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可乐定通过巨细胞网状结构中的α2肾上腺素能受体引起血管减压反应。

Clonidine evokes vasodepressor responses via alpha2-adrenergic receptors in gigantocellular reticular formation.

作者信息

Aicher S A, Drake C T

机构信息

Department of Neurology and Neuroscience, Division of Neurobiology, Cornell University Medical College, New York, New York, USA.

出版信息

J Pharmacol Exp Ther. 1999 May;289(2):688-94.

Abstract

The gigantocellular depressor area (GiDA) is a functionally defined subdivision of the medullary gigantocellular reticular formation where vasodepressor responses are evoked by glutamate nanoinjections. The GiDA also contains reticulospinal neurons that contain the alpha2A-adrenergic receptor (alpha2A-AR). In the present study, we sought to determine whether nanoinjections of the alpha2-AR agonist clonidine into the GiDA evoke cardiovascular responses and whether these responses can be attributed to the alpha2-AR. We found that nanoinjections of clonidine into the GiDA evoke dose-dependent decreases in arterial pressure and heart rate. These responses were equivalent in magnitude to responses produced by clonidine nanoinjections into the sympathoexcitatory region of the rostral ventrolateral medulla. Furthermore, the vasodepressor and bradycardic responses produced by clonidine injections into the GiDA were blocked in a dose-dependent fashion by the highly selective alpha2-AR antagonist 2-methoxyidazoxan, but not by prazosin, which is an antagonist at both the alpha1-AR and the 2B subtype of the alpha-AR. The antagonism by 2-methoxyidazoxan was site specific because injections of the antagonist into the rostral ventrolateral medulla failed to block the responses evoked by clonidine injections into the GiDA. These findings support the notion that clonidine produces sympathoinhibition through multiple sites within the medullary reticular formation, which is consistent with the wide distribution of the alpha2A-AR in reticulospinal neurons. These data also suggest that clonidine may have multiple mechanisms of action because it evokes a cardiovascular depressive response from regions containing neurons that have been determined to be both sympathoinhibitory and sympathoexcitatory.

摘要

巨细胞降压区(GiDA)是延髓巨细胞网状结构在功能上的一个细分区域,在此区域通过谷氨酸盐微量注射可诱发降压反应。GiDA还包含含有α2A - 肾上腺素能受体(α2A - AR)的网状脊髓神经元。在本研究中,我们试图确定向GiDA微量注射α2 - AR激动剂可乐定是否会引发心血管反应,以及这些反应是否可归因于α2 - AR。我们发现向GiDA微量注射可乐定可引起动脉血压和心率呈剂量依赖性下降。这些反应在幅度上等同于向延髓头端腹外侧的交感兴奋区域微量注射可乐定时产生的反应。此外,向GiDA注射可乐定所产生的降压和心动过缓反应被高度选择性的α2 - AR拮抗剂2 - 甲氧基咪唑克生以剂量依赖性方式阻断,但不被哌唑嗪阻断,哌唑嗪是α1 - AR和α - AR的2B亚型的拮抗剂。2 - 甲氧基咪唑克生的拮抗作用具有位点特异性,因为将拮抗剂注射到延髓头端腹外侧未能阻断向GiDA注射可乐定所诱发的反应。这些发现支持了可乐定通过延髓网状结构内的多个位点产生交感抑制的观点,这与α2A - AR在网状脊髓神经元中的广泛分布是一致的。这些数据还表明可乐定可能具有多种作用机制,因为它从已被确定为既具有交感抑制性又具有交感兴奋性的神经元区域诱发心血管抑制反应。

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