神经肽-Y在蛛网膜下腔出血引起脑血管痉挛中的作用

被引:8
作者
季鹰
吴建中
赵雅度
机构
[1] 北京市神经外科研究所,北京市神经外科研究所,北京市神经外科研究所
关键词
神经蛋白质类; 脑血管痉挛; 蛛网膜下腔出血; 5-羟色胺; 去甲肾上腺素;
D O I
暂无
中图分类号
学科分类号
摘要
本实验采用大鼠经额向基底池Willis环处插管注入NPY,NE和5-HT,以γCBF变化为指标,观察它们对脑血管的在体效应。实验发现NPY对脑血管具有很强的收缩作用,以克分子浓度计算NPY引起脑血管收缩比5-HT强10倍,比NE强500倍,并可增加NE,5-HT的缩血管效应。人及大鼠CSF中NPY测定发现:SAH伴有CVS的病人,CSF中NPY达291.1±58pg/ml,与对照组(164±28.00pg/ml)相比,P<0.01;大鼠SAH后CSF中NPY含量从2.1±2.1增至6.0±3.2ng/ml(P<0.01),同时大鼠皮层内NPY含量从9.5±0.8下降至4.8±0.8ng/ml(P<0.01),提示脑神经元分泌的NPY参与了CVS过程,并在维持CVS持续状态方面起重要作用。实验还提示SAH病人CSF中NPY含量变化可以作为观察CVS是否出现的指标。
引用
收藏
页码:412 / 416
页数:5
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