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1.
静滴L—精氨酸对原发性高血压影响的研究   总被引:1,自引:0,他引:1  
辛辉  于宏伟 《高血压杂志》1998,6(4):246-248
从血流动力学及神经内分泌学两方面探讨左旋精氨酸(L-Arg)-一氧化氮(nitricoxide,NO)通路对原发性高血压的影响。方法26例高血压病人分为两组,一组静滴L-Arg,一组静滴生理盐水,观察其血压、心率及心功能的变化,同时检测血中NO、cGMP、肾上腺素(E)、去甲肾上腺素(NE)以探讨其降压机理。结果在L-Arg静注期间,病人血压下降,心率增快,心输出量(CO)、每搏输出量(SV)、射血分数(EF)增加,总外周阻力(TPR)降低,NO的标志物cGMP升高。而在滴注60'时,随着cGMP浓度的降低,CO、SV、EF也随之降低,而TPR复又回升。E、NE、Nitrite及Nitrate在静滴前后无显著性改变。结论L-Arg通过使cGMP浓度升高,引起明显的血流动力学改变;L-Arg可能抑制血压过低所致的反应性E及NE的升高作用。  相似文献   

2.
目的 观察胰岛素抵抗高血压大鼠血小板L-精氨酸/一氧化氮系统的改变。方法 自发性高血压大鼠(SHR)自第5周至第10周喂信果糖,制备胰岛素抵抗高血压大鼠(IR)模型。在此模型上,检测血小板一氧化氮合酶(NOS)活性、一氧化氮(NO)产生量及L-精氨酸(L-Arg)转运特征,同时观察了血浆L-Arg水平、心纳素(NAP)、NO水平及cGMP水平。结果 SHR大鼠收缩压(SBP)(P〈0.01),血浆  相似文献   

3.
材料与方法:经皮下注射CC14制备肝硬化大鼠模型。动脉组织中组织型NOS(。NOS)及诱生型NOS(iNOS)活性,以不同条件下测定组织匀浆中3H-L一精氨酸转化生成的3H-L一瓜氨酸量计算。CGMP含量使用放免法测定。结果:肝硬化大鼠动脉一氧化氮台酶(NOS)、cNOS、iNOS活性、cGMP含量较正常对照显著增加。肝硬化动脉NOS活性与环磷酸鸟苷(CGMP)量呈正相关(表1)。讨论:我们以前曾发现,NOS阻滞剂可纠正肝硬化大鼠的外周动脉扩张,并使肝硬化大鼠离体主动脉环对缩血管物质的低反应性有…  相似文献   

4.
目的:探讨急性心肌梗塞患者红细胞在旋精氨酸—一氧化氮(L-Arg-NO)途径变化及临床意义。 方法:14例急性心肌梗塞患者为急性心肌梗塞组,10例健康成人为正常对照组,取静脉抗凝血,分离并提纯红细胞,同位素标记法测定~3H标记左旋精氨酸(~3H-L-Arg)的转运动力学;分离统化一氧化氮合酶(NOS)后测定其含量及活性,放射免疫法测定红细胞环磷酸鸟苷(cGMP)含量。 结果:急性心肌梗塞组患者红细胞①L-Arg的总转运及Y~+载体的最大转运速率(Vmax)分别较正常对照组降低14%(P<0.05)及 18%(P<0.01),米氏常数(Km)分别增加32%及 46%(P<0.01);Y+L载体无改变。②NOS含量及活性分别较正常对照组降低13%(P<0.05)及44%(P<0.01)。③CGMP含量较正常对照组下降27%(P<0.05)。 结论:急性心肌梗塞患者红细胞L-Arg-NO途径存在多环节功能障碍,导致一氧化氮(NO)生成减少,可能会促进急性心肌梗塞的进展。  相似文献   

5.
同型半胱氨酸对正常人血小板L-精氨酸/一氧化氮途径的影响   总被引:20,自引:0,他引:20  
目的通过观察同型半胱氨酸(Hcy)对血小板L精氨酸(LArg)/一氧化氮(NO)系统的影响,探讨Hcy对血小板损伤的机制。方法健康成人6例,平均年龄(33±7)岁。晨取静脉血,将每例血样分为对照组及加Hcy组,分别测定血小板LArg转运功能;同时将上述两组分别设立加乙酰胆碱(Ach)与不加Ach组,测定血小板NO合酶(NOS)活性、NO生成量和cGMP含量。结果(1)在不同浓度的L-Arg时,Hcy组LArg转运速率均低于对照组(P<001)。(2)在Ach刺激下,NOS活性明显提高,但Hcy组提高的程度明显低于对照组(P<001)。(3)在Ach刺激下,NO生成及cGMP含量明显提高(P<001),但Hcy组仍明显低于对照组(P<005)。结论Hcy影响血小板功能可能与LArg/NO系统改变有关。  相似文献   

6.
高血压病人血小板L—精氨酸/一氧化氮系统的改变   总被引:14,自引:0,他引:14  
目的原发性高血压(EH)病人(23例)与健康成年人(14)例作对照,观察高血压时血小板(Pt)左旋精氨酸(L-Arg)-一氧化氮(NO)系统的改变及L-Arg转运的特征。方法微盘测定法测定血小板孵育液中亚硝酸盐(NO2-)的含量来反映NO产生量、ADP刺激下NO的产生量;采用张新波等建立的一氧化氮合酶(NOS)测定改良法测定血小板NOS活性;放射性同位素标记测定血小板3H-L-Arg转运的动力学特征。结果EH患者Pt的NO产生量及NOS活性较对照组明显降低(P<0.01),用ADP刺激后,EH患者Pt的NO增加量仅为正常对照组增加量的60%,其L-Arg转运能力亦显著低于正常人(各浓度点P均<0.01)。最大转运速率(Vmax)仅为正常人的79%(P<0.01),而米氏常数(Km)则无明显改变(P>0.05)。结论高血压时Pt的L-Arg-NO系统存在明显异常,提示对EH患者,在降压的同时,联合应用改善L-Arg-NO系统的药物,对预防和治疗高血压减少并发症可能会有更好的效果。  相似文献   

7.
吸入L—精氨酸对哮喘豚鼠气道反应性的影响   总被引:2,自引:0,他引:2  
吸入L-精氨酸对哮喘豚鼠气道反应性的影响张建勇朱惠如钱梓文一氧化氮(NO)是一种新的信使分子,参与气道反应性的调节,L-精氨酸(L-Arg)是体内NO合成的前体。本研究通过测定肺阻力(RL)与肺顺应性(CL),旨在观察吸入L-Arg对清醒状态哮喘豚鼠...  相似文献   

8.
胃黏膜对阿司匹林适应性的实验研究   总被引:7,自引:0,他引:7  
目的 探讨胃黏膜对阿司匹林的适应性及其发生机制。方法 连续数天经胃管给大鼠灌入酸化阿司区林(acidified aspirin,ASA),计算胃黏膜损伤面积和损伤深度。用RIA法检测胃黏膜组织内EGF的含量。为观察一氧化氮(NO)在胃黏膜对ASA适应性中的 应用ASA前30min经大鼠性静脉分另注入L-精氨酸(Arg)、L-NAME及L-Arg+LNAME,观察胃黏膜损伤面积及深度。结果 初次应用  相似文献   

9.
左旋精氨酸:一氧化氮通路与高血压   总被引:2,自引:0,他引:2  
左旋精氨酸:一氧化氮通路与高血压成都市第三人民医院张大红刘晓平综述燕纯伯吴发琼审校左旋精氨酸(L-Arg)在一氧化氮合酶(NOsynthetase,NOS)的催化作用下生成一氧化氮(NO)这一生化过程,其英文名称为:L-arginine-NOpath...  相似文献   

10.
人类高血压与内皮功能   总被引:19,自引:0,他引:19  
1865年生理学家His首先提出内皮(Endotheli-um)这一概念,其研究历史可概况如下:1976年Vane发现内皮细胞合成并分泌前列腺素I2(PGI2),1980年Furchgote首先提出内皮依赖性舒张因子(Endotheli-umderivedrelaxingfactor;EDRF)的概念。1987年Palmer和Lgarro提出EDRF为一氧化氮(NO)样物质,并发现左旋精氨酸(L-Arginine;L-Arg)为NO前体。1993年证明NO的舒张作用由环鸟苷酸(cGMP)介导完成…  相似文献   

11.
L-Arginine (L-Arg) is metabolized by nitric oxide synthase to the reactive intermediate nitric oxide. Since nitric oxide stimulates guanylyl cyclase and cGMP synthesis, L-Arg effects on cGMP accumulation in isolated pancreatic islets of the rat and RINm5F insulinoma cells were determined. Both L-Arg and glucose stimulation increased islet cGMP levels, and glucose potentiated the response to L-Arg alone. A competitive inhibitor of L-Arg metabolism to nitric oxide, NG-monomethyl-L-arginine, reduced glucose- and L-Arg-stimulated insulin release and glucose-induced increases in cGMP; however, basal insulin release was slightly increased. D-Arg and L-ornithine did not affect islet cGMP levels, although insulin release was stimulated. RINm5F cell cGMP levels and insulin release increased in response to L-Arg in a concentration- and time-related manner, whereas glucose and L-histidine were without effect. 8-Bromo-cGMP also slightly increased RINm5F cell insulin release. Sodium nitroprusside as a source of nitric oxide increased RINm5F cell cGMP production. Methylene blue and LY83583, inhibitors of soluble guanylyl cyclase activation, reduced RINm5F cell cGMP levels in the presence and absence of L-Arg; LY83583 also reduced glucose-stimulated cGMP levels in islets. Insulin release by glucose and L-Arg was also inhibited by methylene blue and LY83583 in islets. We conclude that glucose and L-Arg stimulate guanylyl cyclase activity and cGMP formation in beta-cells at least in part through metabolism to the reactive intermediate nitric oxide. However, neither nitric oxide nor cGMP synthesis is obligatory for insulin secretion.  相似文献   

12.
Chronic treatment with cyclosporine A (CsA), an immunosuppressive agent, causes hypertension. The effect of CsA on vascular responses was determined in Sprague-Dawley rats and isolated rat aortic rings. Male rats weighing 250 to 300 g were given either CsA (25 mg/kg/day) in olive oil or vehicle by intraperitoneal injection for 7 days. Cyclosporine A administration produced a 42% increase (P < .001) in mean arterial pressure (MAP), which reached a plateau after 3 days. Conversely, the level of both nitrate/nitrite (NO2/NO3), metabolites of nitric oxide (NO), and 3′, 5′ cyclic guanosine monophosphate (cGMP), which mediates NO action, decreased by 50% (P < .001) and 35% (P < .001), respectively, in the urine. Thoracic aortic rings from rats treated with CsA, and precontracted with endothelin (10−9 mol/L), showed a 35% increase (P < .001) in tension, whereas acetylcholine-induced (Ach; 10−9 mol/L) endothelium-dependent relaxation was inhibited 65% (P < .001) compared with untreated rats. This response was similar to that of aortic rings, denuded of endothelium, from untreated rats in which Ach-induced relaxation was completely abolished (P < .001). Ach-induced formation of both NO2/NO3 and cGMP by both denuded and CsA-treated aortic rings was inhibited 95% (P < .001) and 65% P < .001), respectively, compared with intact aortic rings. The effects of CsA were reversed both in vivo and in vitro by pretreatment with l-arginine (L-Arg; 10 mg/kg/day intraperitoneally), the precursor of NO. There were no changes in MAP and tension in rats treated with L-Arg alone. In addition, in the aorta of rats that were treated intraperitoneally with CsA for 7 days, CsA significantly activated protein kinase C (PKC) translocation and decreased NO2/NO3 production. This suggest that PKC mediates, in part, CsA-induced hypertension. In summary, CsA activates PKC, which inhibits endothelial NO formation, with resulting increases in MAP and tension, and this inhibition can be overcome by L-Arg administration.  相似文献   

13.
Atherosclerosis is associated with alterations in nitric oxide (NO)/cGMP signaling. In early stages of the disease, inflammatory and possibly other cells produce reactive oxygen species that scavenge vasoprotective NO. In addition to the oxidative stress, expression and activity of enzymes downstream to NO formation may also be affected. Here, we show in the aortas of chronically hypercholesterolemic rabbits (a model of late-stage atherosclerosis), both subunits and specific activity of the NO receptor soluble guanylyl cyclase (sGC) were significantly reduced, whereas overall NO synthase activity was unaffected. These changes were most prominent in the neointimal layer, wherein cGMP-dependent protein kinase I (cGK) levels also were reduced. Additionally, a protein (p38(nt)) that was constitutively tyrosine-nitrated was detected, and its expression was significantly reduced in atherosclerotic aorta. Phosphorylation of the cGK substrate vasodilator-stimulated phosphoprotein (VASP) at Ser-239, an established biochemical endpoint of NO/cGMP signaling, also was reduced. Thus, late-stage atherosclerosis is associated not only with enhanced NO breakdown but also with altered NO reception and cGMP signaling. Preferential down-regulation in neointima suggests a direct connection of these changes to neointimal proliferation and vascular dysfunction and provides a rationale for future pharmacotherapy using classical and novel sGC activators.  相似文献   

14.
The objective of this study was to elucidate the close similarity in properties between endothelium-derived relaxing factor (EDRF) and nitric oxide radical (NO). Whenever possible, a comparison was also made between arterial and venous EDRF. In vascular relaxation experiments, acetylcholine and bradykinin were used as endothelium-dependent relaxants of isolated rings of bovine intrapulmonary artery and vein, respectively, and NO was used to relax endothelium-denuded rings. Oxyhemoglobin produced virtually identical concentration-dependent inhibitory effects on both endothelium-dependent and NO-elicited relaxation. Oxyhemoglobin and oxymyoglobin lowered cyclic guanosine monophosphate (cGMP) levels, increased tone in unrubbed artery and vein, and abolished the marked accumulation of vascular cGMP caused both by endothelium-dependent relaxants and by NO. The marked inhibitory effects of oxyhemoglobin on arterial and venous relaxant responses and cGMP accumulation as well as its contractile effects were abolished or reversed by carbon monoxide. These observations indicate that EDRF and NO possess identical properties in their interactions with oxyhemoproteins. Both EDRF from artery and vein and NO activated purified soluble guanylate cyclase by heme-dependent mechanisms, thereby revealing an additional similarity in heme interactions. Spectrophotometric analysis disclosed that the characteristic shift in the Soret peak for hemoglobin produced by NO was also produced by an endothelium-derived factor released from washed aortic endothelial cells by acetylcholine or A23187. Pyrogallol, via the action of superoxide anion, markedly inhibited the spectral shifts, relaxant effects, and cGMP accumulating actions produced by both EDRF and NO. Superoxide dismutase enhanced the relaxant and cGMP accumulating effects of both EDRF and NO. Thus, EDRF and NO are inactivated by superoxide in a closely similar manner. We conclude, therefore, that EDRF from artery and vein is either NO or a chemically related radical species.  相似文献   

15.
Nitric oxide as a signal in thyroid.   总被引:4,自引:0,他引:4  
It is now well established that agonist activation of the PIP2/calcium cascade in the thyroid results in the enhancement of cGMP accumulation presumably by activation of the soluble guanylate cyclase. In many tissues the physiological signal controlling soluble guanylate cyclase is nitric oxide (NO) and its synthesis from arginine is controlled by the intracellular Ca2+. In this report we show results that suggest that NO may be the intermediate of the cGMP response to the activation of the PIP2/calcium cascade. In dog thyroid slices, incubation with carbamylcholine or A23187 increases significantly free intracellular Ca2+ levels and the cGMP content of the slices. NG-Monomethyl-L-arginine (NMMA), a competitive inhibitor of arginine for nitric oxide synthase, inhibited these cGMP responses but not the action of sodium nitroprusside which activates soluble guanylate cyclase directly. The inhibition was relieved by arginine. Methylene blue, which blocks the activation of soluble guanylate cyclase by NO, also decreased the three stimulatory effects. NMMA and methylene blue also decreased the basal levels of cGMP. NO may therefore be an important autocrine and paracrine factor in thyroid.  相似文献   

16.
OBJECTIVES: We investigated whether glutathione (GSH), a reduced thiol that modulates redox state and forms adducts of nitric oxide (NO), improves endothelium-dependent vasomotion and NO activity in atherosclerosis. BACKGROUND: Endothelial dysfunction and reduced NO activity are associated with atherosclerosis and its clinical manifestations such as unstable angina. METHODS: In the femoral circulation of 17 patients with atherosclerosis or its risk factors, endothelium-dependent vasodilation with acetylcholine (ACH), and endothelium-independent vasodilation with nitroglycerin and sodium nitroprusside were studied before and after GSH. In 10 patients, femoral vein plasma cyclic guanylate monophosphate (cGMP) levels were measured during an infusion of ACH before and after GSH. Femoral artery flow velocity was measured using a Doppler flow wire and the resistance index (FVRI) calculated as mean arterial pressure divided by flow velocity. RESULTS: Glutathione strongly potentiated ACH-mediated vasodilation; at the two doses, FVRI decreased by 47% and 56% before, and by 61% and 67% after GSH (p = 0.003). Glutathione also elevated cGMP levels in the femoral vein during ACH infusion from 17.6 +/- 3 to 23.3 +/- 3 pmol/ml (p = 0.006). Augmentation of ACH responses was only observed in patients with depressed endothelial function. Glutathione did not influence endothelium-independent vasodilation with either NO donor. CONCLUSIONS: Thiol supplementation with GSH selectively improves human endothelial dysfunction by enhancing NO activity.  相似文献   

17.
The clinical outcome of vascular stenting is limited by in-stent stenosis. Increased nitric oxide (NO)/cGMP signaling by L-arginine (L-Arg) supplementation, the substrate for NO synthase (NOS), or NOS gene transfer may reduce in-stent neointima formation. After stenting, vascular cell proliferation in rat carotid arteries, as measured by 5'-bromodeoxyuridine (5'-BrdU) incorporation, indicated 15+/-8%, 28+/-5%, and 33+/-7% 5'-BrdU-positive vascular cells at 4, 7, and 14 days, respectively. Reporter beta-galactosidase gene transfer efficacy was evidenced by 30% beta-galactosidase-expressing medial smooth muscle cells at 14 days. The intima-to-media ratio (I/M) progressively increased to 2.32+/-0.24 at 14 days. To target in-stent neointima formation, animals were infected with adenoviral vectors (4x10(10) plaque-forming units per mL) expressing NOS2 (AdNOS2) or no transgene (AdRR5), or they received daily doses of L-Arg (500 mg. kg(-1). (d-1) IP). The neointima at 14 days was smaller in L-Arg-treated than in untreated rats (I/M 1.25+/-0.35 vs 2.32+/-0.24, P<0.05, n=7 each) or in AdRR5- and AdNOS2-infected rats (I/M 2.57+/-0.43, n=7 and 1.82+/-0.75, n=8, respectively; P<0.05 for both). The effect of L-Arg was abolished by simultaneous administration of N(G)-nitro L-arginine methyl ester, an NOS inhibitor (2.03+/-0.39, P<0.05, vs L-Arg). Inflammation was markedly less in L-Arg- and AdNOS2-treated than in AdRR5-infected rats. Supplemental L-Arg reduces neointima formation after stenting by way of an NOS-dependent mechanism and may be a valuable strategy to target in-stent stenosis.  相似文献   

18.
肝细胞一氧化氮合酶的诱导及动力学研究   总被引:1,自引:0,他引:1  
目的对内毒素和几种细胞因子诱导肝细胞一氧化氮合酶的协同效应及酶动力学参数进行研究.方法原位预灌流和段原酶循环灌流大鼠肝脏、分离肝实质细胞,观察内毒素、IFN-Y、IFN-α、TNFα、IL-lβ、IL-6及不同组合对肝细胞一氧化氮合酶活性、cGMP及NO2-+NO3的影响,分析酶动力学特征及皮质甾与酶诱导的量效关系.结果内毒素+IFN-v+TNFα+IL-lβ(IL-6)组合诱导酶表达效应最显著;酶参数分析显示Km、Vmax分别为108μmol/L和2632pmol@min1mg-1蛋白质,竞争性抑制剂L-NMMA、L-NNA作用的Ki分别为056μmolL及094μmol/L;诱导时间进程显示iNOS活性表达在9h达到峰值,但cGMP及NO2-NO3-的释放持续增加可维持至l8h;地塞米松和氢化可的松抑制肝细胞酶诱导的IC50分别为35×10-8mol/L和26×10-0mol/L.结论肝细胞诱导性一氧化氮合酶的表达依赖特异多细胞因子协同作用,这种可诱导性特征可能在内毒素血症和败血症休克发病机制中具有重要意义.  相似文献   

19.
目的探讨植物雌激素α-玉米赤霉醇(α-ZAL)对大鼠胸主动脉环内皮依赖性舒张效应中一氧化氮合酶(NOS)-NO-环磷酸鸟苷(cGMP)系统的作用。方法采用体外血管环灌流的方法,先用10-6mol/L苯肾上腺素预收缩血管。观察10-10~10-5mol/L6个不同浓度α-ZAL对内皮完整和去除内皮的大鼠胸主动脉环的舒张作用。α-ZAL10-10~10-8mol/L为低浓度组,α-ZAL10-7~10-5mol/L为高浓度组,0.1%乙醇浓度为对照组。在高浓度组中分别预先加用10-5mol/L左旋硝基精氨酸甲酯(L-NAME组)和亚甲蓝(MB组)并观察其影响,测定动脉环中内皮型一氧化氮合酶(eNOS)和cGMP含量及灌流液中NO含量变化。结果L-NAME组和MB组均可减弱高浓度组中α-ZAL的内皮依赖性胸主动脉环舒张作用(P<0.05,P<0.01);与对照组比较,高浓度组胸主动脉环中eNOS、cGMP含量及灌流液中NO含量增高(P<0.05,P<0.01);与高浓度组比较,L-NAME组可降低灌流液中NO含量及胸主动脉环中cGMP含量(P<0.05,P<0.01);MB组可降低胸主动脉环中cGMP含量(P<0.01)。结论α-ZAL的内皮依赖性舒张作用与NOS-NO-cGMP系统的激活有关。  相似文献   

20.
Estradiol is known to exert a protective effect against the development of atherosclerosis, but the mechanism of this hormonal action is unknown. One of the early events in the development of atherosclerosis is the adhesion of macrophages to endothelial cells, and nitric oxide (NO) inhibits this process. We show that basal release of NO is greater with endothelium-intact aortic rings from female rabbits than those from males. Oophorectomy diminishes both circulating estradiol concentration and basal release of NO to levels seen in male rabbits. These data establish that basal NO release from endothelium-intact aortic rings depends on circulating estradiol concentration and offer an explanation for the protective effect of estradiol against the development of atherosclerosis.  相似文献   

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