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Effect of vasodilators on hepatic microcirculation in cirrhosis: A study in the isolated perfused rat liver

✍ Scribed by Philippe Marteau; François Ballet; Olivier Chazouillères; Yves Chrétien; Colette Rey; Danielle Petit; Raoul Poupon


Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
489 KB
Volume
9
Category
Article
ISSN
0270-9139

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✦ Synopsis


We studied the effects of a series of vasodilators on intrahepatic vascular resistance of isolated perfused cirrhotic rat livers in basal conditions and during norepinephrine-induced vasoconstriction. Cirrhosis was induced by repeated intraperitoneal injections of carbon tetrachloride. The vasodilators were a nonselective Badrenergic antagonist (propranolol), an a,-adrenergic antagonist (prazosin) , a nonselective 8-adrenergic agonist (isoproterenol), an az-agonist (clonidine), nitrovasodilators (nitroglycerin and nitroprusside), calcium channel blockers (verapamil, diltiazem, nifedipine), papaverine, diazoxide and pentoxifylline. In basal conditions, isoproterenol, nitroglycerin, papaverine, pentoxifylline and nitroprusside demonstrated significant vasodilatory activity. However, the response was weak and isoproterenol was the only drug active in the therapeutic range of concentrations. Propranolol, prazosin, verapamil, diltiazem, nifedipine and diazoxide were ineffective. Prazosin, papaverine and pentoxifylline reduced norepinephrine-induced vasoconstriction, whereas isoproterenol, clonidine and propranolol were ineffective. We conclude that several vasodilators can reduce resistance in the cirrhotic rat liver, but their potency is low and few are effective at therapeutic concentrations. Furthermore, their activity may be blunted when resistance is increased by norepinephrine.


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