고칼륨과 저온이 흰쥐 대동맥의 내피세포의존성이 완능에 미치는 영향

Effect of Hvperkalemia and Hypothermia on Endothelium-dependent Relaxation of the Rat Aorta

  • 이응배 (경북대학교 의과대학 흉부외과학교실) ;
  • 전상훈 (경북대학교 의과대학 흉부외과학교실)
  • 발행 : 1996.12.01

초록

고칼륨과 저온이 혈관내피세포의 acetylcholine(Ach)에 의한 혈관이완에 미치는 영향을 알아보기 위하여 흰쥐의 흉부 대동맥을 이용하여 Ach과 sodium nitroprusside(SNP)에 대한 이완 반응을 측정하였다. 실험은 다섯 군으로 나누어서 실시하였으며 각 군을 10례로 하였다. 1군은 대조군으로 어떤 조작도 가하지 않고 organ bath에서 등랑성 긴장도를 측정하였고, 2군(내피세포 제거군)은 내피세포를 물리적으로 제거후 1군과 같은 방법으로 긴장도를 측정하였고, 37$^{\circ}C$ 57에 45분간 처리후 혈관의 등장성 긴장도를 측정하였다. 대조군, 457,4mST및 3757군에서의 Ach에 대한 혈관의 이완은 유의한 차이가 없었으며,내피세포 제거군에서는 Ach에 대한 혈관의 이완이 대조군에 비해 현저하게 감소되었으며, SUP에 대한 혈관의 이완은 모든 군에서 유의한 차이가 없었다. 이에 저자들은 다음과 같은 결론을 내릴 수 있었다. 고농도의 칼륨과 저온자체는 흰쥐의 흉부대동맥 내피세포의 Ach에 대한 이완능을 저해하지 않는다.

The rat thoracic aorta was harvested to determine whether either hyperkalemla or hypothermia impairs the endothelium-dependent re axation of the vascular smooth muscle. Isolated thoracic aorta segments were studied in five groups(n=10 in each group). In group I(control), the isolated aortic seglnents were suspended in organ bath without any intervention. In group ll(endotheilum removAl). the endothelium of the aortic segment was removed by gentle rubbing of the intimal surface with a pair of forceps. In group III(457), IV(4mST), and V(3757), the aortic segments were exposed for 45minutes to 4$^{\circ}C$ St. Thomas hospital cardioplegic solution(57 : NaCl, 144.3; KCI, 19.6, MgCl:, 15.7 : CaCl, 2.2 mmol/L).4$^{\circ}C$ modified St. Thomas hospital cardioplegic solution(NaCl, 144.3 : KCI. 140.0 : MgCl:, 15.7; CaCl:. 2.2 mmol/L). and 37$^{\circ}C$ 57, before suspending in the organ bath, respectively. Then, aorta segments were suspended in organ baths(physiologic salt solution, 37$^{\circ}C$, 95% oxygen and 5% carbon dioxide) for Isometric tension recording. The vasodilatation to acetylcholine (10-2 to 10-2mol/L) was not impaired in control, 457, 4mST, nd 3757 groups. The vasodilatation to acetylcholine was impaired in endothelium removal group. The vasodilatation to sodium nitroprusslde (10-2 to 10-2 mol/L) was not impaired in all groups. In conclusion, both hyperkalemia and hypothermia do not alter irreversibly the function of the rondothelium of the thoracic aorta of the rat.

키워드

참고문헌

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