目的:以ATP敏感性钾通道(K_(ATP))SUR2B/Kir6.1亚型开放剂埃他卡林(Ipt)为工具药,研究激活SUR2B/Kir6.1通道扩张肺微动脉作用特征,并探讨其可能的分子机制。方法:利用离体微血管压力-直径监测灌流技术,检测Ipt对大鼠四级肺微动脉的舒张效应(n=6~8),观察内皮损伤后或用K_(ATP)通道拮抗剂格列苯脲(Gli)、环氧合酶(COX)抑制剂吲哚美辛(Indo)、一氧化氮合酶(NOS)抑制剂L-Nω-硝基精氨酸甲酯(L-NAME)预孵后肺微动脉舒张率的变化。结果:Ipt能够扩张肺微动脉,最大舒张率为(60.53±2.08)%。内皮细胞损伤后,Ipt扩张肺微动脉作用明显减弱,最大舒张率为(9.47±1.56)%,与对照组相比存在显著性差异(P〈0.01)。预孵Gli、Indo、L-NAME后,最大舒张率分别下降为(17.49±1.47)%、(37.00±3.88)%、(24.91±2.30)%,与对照组相比均存在显著性差异(P〈0.01)。结论:其选择性开放K_(ATP)通道SUR2B/Kir6.1扩张肺微动脉作用具有内皮细胞依赖性,与其促进内皮细胞释放一氧化氮(NO)和前列环素(PGI_2)相关。
Objective: To study the dilatation characteristics of ATP-sensitive potassium channel(K_(ATP)) SUR2B/Kir6. 1 subtype opener iptakalim( Ipt) in pulmonary arterioles,and to explore its possible mechanism. Methods: Vessels pressure- diameter monitoring perfusion technique was used to observe the dilatation effects of Ipt in rats fourth pulmonary arterioles( n = 6 ~ 8). After the pulmonary arterioles were pre-treated with removing endothelium or pre-incubated with K_(ATP)channel blocker glibenclamide( Gli),cyclo-oxygenase(COX) inhibitor indomethacin(Indo) and nitric oxide synthase(NOS) inhibitor L-Nω-Nitro-arginine methyl ester(L-NAME),the dilatation effects of Ipt were observed. Results: Pulmonary arterioles could be relaxed by Ipt,the maximal relaxation rate was(60. 53 ± 2.08) %. Compaired with control group,the effects of Ipt in endothelium denuded arterioles were significantly decreased,the maximal relaxation rate was(9. 47 ± 1. 56) %( P 0. 01). The maximal relaxation rate were decreased to(17. 49 ± 1. 47) %,(37. 00 ± 3. 88) %and(24. 91 ± 2. 30) % respectively after Gli,Indo,L-NAME were pre-incubated( P 0. 01). Conclusion: Pulmonary arterioles can be relaxed by Ipt. The selective activation of K_(ATP)SUR2 B / Kir6. 1 subtype by Ipt was involved in its mechanisms. The endothelium-dependently dilatation of Ipt was related to nitric oxide( NO) and prostacyclin( PGI_2) released by endothelial cells.