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Pseudoephedrine: A Review and Benefit-Risk Assessment with Reference to the Risk of Posterior Reversible Encephalopathy Syndrome (PRES) and Reversible Cerebral Vasoconstriction Syndrome (RCVS)
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作者 Ronald Eccles 《Open Journal of Respiratory Diseases》 2025年第1期19-34,共16页
Pseudoephedrine (PSE) is a widely used nasal decongestant. A review by the European Medicines Agency has reported that PSE may be associated with risks of posterior reversible encephalopathy syndrome (PRES) and revers... Pseudoephedrine (PSE) is a widely used nasal decongestant. A review by the European Medicines Agency has reported that PSE may be associated with risks of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS). PRES and RCVS are rare but serious conditions that affect cerebral blood flow. This review discusses the pharmacology of PSE and potential risks for PRES and RCVS and concludes that considering the common use of PSE, with over 70 million packs of PSE taken each year in the European Union and the United Kingdom, and the rare occurrence of PRES and RCVS, that the risks of developing PRES/RCVS on exposure to PSE are likely to be very low. 展开更多
关键词 Posterior Reversible Encephalopathy Syndrome (PRES) Reversible Cerebral vasoconstriction Syndrome (RCVS) PSEUDOEPHEDRINE European Medicines Agency
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瑞马唑仑全身麻醉对妇科腹腔镜手术患者核心体温和体温调节性血管收缩的影响
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作者 王莉 赵艳花 +2 位作者 袁野 余娟 唐珩 《中国内镜杂志》 2025年第5期50-57,共8页
目的探讨瑞马唑仑全身麻醉对妇科腹腔镜手术患者核心体温(CBT)和体温调节性血管收缩的影响。方法选取2024年1月-2024年6月于该院择期在全身麻醉下行腹腔镜手术的宫颈癌或卵巢癌患者90例,随机分为实验组(R组)和对照组(C组),每组45例,分... 目的探讨瑞马唑仑全身麻醉对妇科腹腔镜手术患者核心体温(CBT)和体温调节性血管收缩的影响。方法选取2024年1月-2024年6月于该院择期在全身麻醉下行腹腔镜手术的宫颈癌或卵巢癌患者90例,随机分为实验组(R组)和对照组(C组),每组45例,分别用瑞马唑仑和丙泊酚行麻醉诱导和维持。麻醉诱导后,分别采用鼻咽温度探头和皮肤温度探头,持续监测鼻咽温度和皮肤温度;记录两组患者术前(T_(0))、麻醉诱导后30 min(T_(1))、麻醉诱导后60 min(T_(2))、麻醉诱导后90 min(T_(3))、麻醉诱导后120 min(T_(4))、麻醉诱导后150 min(T_(5))、麻醉诱导后180 min(T_(6))和拔管时(T_(7))的CBT和平均皮肤温度(MST),以及前臂与食指部位的温度差(T_(FOR-FIN))。以T_(FOR-FIN)为0时的CBT作为血管收缩阈值,记录两组患者的血管收缩阈值及达到血管收缩阈值的时间;记录两组患者各时间点(T_(0)、T_(1)、T_(2)、T_(3)、T_(4)、T_(5)、T_(6)和T_(7))的平均动脉压(MAP)、心率(HR)和心排血指数(CI)的变化;记录术中低体温、低血压和心动过缓的发生率,以及术中血管活性药的使用情况。结果与T_(0)时点比较,两组患者T_(1)、T_(2)、T_(3)、T_(4)、T_(5)、T_(6)和T_(7)时点CBT和T_(FOR-FIN)明显下降,MST明显升高,差异均有统计学意义(P<0.05);与R组比较,C组T_(1)、T_(2)、T_(3)、T_(4)和T_(5)时点CBT明显降低,T_(1)、T_(2)、T_(3)、T_(4)、T_(5)、T_(6)和T_(7)时点MST明显升高,差异均有统计学意义(P<0.05)。R组的血管收缩阈值明显高于C组,但达到血管收缩阈值的时间明显短于C组,差异均有统计学意义(P<0.05)。与T_(0)时点比较,两组患者T_(1)、T_(2)、T_(3)时点MAP和CI明显降低,但R组T_(1)、T_(2)和T_(3)时间点MAP和CI明显高于C组,差异均有统计学意义(P<0.05);与R组比较,C组术中围手术期低体温(PH)和低血压的发生率,以及术中麻黄素使用率明显升高,差异均有统计学意义(P<0.05)。结论瑞马唑仑与丙泊酚用于妇科腹腔镜全身麻醉,均可引起患者术中体温下降,与丙泊酚比较,瑞马唑仑全身麻醉对CBT的影响更小,血流动力学更加平稳,对体温调节性血管收缩的影响更小,舒张血管程度更轻,具有更好的体温保护作用。 展开更多
关键词 瑞马唑仑 核心温度(CBT) 体温调节 血管收缩阈值
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可逆性脑血管收缩综合征60例临床分析
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作者 陈素芬 唐建生 +2 位作者 胡珏 宋康平 李璋麟 《中国实用神经疾病杂志》 2025年第3期300-304,共5页
目的分析可逆性脑血管收缩综合征(RCVS)的临床特征和预后。方法收集2014-01—2024-02国内外期刊报道的中国籍RCVS病例,结合南华大学附属长沙中心医院诊治的2例患者,回顾性分析纳入患者的临床资料。结果共纳入60例RCVS患者,发病年龄在20~... 目的分析可逆性脑血管收缩综合征(RCVS)的临床特征和预后。方法收集2014-01—2024-02国内外期刊报道的中国籍RCVS病例,结合南华大学附属长沙中心医院诊治的2例患者,回顾性分析纳入患者的临床资料。结果共纳入60例RCVS患者,发病年龄在20~64(40.7±12.8)岁,60%在40岁以前发病。最常见的诱因是沐浴,最常见的首发症状是反复发作性霹雳性头痛,多伴血压升高、恶心呕吐、痫性发作、偏侧肢体乏力、视力障碍、言语障碍、认知障碍。可表现为双侧头痛或单侧头痛,头痛部位无差异(P<0.05)。约5%的患者病程中无头痛出现。37例患者疾病早期行头颅MRA/CTA,发现颅内动脉弥漫性节段性狭窄者24例,前循环节段性狭窄者9例,后循环节段性狭窄者2例,颅内动脉正常颅外血管节段性狭窄者2例,仅10例患者DSA证实脑动脉多发局灶性狭窄。58例患者给予尼莫地平治疗,2例避免诱因未予药物治疗,随访时所有患者症状及血管影像异常均完全恢复。结论RCVS患者以40岁以下女性多发,多以反复发作霹雳性头痛为首发症状,可伴血压升高、恶心呕吐、痫性发作及局灶性神经功能缺损症状,也可全程无头痛,颅内外血管均可受累,尼莫地平治疗预后良好。 展开更多
关键词 可逆性脑血管收缩综合征 霹雳性头痛 临床表现 血管影像 预后
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The pivotal role of microglia in injury and the prognosis of subarachnoid hemorrhage 被引量:2
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作者 Wenjing Ning Shi Lv +1 位作者 Qian Wang Yuzhen Xu 《Neural Regeneration Research》 SCIE CAS 2025年第7期1829-1848,共20页
Subarachnoid hemorrhage leads to a series of pathological changes,including vascular spasm,cellular apoptosis,blood–brain barrier damage,cerebral edema,and white matter injury.Microglia,which are the key immune cells... Subarachnoid hemorrhage leads to a series of pathological changes,including vascular spasm,cellular apoptosis,blood–brain barrier damage,cerebral edema,and white matter injury.Microglia,which are the key immune cells in the central nervous system,maintain homeostasis in the neural environment,support neurons,mediate apoptosis,participate in immune regulation,and have neuroprotective effects.Increasing evidence has shown that microglia play a pivotal role in the pathogenesis of subarachnoid hemorrhage and affect the process of injury and the prognosis of subarachnoid hemorrhage.Moreover,microglia play certain neuroprotective roles in the recovery phase of subarachnoid hemorrhage.Several approaches aimed at modulating microglia function are believed to attenuate subarachnoid hemorrhage injury.This provides new targets and ideas for the treatment of subarachnoid hemorrhage.However,an in-depth and comprehensive summary of the role of microglia after subarachnoid hemorrhage is still lacking.This review describes the activation of microglia after subarachnoid hemorrhage and their roles in the pathological processes of vasospasm,neuroinflammation,neuronal apoptosis,blood–brain barrier disruption,cerebral edema,and cerebral white matter lesions.It also discusses the neuroprotective roles of microglia during recovery from subarachnoid hemorrhage and therapeutic advances aimed at modulating microglial function after subarachnoid hemorrhage.Currently,microglia in subarachnoid hemorrhage are targeted with TLR inhibitors,nuclear factor-κB and STAT3 pathway inhibitors,glycine/tyrosine kinases,NLRP3 signaling pathway inhibitors,Gasdermin D inhibitors,vincristine receptorαreceptor agonists,ferroptosis inhibitors,genetic modification techniques,stem cell therapies,and traditional Chinese medicine.However,most of these are still being evaluated at the laboratory stage.More clinical studies and data on subarachnoid hemorrhage are required to improve the treatment of subarachnoid hemorrhage. 展开更多
关键词 apoptosis blood–brain barrier brain edema MICROGLIA NEUROINFLAMMATION neuron NEUROPROTECTION subarachnoid hemorrhage vasoconstriction white matter injury
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Corticosteroids in posterior reversible encephalopathy syndrome:Friend or foe?A systematic review
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作者 Bahadar S Srichawla Taranjit Kaur Harsimran Singh 《World Journal of Clinical Cases》 2025年第12期22-47,共26页
BACKGROUND Posterior reversible encephalopathy syndrome(PRES)is a complex neurological disorder characterized by symptoms such as headaches,seizures,confusion,and visual disturbances.The pathophysiology of PRES involv... BACKGROUND Posterior reversible encephalopathy syndrome(PRES)is a complex neurological disorder characterized by symptoms such as headaches,seizures,confusion,and visual disturbances.The pathophysiology of PRES involves endothelial dysfunction,disrupted cerebral autoregulation,and resulting vasogenic edema.Hypertension and other factors that alter cerebral autoregulation are critical in its development.Corticosteroids,widely used for their anti-inflammatory and immunosuppressive properties,play a controversial role in PRES.AIM To elucidate the dual role of corticosteroids in the context of PRES by critically evaluating the existing literature.Specifically,it seeks to assess the results of PRES induced by corticosteroid therapy and the efficacy and safety of corticosteroids in the treatment of PRES.By synthesizing case reports and series,this review aims to provide a comprehensive understanding of the mechanisms,clinical presentations,and management strategies associated with corticosteroid-related PRES.METHODS The review was carried out according to the PRISMA guidelines.The databases searched included Science Direct,PubMed,and Hinari.The search strategy encompassed terms related to corticosteroids and PRES.Studies were included if they were peer-reviewed articles examining corticosteroids in PRES,excluding non-English publications,reviews,and editorials.Data on patient demographics,clinical characteristics,imaging findings,corticosteroid regimens,and outcomes were extracted.The risk of bias was evaluated using the Joanna Briggs Institute tool for case reports.RESULTS A total of 56 cases of PRES(66.1%women,33.9%men)potentially induced by corticosteroids and 14 cases in which corticosteroids were used to treat PRES were identified.Cases of PRES reportedly caused by corticosteroids showed a mean age of approximately 25.2 years,with seizures,headaches,hypertension,and visual disturbances being common clinical sequelae.Magnetic resonance findings typically revealed vasogenic edema in the bilateral parieto-occipital lobes.High-dose or prolonged corticosteroid therapy was a significant risk factor.On the contrary,in the treatment cases,corticosteroids were associated with positive outcomes,including resolution of vasogenic edema and stabilization of symptoms,particularly in patients with underlying inflammatory or autoimmune diseases.CONCLUSION Corticosteroids have a dual role in PRES,capable of both inducing and treating the condition.The current body of literature suggests that corticosteroids may play a greater role as a precipitating agent of PRES rather than treating.Corticosteroids may induce PRES through hypertension and subsequent increased cerebral blood flow and loss of autoregulation.Corticosteroids may aid in the management of PRES:(1)Enhancing endothelial stability;(2)Antiinflammatory properties;and(3)Improving blood-brain barrier integrity.Mechanisms which may reduce or mitigate vasogenic edema formation. 展开更多
关键词 CORTICOSTEROIDS Posterior reversible encephalopathy syndrome Vasogenic edema Reversible posterior leukoencephalopathy syndrome Reversible cerebral vasoconstriction syndrome
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去甲基化酶FTO基因敲除对5-HT诱导糖尿病冠脉平滑肌收缩功能异常的影响
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作者 王梓帆 蒋柳香 +5 位作者 梁美英 刘梦云 陈美江 杨慧 饶芳 邓春玉 《中国药理学通报》 北大核心 2025年第2期315-322,共8页
目的探讨去甲基化酶脂肪质量和肥胖相关基因(fat mass and obesity associated gene,FTO)在糖尿病冠脉平滑肌收缩功能异常中的影响。方法Cre-loxP重组技术制备平滑肌特异性FTO敲除小鼠(FTO^(SMKO))。分为4组:对照组(WT)、糖尿病组(DM)、... 目的探讨去甲基化酶脂肪质量和肥胖相关基因(fat mass and obesity associated gene,FTO)在糖尿病冠脉平滑肌收缩功能异常中的影响。方法Cre-loxP重组技术制备平滑肌特异性FTO敲除小鼠(FTO^(SMKO))。分为4组:对照组(WT)、糖尿病组(DM)、FTO敲除组(FTO^(SMKO))和FTOSMKO糖尿病组(FTO^(SMKO)-DM),每组各15只。糖尿病小鼠由腹腔注射链脲佐菌素(STZ)制备;其余小鼠注射等量的柠檬酸-柠檬酸钠缓冲液。通过小血管环张力测定技术,观察5-HT对4组小鼠冠脉平滑肌收缩反应的影响;采用Western blot与Dot blot技术检测小鼠血管组织FTO蛋白及n6-甲基腺嘌呤(m6A)甲基化修饰水平的变化。结果与WT组相比,DM组血糖明显升高(P<0.01),体质量明显下降(P<0.05);DM组小鼠主动脉FTO蛋白水平升高( P <0.01),m6A甲基化修饰水平降低( P <0.01)。DM组5-HT诱导收缩反应与WT组相比明显下降( P <0.01),而FTOSMKO-DM组收缩反应比DM组明显增加( P <0.01);FTO^(SMKO) -DM组非L型钙通道介导的血管平滑肌收缩反应增强,其中,1,4,5-三磷酸肌醇受体(IP3R)和咖啡因激活兰尼碱受体(RyR)介导的肌浆网钙释放诱导收缩反应均明显增加( P <0.05)。 结论 特异性敲除平滑肌 FTO 可改善糖尿病小鼠冠脉对血管收缩剂5-HT的反应性,可能与FTO介导5-HT受体信号通路异常有关。 展开更多
关键词 FTO基因 糖尿病血管 m6A甲基化 非L型钙通道 肌浆网钙释放 血管收缩
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分析丹酚酸B镁对血管收缩的作用以及抑制激动剂诱导平滑肌细胞内钙升高的药理学机制
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作者 黄刚 《北方药学》 2025年第4期10-13,共4页
目的:分析丹酚酸B镁(MLB)对血管收缩的作用以及抑制激动剂诱导平滑肌细胞内钙升高的药理学机制。方法:采用离体血管实验分析不同条件下MLB对血管收缩的作用;采用阳离子检测方法直接检测钙离子荧光指示剂负载的大鼠胸主动脉平滑肌细胞,分... 目的:分析丹酚酸B镁(MLB)对血管收缩的作用以及抑制激动剂诱导平滑肌细胞内钙升高的药理学机制。方法:采用离体血管实验分析不同条件下MLB对血管收缩的作用;采用阳离子检测方法直接检测钙离子荧光指示剂负载的大鼠胸主动脉平滑肌细胞,分析MLB对平滑肌细胞内钙升高的作用及药理学机制。结果:MLB50-200μmol/L抑制无钙条件下苯肾上腺素(PE)1μmol/L诱导血管收缩;常钙条件下PE 60mmol/L可诱导血管收缩;MLB50-200μmol/L对PE诱导的血管收缩具有抑制作用;常钙条件下,氯化钾(KCl) 60mmol/L可导致血管收缩,抑制率高,MLB50、100、200μmmol/L也可抑制KCI诱导的血管收缩,与剂量具有相关性。无钙条件下MLB50、100和200μmol/L浓度抑制三磷酸腺苷(ATP)20μmol/L诱导内钙释放导致钙离子水平升高;常钙条件下胸主动脉平滑肌细KCL60mmol/L促使钙内流,导致钙离子水平升高。结论:MLB具有抑制血管收缩的作用,并且其抑制ATP和KCL导致平滑肌细胞内钙的升高。 展开更多
关键词 丹酚酸B镁 血管收缩 激动剂 平滑肌细胞 游离钙
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超高效液相色谱-三重四级杆质谱法测定化妆品中10种缩血管药
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作者 邱婷 陆钫 +1 位作者 黄晓燕 华小懿 《化学分析计量》 2025年第5期29-35,共7页
建立超高效液相-三重四级杆质谱法同时测定化妆品中缩血管类药物溴莫尼定、普萘洛尔、阿替洛尔、卡替洛尔、噻吗洛尔、四氢咪唑林、萘甲唑啉、羟甲唑啉、安他唑啉和赛洛唑啉。以乙腈为溶剂,对样品进行超声提取,提取液经ZorbaxSB-C18柱(1... 建立超高效液相-三重四级杆质谱法同时测定化妆品中缩血管类药物溴莫尼定、普萘洛尔、阿替洛尔、卡替洛尔、噻吗洛尔、四氢咪唑林、萘甲唑啉、羟甲唑啉、安他唑啉和赛洛唑啉。以乙腈为溶剂,对样品进行超声提取,提取液经ZorbaxSB-C18柱(100 mm×2.1 mm,1.8μm)分离,以乙腈-0.1%乙酸溶液为流动相,梯度洗脱,采用电喷雾正离子扫描,以多反应监测(MRM)模式测定,基质匹配校准曲线外标法定量。溴莫尼定、阿替洛尔、卡替洛尔的质量浓度在2.5~100 ng/mL范围内,其他7种待测组分的质量浓度在1~50 ng/mL范围内,与色谱峰面积线性关系良好,相关系数均不小于0.998,方法检出限为0.013~0.025 mg/kg,定量限为0.05~0.1 mg/kg。在水基、膏霜、乳液3种基质中,10种药物的加标平均回收率为91.3%~115.5%,测定结果的相对标准偏差为0.4%~6.5%(n=6)。该方法操作简便、专属性强、灵敏度高,可用于化妆品中溴莫尼定等10种组分的测定。 展开更多
关键词 超高效液相色谱-串联质谱法 化妆品 缩血管药
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Mitochondrial Oxidative Stress Enhances Vasoconstriction by Altering Calcium Homeostasis in Cerebrovascular Smooth Muscle Cells under Simulated Microgravity 被引量:7
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作者 LIU Zi Fan WANG Hai Ming +8 位作者 JIANG Min WANG Lin LIN Le Jian ZHAO Yun Zhang SHAO Jun Jie ZHOU Jing Jing XIE Man Jiang LI Xin ZHANG Ran 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2021年第3期203-212,共10页
Objective Exposure to microgravity results in postflight cardiovascular deconditioning in astronauts.Vascular oxidative stress injury and mitochondrial dysfunction have been reported during this process.To elucidate t... Objective Exposure to microgravity results in postflight cardiovascular deconditioning in astronauts.Vascular oxidative stress injury and mitochondrial dysfunction have been reported during this process.To elucidate the mechanism for this condition,we investigated whether mitochondrial oxidative stress regulates calcium homeostasis and vasoconstriction in hindlimb unweighted(HU)rat cerebral arteries.Methods Three-week HU was used to simulate microgravity in rats.The contractile responses to vasoconstrictors,mitochondrial fission/fusion,Ca^(2+) distribution,inositol 1,4,5-trisphosphate receptor(IP3 R)abundance,and the activities of voltage-gated K+channels(KV)and Ca^(2+)-activated K+channels(BKCa)were examined in rat cerebral vascular smooth muscle cells(VSMCs).Results An increase of cytoplasmic Ca^(2+) and a decrease of mitochondrial/sarcoplasmic reticulum(SR)Ca^(2+) were observed in HU rat cerebral VSMCs.The abundance of fusion proteins(mitofusin 1/2[MFN1/2])and fission proteins(dynamin-related protein 1[DRP1]and fission-mitochondrial 1[FIS1])was significantly downregulated and upregulated,respectively in HU rat cerebral VSMCs.The cerebrovascular contractile responses to vasoconstrictors were enhanced in HU rats compared to control rats,and IP3 R protein/mRNA levels were significantly upregulated.The current densities and open probabilities of KV and BKCa decreased and increased,respectively.Treatment with the mitochondrial-targeted antioxidant mitoTEMPO attenuated mitochondrial fission by upregulating MFN1/2 and downregulating DRP1/FIS1.It also decreased IP3 R expression levels and restored the activities of the KV and BKCa channels.MitoTEMPO restored the Ca^(2+) distribution in VSMCs and attenuated the enhanced vasoconstriction in HU rat cerebral arteries.Conclusion The present results suggest that mitochondrial oxidative stress enhances cerebral vasoconstriction by regulating calcium homeostasis during simulated microgravity. 展开更多
关键词 MICROGRAVITY Mitochondrial oxidative stress Calcium homeostasis vasoconstriction
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Pinocembrin inhibits angiotensinⅡ-induced vasoconstriction in a Ca^(2+)-dependent and Ca^(2+)-independent manner through blocking AT_1R in the rat aorta
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作者 Li LI Hai-guang YANG +8 位作者 Xiao-bin PANG Bai-nian CHEN Li GAO Le WANG Shou-bao WANG Tian-yi YUAN Su-bo WANG De-pei LIU Guan-hua DU 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期35-35,共1页
OBJECTIVE To investigate the vasorelaxant effect of pinocembrin(5,7-dihydroxyflavanone),one of the main flavonoids in propolis,on angiotensinⅡ(AngⅡ)induced vasoconstriction and the molecular mechanism of action.METH... OBJECTIVE To investigate the vasorelaxant effect of pinocembrin(5,7-dihydroxyflavanone),one of the main flavonoids in propolis,on angiotensinⅡ(AngⅡ)induced vasoconstriction and the molecular mechanism of action.METHODS The isometric vascular tone was measured in thoracic aortic rings from SD rat,and the effects of pinocembrin on the single dose and concentration cumulative response curves of AngⅡ were recorded.The binding of pinocembrin to the angiotensin type 1 receptor(AT1R)was studied by using molecule docking analysis.Intracellular[Ca2+]([Ca2+]i)was measured with Fura2/AM in VSMCs.The phosphorylation levels of myosin light chain 2(MLC2)and myosin phosphatase target unit 1(MYPT1),and protein level of Rho kinase 1(ROCK1)in the rat aortic rings were detected by Western blotting.RESULTS Pinocembrin was observed to inhibit AngⅡ-induced vasoconstriction in rat aortic rings with either intact or denuded endothelium.In endothelium-denuded tissues,pinocembrin(pD′2 4.28±0.15)counteracted the contractions evoked by cumulative concentrations of AngⅡ.In a docking model,pinocembrin showed effective binding at the active site of AT1R.Pinocembrin was shown to inhibit both AngⅡ-induced Ca2+ release from internal stores and Ca2+ influx.Moreover,the increase in the phosphorylation of MLC2 and MYPT1,and the increased protein level of ROCK1 induced by AngⅡ was blocked by pinocembrin.CONCLUSION Pinocembrin inhibits AngⅡ-induced rat aortic ring contraction in a Ca2+-dependent and Ca2+-independent manner via blocking AT1R. 展开更多
关键词 PINOCEMBRIN angiotensinⅡ vasoconstriction AT1R [Ca
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Tacrolimus Inhibits Vasoconstriction by Increasing Ca^(2+) Sparks in Rat Aorta
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作者 陈玉芳 王琛 +5 位作者 张蕊 王换 马嵘 金肆 向继洲 汤强 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2016年第1期8-13,共6页
The present study attempted to test a novel hypothesis that Ca^2+ sparks play an important role in arterial relaxation induced by tacrolimus. Recorded with confocal laser scanning microscopy, tacrolimus(10 μmol/L)... The present study attempted to test a novel hypothesis that Ca^2+ sparks play an important role in arterial relaxation induced by tacrolimus. Recorded with confocal laser scanning microscopy, tacrolimus(10 μmol/L) increased the frequency of Ca^2+ sparks, which could be reversed by ryanodine(10 μmol/L). Electrophysiological experiments revealed that tacrolimus(10 μmol/L) increased the large-conductance Ca^2+-activated K+ currents(BKCa) in rat aortic vascular smooth muscle cells(AVSMCs), which could be blocked by ryanodine(10 μmol/L). Furthermore, tacrolimus(10 and 50 μmol/L) reduced the contractile force induced by norepinephrine(NE) or KCl in aortic vascular smooth muscle in a concentration-dependent manner, which could be also significantly attenuated by iberiotoxin(100 nmol/L) and ryanodine(10 μmol/L) respectively. In conclusion, tacrolimus could indirectly activate BKCa currents by increasing Ca^2+ sparks released from ryanodine receptors, which inhibited the NE- or KCl-induced contraction in rat aorta. 展开更多
关键词 tacrolimus Ca^2+ sparks large-conductance Ca^2+-activated K+ channels vasoconstriction
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产前超声用于胎儿动脉导管提前收缩研究进展 被引量:2
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作者 杨忠 谢明星 《中国介入影像与治疗学》 北大核心 2024年第8期499-502,共4页
胎儿动脉导管(DA)提前收缩可致管腔狭窄、闭锁,进而出现右心室流出道梗阻,引发右心衰竭甚至死亡;常由母体孕期应用前列腺素合成酶抑制剂类药物或摄入富含多酚类物质所致。产前超声可实时、动态观察胎儿DA开放及收缩状态,以彩色多普勒监... 胎儿动脉导管(DA)提前收缩可致管腔狭窄、闭锁,进而出现右心室流出道梗阻,引发右心衰竭甚至死亡;常由母体孕期应用前列腺素合成酶抑制剂类药物或摄入富含多酚类物质所致。产前超声可实时、动态观察胎儿DA开放及收缩状态,以彩色多普勒监测血流,进而评估心功能变化。本文围绕产前超声用于胎儿DA提前收缩研究进展进行综述。 展开更多
关键词 动脉导管 血管收缩 胎儿 超声心动描记术
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Reduction of photodynamic damage of blood vessels in the protected region by(–)-epigallocatechin gallate
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作者 Tianlong Chen Yi Shen +4 位作者 Li Lin Huiyun Lin Xuejiao Song Defu Chen Buhong Li 《Journal of Innovative Optical Health Sciences》 SCIE EI CSCD 2024年第3期93-104,共12页
Photodynamic therapy(PDT)has been increasingly used in the clinical treatment of neoplastic,inflammatory and infectious skin diseases.However,the generation of reactive oxygen species(ROS)may induce undesired side eff... Photodynamic therapy(PDT)has been increasingly used in the clinical treatment of neoplastic,inflammatory and infectious skin diseases.However,the generation of reactive oxygen species(ROS)may induce undesired side effects in normal tissue surrounding the treatment lesion,which is a big challenge for the clinical application of PDT.To date,(–)-Epigallocatechin gallate(EGCG)has been widely proposed as an antiangiogenic and antitumor agent for the protection of normal tissue from ROS-mediated oxidative damage.This study evaluates the regulation ability of EGCG for photodynamic damage of blood vessels during hematoporphyrin monomethyl ether(Hemoporfin)-mediated PDT.The quenching rate constants of EGCG for the triplet-state Hemoporfin and photosensitized 1O2 generation are determined to be 6.8×10^(8)M^(−1)S^(−1),respectively.The vasoconstriction of blood vessels in the protected region treated with EGCG hydrogel after PDT is lower than that of the control region treated with pure hydrogel,suggesting an efficiently reduced photodamage of Hemoporfin for blood vessels treated with EGCG.This study indicates that EGCG is an efficient quencher for triplet-state Hemoporfin and 1O2,and EGCG could be potentially used to reduce the undesired photodamage of normal tissue in clinical PDT. 展开更多
关键词 (–)-Epigallocatechin gallate(EGCG) photodynamic therapy hemopor¯n singlet oxygen blood vessel vasoconstriction.
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红景天注射液降低食管癌根治术患者单肺通气期间肺内分流及血清炎症介质:46例随机对照试验 被引量:2
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作者 刘溪 胡欢 +2 位作者 房静 黄璐 程向阳 《南方医科大学学报》 CAS CSCD 北大核心 2024年第4期706-711,共6页
目的探究红景天对食管癌根治术患者单肺通气期间肺内分流及血炎症介质的影响。方法选择行择期食管癌根治术患者46例,采取随机数字表法分为生理盐水对照组和红景天组(n=23)。红景天组于患者入室后将10mL红景天加入250mL生理盐水或5%葡萄... 目的探究红景天对食管癌根治术患者单肺通气期间肺内分流及血炎症介质的影响。方法选择行择期食管癌根治术患者46例,采取随机数字表法分为生理盐水对照组和红景天组(n=23)。红景天组于患者入室后将10mL红景天加入250mL生理盐水或5%葡萄糖注射液缓慢静脉滴注,对照组静滴同等剂量的生理盐水。抽取单肺通气(OLV)开始前(T_(0))、30min(T_(1))、60min(T_(2))、恢复双肺通气后30min(T3)的桡动脉和深静脉血各2mL,行血气分析,根据公式计算出肺内分流率(Qs/Qt)。分别记录各时间点PaO_(2)。于T_(0)、T_(1)、T3时抽取深静脉血2mL,检测血清中α-肿瘤坏死因子(TNF-α)、介素6(IL-6)含量,记录术后肺不张情况。结果与对照组相比,红景天组在T_(1)、T_(2)时,PaO_(2)、Qs/Qt优于对照组(P<0.05),红景天组在T3时IL-6、TNF-α含量降低(P<0.05)。两组患者术后肺不张发生率差异无统计学意义(P>0.05)。结论红景天可减少食管癌根治术患者单肺通气期间肺内分流,改善氧合,降低患者血清中IL-6、TNF-α含量,减轻患者术中肺损伤。 展开更多
关键词 红景天 食管癌 单肺通气 缺氧性肺血管收缩
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Hypoxia in the pulmonary vein increases pulmonary vascular resistance independently of oxygen in the pulmonary artery
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作者 Sigridur Olga Magnusdottir Carsten Simonsen +2 位作者 Dan Stieper Karbing Bodil Steen Rasmussen Benedict Kjaergaard 《Animal Models and Experimental Medicine》 CAS CSCD 2024年第2期156-165,共10页
Introduction:Hypoxic pulmonary vasoconstriction(HPV)can be a challenging clinical problem.It is not fully elucidated where in the circulation the regulation of resistance takes place.It is often referred to as if it i... Introduction:Hypoxic pulmonary vasoconstriction(HPV)can be a challenging clinical problem.It is not fully elucidated where in the circulation the regulation of resistance takes place.It is often referred to as if it is in the arteries,but we hypothesized that it is in the venous side of the pulmonary circulation.Methods:In an open thorax model,pigs were treated with a veno-venous extra corporeal membrane oxygenator to either oxygenate or deoxygenate blood passing through the pulmonary vessels.At the same time the lungs were ventilated with extreme variations of inspired air from 5%to 100%oxygen,making it possible to make combinations of high and low oxygen content through the pulmonary circulation.A flow probe was inserted around the main pulmonary artery and catheters in the pulmonary artery and in the left atrium were used for pressure monitoring and blood tests.Under different combinations of oxygenation,pulmonary vascular resistance(PVR)was calculated.Results:With unchanged level of oxygen in the pulmonary artery and reduced inspired oxygen fraction lowering oxygen tension from 29 to 6.7 kPa in the pulmonary vein,PVR was doubled.With more extreme hypoxia PVR suddenly decreased.Combinations with low oxygenation in the pulmonary artery did not systematic influence PVR if there was enough oxygen in the inspired air and in the pulmonary veins.Discussion:The impact of hypoxia occurs from the alveolar level and forward with the blood flow.The experiments indicated that the regulation of PVR is mediated from the venous side. 展开更多
关键词 animal models cardiopulmonary support Hypoxic pulmonary vasoconstriction pulmonary circulation
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可逆性血管收缩综合征二例
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作者 李璐 隋长百 +1 位作者 刘英 唐剑华 《中国脑血管病杂志》 CAS CSCD 北大核心 2024年第10期684-687,F0003,共5页
可逆性脑血管收缩综合征(RCVS)是脑动脉节段性和多灶性血管收缩引起的一种可逆性临床综合征,发病早期常难以识别。作者总结了2例不同诱因引起的RCVS患者的病历资料,并对RCVS的临床表现及影像学演变进行了探讨,以期为临床医师早期识别和... 可逆性脑血管收缩综合征(RCVS)是脑动脉节段性和多灶性血管收缩引起的一种可逆性临床综合征,发病早期常难以识别。作者总结了2例不同诱因引起的RCVS患者的病历资料,并对RCVS的临床表现及影像学演变进行了探讨,以期为临床医师早期识别和诊治提供参考。 展开更多
关键词 血管收缩 头痛 血管痉挛 颅内 可逆性血管收缩综合征
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Sustained Contraction of Isolated Rabbit Thoracic Aortic Rings in Endothelial-dependent Manner Induced by βγ-CAT 被引量:3
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作者 刘树柏 何英英 +1 位作者 钱金桥 张云 《Zoological Research》 CAS CSCD 北大核心 2008年第5期493-502,共10页
In vertebrates, non-lens βγ-crystallins are widely expressed in various tissues and their functions are not well known. The molecular mechanisms of trefoil factors (TFFs), which involved in mucosal healing and tum... In vertebrates, non-lens βγ-crystallins are widely expressed in various tissues and their functions are not well known. The molecular mechanisms of trefoil factors (TFFs), which involved in mucosal healing and tumorigenesis, have remained elusive. βγ-CAT is a novel multifunctional protein complex of non-lens βγ-crystallin and trefoil factor from frog skin secretions. Here we report that βγ-CAT could induce sustained contraction of isolated rabbit aortic rings in dosage (2-35nmol/L) and endothelium dependent manners (P〈0.01 ). In addition, in situ immunofluorescence indicated that positive TNF-α signals were mainly detected at the endothelial cell layer of βγ-CAT (25nmol/L) treated rings. Furthermore, βγ-CAT induced primary cultured rabbit thoracic aortic endothelial cells (RAECs) rapidly to release TNF-α. After βγ-CAT (25nmol/L) treated for 10 and 30min, the levels of the endothelial cells released TNF-ct were 34.17±5.10 pg/mL and 98.01±4.67 pg/mL (P〈0.01), respectively. In conclusion, βγ-CAT could induce sustained contraction of isolated aortic rings, and the contractile effect might be partially explained by the release of TNF-α. These findings will give new insight into understanding the functions and physiological roles of non-lens βγ-crystallins and trefoil factors. 展开更多
关键词 Tumor necrosis factor-a Trefoil factor Non-lens βγ-crystallin Endothelium-dependent aorta vasoconstriction βγ-CAT
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黄芪的内皮依赖性血管舒缩作用及其机制 被引量:39
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作者 张必祺 孙坚 +2 位作者 胡申江 单绮娴 夏强 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2005年第1期44-48,共5页
目的 黄芪有一定的治疗高血压作用 ,本研究观察其对大鼠离体胸主动脉环舒缩的影响 ,并探讨其可能机制。方法 采用大鼠离体主动脉环灌流模型 ,观察累积浓度黄芪 (0 .0 1~ 10 0g·L- 1)对基础状态、KCl预收缩和去氧肾上腺素 (PE)... 目的 黄芪有一定的治疗高血压作用 ,本研究观察其对大鼠离体胸主动脉环舒缩的影响 ,并探讨其可能机制。方法 采用大鼠离体主动脉环灌流模型 ,观察累积浓度黄芪 (0 .0 1~ 10 0g·L- 1)对基础状态、KCl预收缩和去氧肾上腺素 (PE)预收缩的血管环的作用。结果 黄芪 (0 .0 1~ 10 0g·L- 1)对基础状态或KCl预收缩的内皮完整血管环张力无影响。对PE预收缩的内皮完整血管环 ,黄芪在低浓度 (0 .0 1~ 3.0g·L- 1)时呈浓度依赖性舒张作用 ,此作用可被一氧化氮合酶抑制剂左旋硝基精氨酸甲酯(0 .1mmol·L- 1)或鸟苷酸环化酶抑制剂亚甲蓝 (10μmol·L- 1)预处理所抑制 ;而在高浓度 (10~ 10 0g·L- 1)时呈短暂的收缩作用 ,可被内皮素转换酶抑制剂磷阿米酮 (5 μmol·L- 1)预处理所抑制。黄芪对PE预收缩的去除内皮血管环仅呈微弱的浓度依赖性舒张作用。结论 黄芪对主动脉具有内皮依赖性舒缩双相作用。其舒张机制可能为激活血管内皮细胞一氧化氮 鸟苷酸环化酶途径 ;而其收缩机制可能为促进血管内皮合成内皮素。 展开更多
关键词 黄芪 主动脉 血管舒张 血管收缩
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固定时间热暴露对大鼠胸主动脉血管收缩性的影响 被引量:6
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作者 李光华 赵楠 +3 位作者 杨敏 赵志芳 罗彦 Osamu Shido 《第二军医大学学报》 CAS CSCD 北大核心 2013年第3期291-294,共4页
目的探讨固定时间热暴露对大鼠胸主动脉血管收缩特性的影响及机制。方法选用雄性Wistar大鼠,随机分为对照组、随意时间热暴露组和固定时间热暴露组,环境温度24℃,热暴露温度为36℃,每天热暴露6h。经7d热暴露后,采用体温遥感技术监测大... 目的探讨固定时间热暴露对大鼠胸主动脉血管收缩特性的影响及机制。方法选用雄性Wistar大鼠,随机分为对照组、随意时间热暴露组和固定时间热暴露组,环境温度24℃,热暴露温度为36℃,每天热暴露6h。经7d热暴露后,采用体温遥感技术监测大鼠体核温度变化;器官浴槽法测定大鼠胸主动脉对去甲肾上腺素(NA)的反应性;RT-PCR检测动脉血管内皮型一氧化氮合酶(eNOS)mRNA的表达水平及用试剂盒测定血浆中一氧化氮等离子体(NOx)NO2-和NO3-的含量变化。结果热暴露对大鼠的体核温度变化影响不大(P>0.05);与对照组相比,固定时间热暴露组大鼠胸主动脉血管对NA的反应性降低(P<0.01);与对照组和随意时间热暴露组相比,固定时间热暴露组eNOS mRNA相对表达水平及血浆中NOx的含量增加(P<0.05)。结论固定时间热暴露可改变大鼠胸主动脉血管的反应性,内皮细胞源性的NOS通路可能参与并诱导了血管舒张作用。 展开更多
关键词 体温 血管收缩 胸主动脉
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硅胶管包裹大鼠颈动脉对血管收缩功能的影响 被引量:7
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作者 谢莲娜 曾定尹 +3 位作者 张海山 孙丹萌 庞雪峰 关启刚 《中国医科大学学报》 CAS CSCD 北大核心 2010年第9期698-702,共5页
目的观察硅胶管包裹所致的血管外膜损伤对大鼠颈动脉收缩功能的影响。方法用硅胶管经血管外膜包裹大鼠颈动脉,分别于术后3 d、1周、2周测量大鼠双侧颈动脉血流量,观察血管对局部应用5-羟色胺(5-HT)的反应,光镜下观察血管形态学变化。结... 目的观察硅胶管包裹所致的血管外膜损伤对大鼠颈动脉收缩功能的影响。方法用硅胶管经血管外膜包裹大鼠颈动脉,分别于术后3 d、1周、2周测量大鼠双侧颈动脉血流量,观察血管对局部应用5-羟色胺(5-HT)的反应,光镜下观察血管形态学变化。结果与对照侧比较,硅胶管包裹大鼠颈动脉的早期阶段,包管侧颈动脉呈血管慢性收缩的组织学改变,表现为血管腔缩小[包管3 d缩小(12.15±2.29)%(P=0.003);包管1周缩小(45.17±3.84)%(P<0.001)]。内弹力板弯曲、中膜增厚[包管3 d增厚(23.04±5.96)%(P=0.009);包管1周增厚(61.65±10.32)%(P<0.001)],伴颈动脉血流量降低及血管对5-HT的收缩反应增强。硅胶管包裹2周,包管侧颈动脉管壁重塑,表现为中膜增厚[增厚(31.52±4.56)%(P=0.012)]及弥漫性血管内膜增生[新生内膜面积平均(0.19±0.05)mm2],伴血管腔面积缩小[减少(37.17±4.57)%(P<0.001)]及颈动脉血流量降低,血管对5-HT的收缩反应恢复至对照侧水平。结论血管外膜损伤能引起血管收缩功能增强及新生内膜形成,血管收缩功能的改变出现在内膜增生性病变之前。 展开更多
关键词 血管外膜 硅胶管 5-羟色胺 血管收缩 新生内膜
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