT animals. The present data suggest first, that both sst(2) receptor protein and mRNA were completely absent in the brain of these KO animals. Second, there was little evidence of compensatory regulation, at the mRNA level, of the other SRIF receptors as a consequence of the sst(2) KO. Third, the absence of any [(125)I]Tyr(3)-octreotide binding, in KO mice, suggests that this particular ligand is selective for the sst(2) receptor subtype (under the conditions utilised); or that sst(5) receptors are only marginally expressed in brain. Fourth, there were regions where the binding of [(125)I]LTT SRIF(28) and [(125)I]CGP 23996 were moderately affected by the sst(2) KO, suggesting that additional SRIF receptors may well contribute to the binding of the aforementioned radioligands. Finally, since the relative distribution of these two ligands were not entirely superimposable, it suggests that their respective selectivity profiles towards the different SRIF receptor subtypes in situ are not identical.


Assuntos
Química Encefálica/genética , Encéfalo/metabolismo , RNA Mensageiro/metabolismo , Receptores de Somatostatina/biossíntese , Receptores de Somatostatina/metabolismo , Animais , Autorradiografia/métodos , Sítios de Ligação/genética , Feminino , Histocitoquímica/métodos , Hibridização In Situ/métodos , Masculino , Proteínas de Membrana , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , RNA Mensageiro/biossíntese , RNA Mensageiro/genética , Receptores de Somatostatina/deficiência , Receptores de Somatostatina/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa
4.
Br J Pharmacol ; 135(3): 685-96, 2002 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11834616

RESUMO

The bronchoconstrictor response to adenosine is markedly and selectively increased following ovalbumin (OA) challenge in actively sensitized, Brown Norway rats. We present a pharmacological analysis of the receptor mediating this response. Like adenosine, the broad-spectrum adenosine receptor agonist, NECA, induced dose-related bronchoconstriction in actively sensitized, OA-challenged animals. In contrast, CPA, CGS 21680 and 2-Cl-IB-MECA, agonists selective for A(1) A(2A) and A(3) receptors, respectively, induced no, or minimal, bronchoconstriction. Neither the selective A(1) receptor antagonist, DPCPX, nor the selective A(2A) receptor antagonist, ZM 241385, blocked the bronchoconstrictor response to adenosine. MRS 1754, which has similar affinity for rat A(2B) and A(1) receptors, failed to block the bronchoconstrictor response to adenosine despite blockade of the A(1) receptor-mediated bradycardia induced by NECA. 8-SPT and CGS 15943, antagonists at A(1), A(2A), and A(2B) but not A(3) receptors, inhibited the bronchoconstrictor response to adenosine. However, the degree of blockade (approximately 3 fold) did not reflect the plasma concentrations, which were 139 and 21 times greater than the K(B) value at the rat A(2B) receptor, respectively. Adenosine and NECA, but not CPA, CGS 21680 or 2-Cl-IB-MECA, induced contraction of parenchymal strip preparations from actively sensitized OA-challenged animals. Responses to adenosine could not be antagonized by 8-SPT or MRS 1754 at concentrations >50 times their affinities at the rat A(2B) receptor. The receptor mediating the bronchoconstrictor response to adenosine augmented following allergen challenge in actively sensitized BN rats cannot be categorized as one of the four recognized adenosine receptor subtypes.


Assuntos
Adenosina/farmacologia , Adjuvantes Imunológicos/administração & dosagem , Alérgenos/imunologia , Testes de Provocação Brônquica , Broncoconstrição/efeitos dos fármacos , Broncoconstrição/fisiologia , Ovalbumina/imunologia , Adenosina/fisiologia , Adenosina-5'-(N-etilcarboxamida)/farmacologia , Resistência das Vias Respiratórias/efeitos dos fármacos , Resistência das Vias Respiratórias/fisiologia , Alérgenos/administração & dosagem , Animais , Testes de Provocação Brônquica/métodos , Relação Dose-Resposta a Droga , Imunização , Injeções Subcutâneas , Intubação Intratraqueal , Pulmão/efeitos dos fármacos , Pulmão/fisiologia , Masculino , Ovalbumina/administração & dosagem , Agonistas do Receptor Purinérgico P1 , Antagonistas de Receptores Purinérgicos P1 , Ratos , Ratos Endogâmicos BN , Receptores Purinérgicos P1/fisiologia , Vasodilatadores/farmacologia
5.
Eur J Pharmacol ; 426(3): 165-73, 2001 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-11527540

RESUMO

A possible cross-competition between vasoactive intestinal peptide (VIP) and somatostatin (somatotropin release inhibiting factor; SRIF) and their respective receptors, was investigated at native or recombinant SRIF and VIP/pituitary adenylate cyclase-activating polypeptide (PACAP) receptors. The activity of VIP was examined in radioligand binding assays at mouse sst(1-5), rat sst(1-2) and human sst(1-5) receptors; or at human tumours preferentially expressing each of the five SRIF receptors. Moreover, SRIF was investigated at human tumoral tissues known to exclusively express specific VIP/PACAP receptor(s). VIP had no significant effect on any of the radioligand binding sites of the SRIF receptor family of rat, mouse or human origin tested. Conversely, SRIF did not interfere with the human VIP/PACAP binding sites tested. Taken together, the results cast reservation on the claimed cross-competition between VIP and SRIF at, specifically human sst(3) receptors, or any of the cloned SRIF or VIP/PACAP receptors recognised to date.


Assuntos
Receptores de Somatostatina/metabolismo , Receptores de Peptídeo Intestinal Vasoativo/metabolismo , Somatostatina/metabolismo , Peptídeo Intestinal Vasoativo/metabolismo , Animais , Ligação Competitiva/efeitos dos fármacos , Linhagem Celular , Relação Dose-Resposta a Droga , Humanos , Radioisótopos do Iodo , Masculino , Camundongos , Neoplasias/metabolismo , Neuropeptídeos/metabolismo , Peptídeos Cíclicos/metabolismo , Polipeptídeo Hipofisário Ativador de Adenilato Ciclase , Ratos , Receptores de Somatostatina/genética , Proteínas Recombinantes/metabolismo , Somatostatina/farmacologia , Peptídeo Intestinal Vasoativo/análogos & derivados , Peptídeo Intestinal Vasoativo/farmacologia
6.
Br J Pharmacol ; 132(7): 1509-23, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11264245

RESUMO

1. We have explored the role of allergen sensitization and challenge in defining the response of the airways of the Brown Norway (BN) rat to adenosine. 2. In naïve animals or in rats sensitized to ovalbumin (OA) adenosine induced only weak bronchoconstrictor responses. Challenge of sensitized animals with OA induced a marked airway hyperresponsiveness to adenosine which was not seen with methacholine or bradykinin. 3. The augmented bronchoconstrictor response to adenosine was not affected by acute bivagotomy or atropine nor mimicked by an i.v. injection of capsaicin. It was, however, blocked selectively by disodium cromoglycate methysergide or ketanserin and reduced in animals treated sub-chronically with compound 48/80. 4. The augmented response to adenosine was associated with increases in the plasma concentrations of both histamine and 5-hydroxytryptamine (5-HT), which were attenuated by pretreatment with disodium cromoglycate, and degranulation of mast cells in the lung. 5. Parenchymal strips from lungs removed from sensitized rats challenged with OA gave augmented bronchoconstrictor responses to adenosine relative to strips from sensitized animals challenged with saline. Responses were inhibited by methysergide and disodium cromoglycate. 6. These data demonstrate a marked augmentation of the bronchoconstrictor response to adenosine in actively sensitized BN rats challenged with OA. The augmented response is primarily a consequence of mast cell activation, leading to the release of 5-HT, which in turn induces bronchoconstriction. Our data further suggest the involvement of a discrete lung-based population of mast cells containing and releasing mainly 5-HT and brought into play by prior exposure to allergen.


Assuntos
Adenosina/farmacologia , Alérgenos/imunologia , Pulmão/efeitos dos fármacos , Hipersensibilidade Respiratória/fisiopatologia , Animais , Atropina/farmacologia , Bradicinina/farmacologia , Broncoconstrição/efeitos dos fármacos , Broncoconstritores/farmacologia , Capsaicina/farmacologia , Sistema Cardiovascular/efeitos dos fármacos , Degranulação Celular , Cromolina Sódica/farmacologia , Relação Dose-Resposta a Droga , Histamina/sangue , Técnicas In Vitro , Ketanserina/farmacologia , Pulmão/fisiopatologia , Masculino , Mastócitos/citologia , Mastócitos/fisiologia , Cloreto de Metacolina/farmacologia , Metisergida/farmacologia , Ovalbumina/imunologia , Ratos , Ratos Endogâmicos BN , Hipersensibilidade Respiratória/imunologia , Serotonina/sangue , Serotonina/farmacologia , Antagonistas da Serotonina/farmacologia , Fatores de Tempo , Vagotomia , Vasoconstritores/farmacologia , p-Metoxi-N-metilfenetilamina/farmacologia
7.
Eur J Pharmacol ; 433(2-3): 217-23, 2001 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-11755155

RESUMO

We have investigated the effect of wortmannin, a potent and selective inhibitor of phosphatidylinositol-3-kinase, on the immediate-type allergic response and the late phase pulmonary inflammation induced by allergen challenge in the ovalbumin-sensitised Brown Norway rat. Intratracheal (i.t.) instillation of ovalbumin induced dose-related bronchoconstrictor responses. Administration of wortmannin (1, 10 or 100 microg kg(-1) i.t., 1 h prior to challenge) induced a marked and dose-dependent inhibition of ovalbumin-induced bronchospasm (ED(50) ca. 5 microg kg(-1) i.t.). At similar doses, wortmannin also suppressed the bronchoconstrictor responses to 5-hydroxytryptamine and methacholine but the degree of blockade of these spasmogens (1.4-1.9-fold) was less than that of ovalbumin (>20-fold). Wortmannin, given intratracheally 1 h prior to allergen challenge, also suppressed the increases in bronchoalveolar lavage fluid leukocyte numbers and eosinophil peroxidase activity measured 24 h post challenge. However, relatively high doses were necessary (ED(50) ca. 100 microg kg(-1) i.t.). The potency of wortmannin was increased when dosed 1 h prior to and 24 h after allergen challenge and the readout was 48 h after challenge (ED(50) 3-5 microg kg(-1) i.t.). Thus, wortmannin is a potent inhibitor of the bronchoconstrictor response induced by allergen in the airways of actively sensitised Brown Norway rats. Inhibition of phosphatidylinositol-3-kinase, an obligatory step in mast cell activation in response to allergen, is the presumed mechanism of action. The fact that similar doses of wortmannin do not suppress the late response to allergen suggests a minimal role for the mast cell in generating the late response to allergen in this model. The striking increase in potency to inhibit the late response when dosed 1 h prior to and 24 h after allergen challenge with the readout taken at 48 h may represent an effect of wortmannin to suppress the migration of leukocytes.


Assuntos
Alérgenos/imunologia , Androstadienos/farmacologia , Inibidores Enzimáticos/farmacologia , Inflamação/prevenção & controle , Pulmão/efeitos dos fármacos , Inibidores de Fosfoinositídeo-3 Quinase , Animais , Broncoconstrição/efeitos dos fármacos , Relação Dose-Resposta a Droga , Masculino , Mastócitos/fisiologia , Ovalbumina/imunologia , Fosfatidilinositol 3-Quinases/fisiologia , Ratos , Ratos Endogâmicos BN , Wortmanina
8.
Eur J Pharmacol ; 406(3): 469-76, 2000 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-11040355

RESUMO

The bronchoconstrictor response to adenosine in the actively sensitised Brown Norway rat is markedly augmented following low level allergen (ovalbumin) challenge. The response reflects activation of the A(2B) receptor subtype and is mediated by 5-hydroxytryptamine (5-HT) released as a consequence of mast cell activation. We describe here the effects of wortmannin, a potent inhibitor of phosphatidylinositol-3-kinase and mast cell exocytosis, on the response to adenosine. Bronchoconstrictor responses to adenosine elicited 3 h following ovalbumin challenge were markedly and dose-dependently reduced by wortmannin given intratracheally (i. t.), 1 h prior to or 2 h post-allergen challenge. Responses to methacholine, which activates bronchial smooth muscle directly, and 5-HT were also reduced following wortmannin but to a lesser extent than those to adenosine. Bronchoconstrictor responses to adenosine 3 h post-challenge with vehicle were also markedly reduced by wortmannin given intratracheally (i.t.), 1 h prior to the "sham" challenge. Plasma histamine and 5-HT levels increased in response to adenosine given 3 h following ovalbumin challenge. The increases were suppressed by wortmannin given i.t., 2 h post-ovalbumin challenge. A reduction in the sensitivity of the airways to 5-HT explains in part the reduced bronchoconstrictor response to adenosine induced by wortmannin. A direct action to suppress 5-HT release from airway mast cells induced by adenosine also contributes to the reduction in the response. Inhibition of phosphatidylinositol-3-kinase is the presumed mechanistic basis for the observed effects.


Assuntos
Adenosina/farmacologia , Androstadienos/farmacologia , Brônquios/efeitos dos fármacos , Inibidores Enzimáticos/farmacologia , Inibidores de Fosfoinositídeo-3 Quinase , Animais , Brônquios/fisiologia , Histamina/sangue , Masculino , Cloreto de Metacolina/farmacologia , Ovalbumina/imunologia , Ratos , Ratos Endogâmicos BN , Serotonina/sangue , Serotonina/farmacologia , Wortmanina
11.
Br J Pharmacol ; 115(6): 945-52, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7582525

RESUMO

1. The adenosine A3 receptor agonist, N6-2-(4-aminophenyl)ethyladenosine (APNEA) induces hypotension in the anaesthetized rat. The present experiments were carried out to explore the role of mast cells in the response. 2. Intravenous injection of APNEA (1-30 micrograms kg-1 to rats in which the A3 receptor-mediated response had been isolated by pretreatment with 8-(p-sulphophenyl) theophylline (8-SPT)), induced dose-related falls in blood pressure accompanied at higher doses by small falls in heart rate. Responses to the mast cell degranulating agent, compound 48/80 (10-300 micrograms kg-1, i.v.) were qualitatively similar to those to APNEA. 3. Pretreatment with sodium cromoglycate (0.25-20 mg kg-1, i.v.) induced dose-related, although incomplete, blockade of the hypotensive responses to APNEA. At 20 mg kg-1, sodium cromoglycate also inhibited the cardiovascular response to compound 48/80 but had no effects on those to the selective A1 receptor agonist, N6-cyclopentyladenosine (CPA) or the selective A2A receptor agonist, 2-[p-(2-carboxyethyl)phenylamino]-5'-N-ethylcarboxamidoadenosine (CGS 21680). Lodoxamide (0.01-20 mg kg-1) also blocked selectively but incompletely the response to APNEA. 4. The cardiovascular responses to compound 48/80 (10-300 micrograms kg-1, i.v.) were markedly suppressed in animals which had received repeated doses of the compound by the intraperitoneal route. Similarly APNEA was essentially devoid of cardiovascular activity in such preparations. In contrast, responses to CPA were similar in animals treated repeatedly with compound 48/80 to those obtained in control animals. 5. Plasma and serum histamine concentrations were markedly increased associated with the pronounced hypotensive responses induced by intravenous injections of APNEA (30 or 100 microg kg-1) in the presence of 8-SPT, or compound 48/80 (300 microg kg-1).6. Taken together the data implicate the mast cell in a key role in adenosine A3 receptor-mediated hypotension in the anaesthetized rat.


Assuntos
Apneia/patologia , Hipotensão/induzido quimicamente , Mastócitos/fisiologia , Receptores Purinérgicos P1/efeitos dos fármacos , Receptores Purinérgicos P1/fisiologia , Adenosina/análogos & derivados , Adenosina/farmacologia , Animais , Anti-Hipertensivos/farmacologia , Cromolina Sódica/farmacologia , Relação Dose-Resposta a Droga , Injeções Intravenosas , Masculino , Fenetilaminas/farmacologia , Ratos , Ratos Sprague-Dawley , Serotonina/farmacologia , Teofilina/farmacologia
12.
Eur J Pharmacol ; 252(2): R5-6, 1994 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-8157050

RESUMO

The effects of 3-(3-iodo-4-aminobenzyl)-8-(4-oxyacetate)-1-propylxanthine (I-ABOPX; BW-A522), which has nanomolar affinity for the recently cloned human and sheep adenosine A3 receptor, on the putative A3 receptor mediated hypotensive response to N6-2-(4-aminophenyl)ethyl adenosine (APNEA) in the rat have been investigated. Following blockade of A1 and A2 receptors with 8-(p-sulphophenyl)theophylline, BW-A522, 10 and 40 mg/kg i.v., blocked dose-dependently and surmountable the hypotensive response to APNEA. The results provide direct evidence of an A3 receptor in the cardiovascular system of the rat which induces hypotension when activated.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Antagonistas de Receptores Purinérgicos P1 , Xantinas/farmacologia , Adenosina/análogos & derivados , Adenosina/antagonistas & inibidores , Adenosina/farmacologia , Animais , Depressão Química , Relação Dose-Resposta a Droga , Masculino , Ratos , Ratos Sprague-Dawley , Teofilina/análogos & derivados , Teofilina/farmacologia
13.
Ann Emerg Med ; 21(2): 113-9, 1992 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1371210

RESUMO

STUDY OBJECTIVE: To determine if hypertonic saline/dextran (HSD) is effective in treating hemorrhage in the presence of dehydration. DESIGN: After surgical preparation, swine were euhydrated or dehydrated for 24 or 48 hours. Animals were bled 25 mL/kg over 60 minutes and treated with HSD. SETTING: Laboratory. PARTICIPANTS: Seventeen immature Yorkshire pigs. INTERVENTIONS: 4 mL/kg HSD (7.5% NaCl in 6% dextran-70) administered over one minute. MEASUREMENTS AND MAIN RESULTS: All euhydrated animals survived; 100% of the pigs survived 180 minutes after treatment. Two animals dehydrated for 24 hours and three animals dehydrated for 48 hours died within three hours of HSD treatment. In all groups, plasma potassium was reduced significantly and equally; cardiac output was increased; mean arterial pressure rose rapidly within first five minutes, but was sustained only in euhydrated animals; hematocrit, hemoglobin, and plasma total protein levels were reduced; and plasma glucose increased with persistent between-group differences. RESULTS: HSD immediately rectified the decreases in mean arterial pressure and cardiac output incurred during hemorrhage; over time, however, the improvement in pressure was not sustained in dehydrated pigs. Parallel increases in plasma osmolality and sodium concentrations were offset by the initial group differences resulting from dehydration. CONCLUSION: Dehydration does not compromise the efficacy of HSD as a resuscitation treatment for hemorrhagic shock.


Assuntos
Desidratação/complicações , Dextranos/uso terapêutico , Eletrólitos/sangue , Hemodinâmica/fisiologia , Solução Salina Hipertônica/uso terapêutico , Choque Hemorrágico/terapia , Animais , Peso Corporal , Concentração Osmolar , Choque Hemorrágico/sangue , Choque Hemorrágico/complicações , Suínos
14.
Am J Physiol ; 261(5 Pt 2): R1286-93, 1991 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1951777

RESUMO

Cardiovascular and pulmonary effects of morphine (1 mg/kg bolus iv) were investigated in conscious chronically instrumented pigs, a species exhibiting an excitable response. Control animals received an equivalent volume (less than 2 ml) of normal saline. Morphine induced an immediate but small increase in cardiac output and substantial increases in heart rate, mean systemic and pulmonary arterial pressure, left and right ventricular work, hematocrit, and hemoglobin concentration, but did not change stroke volume or systemic vascular resistance. Morphine administration also led to a gradual increase in ventilatory rate and rapid increases in tidal volume, expired and alveolar ventilation, ventilation-perfusion ratio, and shunt fraction. In addition, morphine administration produced substantial decrements in arterial and mixed venous PO2, hemoglobin saturation and mixed venous O2 content; no change in arterial O2 content; and a widening of the arteriovenous O2 difference. Arterial O2 transport was increased slightly. Finally, it produced substantial increments in arterial and mixed venous PCO2 and substantial decrements in arterial and mixed venous pH. It was concluded that arterial O2 delivery did not adequately rise to meet tissue O2 demand, in part because an appropriate increase in cardiac output was attenuated by morphine, and in part because morphine impaired pulmonary gas exchange.


Assuntos
Hemodinâmica/efeitos dos fármacos , Pulmão/fisiologia , Morfina/farmacologia , Animais , Pressão Sanguínea/efeitos dos fármacos , Dióxido de Carbono/sangue , Débito Cardíaco/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Hematócrito , Hemoglobinas/metabolismo , Pulmão/efeitos dos fármacos , Oxigênio/sangue , Pressão Parcial , Valores de Referência , Respiração/efeitos dos fármacos , Suínos , Volume de Ventilação Pulmonar/efeitos dos fármacos
15.
Circ Shock ; 35(1): 37-43, 1991 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1720711

RESUMO

The neuroendocrine responses to resuscitation with 7.5% hypertonic saline/6% Dextran-70 (HSD) following hemorrhagic hypotension were evaluated in conscious swine. Following hemorrhage (37.5 ml/kg/60 min) animals received 4 ml/kg of HSD (n = 6) or 0.9% saline (n = 8). Administration of normal saline did not alter cardiovascular function nor attenuate an increase in hormones. HSD rapidly improved cardiovascular function and acutely decreased ACTH, plasma renin activity (PRA), cortisol, norepinephrine (NE), epinephrine (E), aldosterone, and lysine vasopressin levels (LVP). The initial decreased in ACTH, cortisol, and aldosterone levels was due primarily to hemodilution associated with the expansion of plasma volume. The reductions in NE, E, LVP, and PRA were greater than those attributed to hemodilution alone. Values for LVP, NE, and E remained at values below those at the end of hemorrhage, but greater than basal levels, while PRA returned to values similar to these at the end of hemorrhage. The decrease in LVP, NE, and E following HSD resuscitation for the treatment of hemorrhagic hypotension may result from and contribute to the rectification of cardiovascular and metabolic function.


Assuntos
Dextranos/uso terapêutico , Hemorragia/fisiopatologia , Sistemas Neurossecretores/fisiopatologia , Solução Salina Hipertônica/uso terapêutico , Hormônio Adrenocorticotrópico/sangue , Aldosterona/sangue , Animais , Sistema Cardiovascular/fisiopatologia , Epinefrina/sangue , Hidrocortisona/sangue , Lipressina/sangue , Norepinefrina/sangue , Volume Plasmático , Renina/sangue , Suínos
16.
Circ Shock ; 34(4): 379-84, 1991 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1663428

RESUMO

Responses of the pituitary-adrenal axis to hemorrhagic hypotension were compared in chronically instrumented swine that were allowed to move freely in a holding cage (n = 11) and swine trained to accept physical restraint in a Pavlov sling (n = 14). Seven to ten days after surgical preparation, each animal was hemorrhaged (37.5 ml/kg over 60 min) while confined to its environment. Before hemorrhage, control values for ACTH, cortisol, heart rate, and mean arterial pressure were at near-basal levels in both groups, and during hemorrhage both groups showed similar decrements in blood pressure. Hemorrhage in the sling animals, however, led to increases in plasma ACTH and cortisol concentration much greater than those seen in caged animals. Log-linear plots of ACTH against mean arterial pressure revealed similar response characteristics in the two groups but significant rightward shift of the response curve in sling-restrained animals. Our results indicate that sling restraint, even in highly trained animals, potentiates pituitary-adrenal responses to hemorrhage by some as yet unknown mechanism.


Assuntos
Hemorragia/fisiopatologia , Sistema Hipófise-Suprarrenal/fisiopatologia , Hormônio Adrenocorticotrópico/sangue , Animais , Pressão Sanguínea , Feminino , Frequência Cardíaca , Hematócrito , Hemorragia/sangue , Hidrocortisona/sangue , Masculino , Restrição Física , Suínos
17.
Am J Physiol ; 260(6 Pt 2): R1051-7, 1991 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1647697

RESUMO

Effects of a modest dose of morphine sulfate (1 mg/kg) on total body energy metabolism, body thermal status, and the plasma concentrations of certain electrolytes and metabolites were investigated in conscious chronically instrumented pigs (n = 8). Control pigs (n = 8) received an equivalent volume of normal saline. Intravenous morphine injection led to an excitatory state associated with significant (P less than or equal to 0.05) immediate increases in O2 consumption. CO2 production, respiratory exchange ratio, and plasma concentrations of lactate, glucose, potassium, phosphate, epinephrine, and norepinephrine. Significant more gradual increases were observed in rectal and skin temperatures, body heat content, and the plasma concentrations of adrenocorticotropic hormone, cortisol, and phosphate. The hypermetabolic state persisted for approximately 1 h. Thereafter, most functional variables regressed toward, but did not reach, control levels. Increased muscle activity appeared to be the major factor underlying the rise in energy metabolism. Body heat storage after morphine injection appeared to be attributable to increased heat production coupled with an inadequate rise in heat loss.


Assuntos
Metabolismo Energético/efeitos dos fármacos , Morfina/farmacologia , Hormônio Adrenocorticotrópico/sangue , Animais , Glicemia/metabolismo , Regulação da Temperatura Corporal/efeitos dos fármacos , Dióxido de Carbono/metabolismo , Estado de Consciência/fisiologia , Epinefrina/sangue , Hipotermia/induzido quimicamente , Hipotermia/fisiopatologia , Lactatos/sangue , Morfina/efeitos adversos , Norepinefrina/sangue , Consumo de Oxigênio/efeitos dos fármacos , Fosfatos/sangue , Potássio/sangue , Suínos
18.
Circ Shock ; 32(1): 19-29, 1990 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1698570

RESUMO

Conscious, chronically instrumented pigs were subjected to a progressive, fixed-volume hemorrhage (37.5 ml/kg over 1 h) and subsequent resuscitation with 7.5% hemorrhage (37.5 ml/kg over 1 h) and subsequent resuscitation with 7.5% NaCl/6% Dextran 70 (4 ml/kg). Hemorrhage led to increases in arterial PO2, HbO2, plasma lactate, base deficit, and mixed venous PCO2. It led to decreases in arterial PCO2, plasma bicarbonate, and buffer base, as well as mixed venous PO2, HbO2, and pH. These effects were attributable to reduced O2 delivery, lactacidemia, hyperventilation, and hemodilution. Resuscitation with hypertonic saline/dextran produced a transient increase in arterial PCO2 and base deficit and a transient decrease in pH, effects that were attributable to a transfer of venous blood attributes to the arterial circulation. Resuscitation also produced an immediate decrease in arterial buffer base, an effect attributable to hemodilution. Subsequently, over 4 h, most cardiopulmonary and metabolic variables gradually reverted toward control levels, thereby ameliorating the deleterious blood gas and acid-base disturbances produced by severe hemorrhage.


Assuntos
Desequilíbrio Ácido-Base/etiologia , Dextranos/uso terapêutico , Hemorragia/complicações , Solução Salina Hipertônica/uso terapêutico , Desequilíbrio Ácido-Base/terapia , Animais , Bicarbonatos/sangue , Sangue , Dióxido de Carbono/sangue , Hemorragia/sangue , Hemorragia/terapia , Concentração de Íons de Hidrogênio , Lactatos/sangue , Ácido Láctico , Oxigênio/sangue , Suínos
19.
Resuscitation ; 20(1): 49-56, 1990 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1699256

RESUMO

We compared the effectiveness of intravenously administering hypertonic saline/dextran (HSD; 7.5% NaCl in 6% Dextran-70, n = 6) to hypertonic saline (HS) alone (7.5% NaCl, n = 8) in rectifying detrimental effects of hemorrhage on cardiovascular function. Chronically instrumented conscious swine were hemorrhaged 37.5 ml/kg over 60 min. If untreated, this model is 100% lethal within 60 min. Swine received HSD or HS at 4 ml/kg. Functional variables were measured before and at 5, 15, and 30 min following treatment. HSD produced a significantly greater plasma volume expansion than HS alone (13.6 compared to 9.9 ml/kg). Over 30 min expansion was sustained in pigs receiving HSD but pigs receiving HS regressed. Cardiac index (CI) increased for both treatments, being greater with HSD, 104 ml/kg/min, compared to HS alone, 46 ml/kg/min. Neither group fully sustained these elevated values post-treatment, but remained consistently greater than values after hemorrhage; however, the difference in CI between treatments was maintained. Oxygen delivery showed a trend similar to that of CI. We conclude that resuscitation with HSD is superior to HS in improving cardiovascular function over the first 30 min after hemorrhage.


Assuntos
Dextranos/uso terapêutico , Substitutos do Plasma/uso terapêutico , Ressuscitação , Solução Salina Hipertônica/uso terapêutico , Choque Hemorrágico/terapia , Animais , Estado de Consciência , Suínos , Fatores de Tempo
20.
Lab Anim Sci ; 40(3): 293-8, 1990 May.
Artigo em Inglês | MEDLINE | ID: mdl-2162986

RESUMO

Although the domestic pig is rapidly becoming an animal of choice in certain areas of biomedical research requiring a large animal model, effective utilization of the species is often encumbered by a lack of reference values for common functional variables. To address this problem, normal data for over 100 physiologic or related variables were collected from conscious chronically instrumented animals that were maintained under near basal conditions. Included were measurements of body composition, fluid volumes, blood physical and biochemical characteristics, blood gas and acid-base status, plasma hormone levels, energy metabolism, renal function, hemodynamics and pulmonary function. Most porcine values were similar to those collected under comparable conditions from humans. Compared to adult man, however, pigs had higher values for extracellular space, plasma volume, arterial pH, plasma bicarbonate, cardiac output, arterial pressure, expired ventilation, heat production, and core temperature, and lower values for red cell volume, hemoglobin level, plasma osmotic and oncotic pressure, arterial O2 content, renal blood flow and glomerular filtration rate. Many of these deviations were due to immaturity. Nevertheless, we have found pigs to be an excellent large animal model for a variety of functional studies.


Assuntos
Suínos/fisiologia , Equilíbrio Ácido-Base , Animais , Monitorização Transcutânea dos Gases Sanguíneos/veterinária , Eletrólitos/sangue , Feminino , Hematócrito/veterinária , Hemoglobinas/análise , Hormônios/sangue , Rim/fisiologia , Masculino , Consumo de Oxigênio , Valores de Referência , Pesquisa , Testes de Função Respiratória , Suínos/anatomia & histologia , Suínos/sangue
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