HYPEROSMOLAR SOLUTIONS have been used for several purposes; to decrease brain bulk and intracranial pressure, 1 "* to increase drug delivery into the brain for the treatment of malignant brain tumors , 7 or to treat cerebral ischemia.8 "" Intravascular infusion of hyperosmolar solutions has been shown to increase cerebral blood flow (CBF), 12~15 presumably due to a direct vasodilatory effect.14 However, Muizelaar et al 16 have recently demonstrated that intravenous mannitol resulted in constriction of cerebral arteries. Thus, the responses of cerebral arteries to hyperosmolar solutions in vivo are controversial, and little is known about the direct effect of hyperosmolar solutions on isolated cerebral arteries in vitro.Kent et al 17 have recently reported, using rat aortic strips, that hyperosmolar solutions may alter vasoconstriction associated with intracellular calcium mobilization rather than that associated with extracellular calcium influx. However, such a hypothesis may not be applicable to cerebral arteries, since the constrictor responses of cerebral arteries to vasoconstricting agents are mainly dependent on the influx of extracellular calcium.18 "
22The present study was conducted in order to examine the direct effect of hyperosmolar solutions on the constrictor responses of isolated cerebral arteries to several vasoactive agents and to elucidate the mechanisms by which hyperosmolarity might affect the vascular tone.
Materials and MethodsAdult mongrel dogs of either sex, weighing 10 to 16 kg, were anesthetized with sodium pentobarbital (30 mg/kg) and sacrificed by exsanguination from the femoral artery.Under magnification, the basilar arteries were dissected from the brain and immediately placed in modified Kreb's bicarbonate solution [(mM): NaCl 120; KC1 4.5; MgSO 4 1.0; NaHCO 3 27.0; KH 2 PO 4 1.0; CaCl 2 2.5; and dextrose 10.0] at 37°C, which was gassed with 95% 0 2 and 5% CO 2 . The pH of the solution ranged from 7.40 to 7.50. The arteries were cut into 4 mm long ring segments and suspended between L-shaped stainless steel holders in organ baths with 10-ml working volumes. Resting tension was adjusted to 2.0 g. The preparations were allowed to equilibrate for 60 minutes before use. Contractile force was recorded isometrically using a Grass FT.03 force-displacement transducer. The transducer signal was then amplified and displayed on a Gould 260 multichannel recorder. In order to check the contractile activity of each specimen, the contractile response to 40 mM KC1 was first obtained on each ring segment. Only specimens which showed a good response to 40 mM K G were used.In the first experiment, the effect of hyperosmolar solutions on the constrictor responses to 40 mM [K + ] o , 10~7M serotonin or 10" 6 M PGF^ was examined. The concentration of each agonist producing approximately 70% of the maximum contraction was used in the present study. The contractile activity of each agonist in the normal Kreb's solution was measured several times until the response became stable. After the response became...