Hohage H, Mehrens T, Matzkies F, Steinmetz M, Greven J
Medizinische Poliklinik der Westfälischen Wilhelms Universität Münster, Albert Schweitzer Strasse 33, Münster, D-48129, Germany.
Pharmacol Res. 1999 May;39(5):357-61. doi: 10.1006/phrs.1998.0449.
Recently we demonstrated that clonidine and moxonidine exert specific action on fractional fluid and Na+ excretion in anaesthetised Sprague-Dawley rats. Classically, most of the diuretics used induce an increased K+ excretion, at least in part due to Na+ load in the distal tubule and exchange of Na+ by K+. Therefore, we studied the effects of moxonidine and clonidine on K+ excretion in anaesthetised Sprague-Dawley rats. Moxonidine (0.25 and 0.5 mg kg-1 body wt. i.v.) increased transiently K+ (1.0 +/- 0.3 -1.9 +/- 0.4 and 0.9 +/- 0.2 -2.9 +0.7 micromol min-1 100 g body wt.) and Na+ (1.4 +/- 1.0 -6. 9 +/- 3.1 and 0.8 +/- 0.36 -6.6 +/- 1.5 micromol min-1100 g body wt.) excretion. Clonidine (0.25 mg kg-1) caused a more pronounced increase in K+ (1.0 +/- 0.1 -2.7 +/- 0.4 micromol min-1 100 g body wt.) and Na+ (0.6 +/- 0.3 -9.5 +/- 0.4 micromol min-1 100 g body wt.) excretion, whereas the higher dose of 0.5 mg kg-1 body wt. had less effect as compared to moxonidine (K+: 0.8 +/- 0.1 -1.7 +/- 0.2 micromol min-1 100 g body wt., Na+: 0.3 +/- 0.1 -3.4 +/- 1.0 micromol min-1 100 g body wt.). The increased electrolyte excretion returned (similar to moxonidine) to baseline levels within 20 min after injection of the drugs. Antagonists such as idazoxan and yohimbine did not change K+ and Na+ excretion by their own. Both, the non-selective imidazoline/alpha2-adrenoceptor antagonist idazoxan and the pure alpha2-adrenoceptor antagonist yohimbine attenuated the moxonidin-induced effects on K+ and Na+ excretion. This could be also observed with clonidine and simultaneous injection of these two antagonists. Our results demonstrate that moxonidine and clonidine also increase renal K+ excretion in this animal model. K+and Na+ excretion show a parallel behaviour, indicating that the increased K+ excretion is mainly due to Na+ load in the tubular system.
最近我们证明,可乐定和莫索尼定对麻醉的Sprague-Dawley大鼠的液体和钠排泄分数具有特定作用。传统上,大多数使用的利尿剂会导致钾排泄增加,至少部分原因是远端小管中的钠负荷以及钠与钾的交换。因此,我们研究了莫索尼定和可乐定对麻醉的Sprague-Dawley大鼠钾排泄的影响。莫索尼定(静脉注射0.25和0.5 mg kg-1体重)使钾(1.0±0.3 - 1.9±0.4和0.9±0.2 - 2.9 +0.7微摩尔每分钟100克体重)和钠(1.4±1.0 - 6.9±3.1和0.8±0.36 - 6.6±1.5微摩尔每分钟100克体重)排泄短暂增加。可乐定(0.25 mg kg-1)使钾(1.0±0.1 - 2.7±0.4微摩尔每分钟100克体重)和钠(0.6±0.3 - 9.5±0.4微摩尔每分钟100克体重)排泄有更明显的增加,而较高剂量的0.5 mg kg-1体重与莫索尼定相比作用较小(钾:0.8±0.1 - 1.7±0.2微摩尔每分钟100克体重,钠:0.3±0.1 - 3.4±1.0微摩尔每分钟100克体重)。注射药物后20分钟内,电解质排泄增加(与莫索尼定类似)恢复到基线水平。像咪唑克生和育亨宾这样的拮抗剂自身不会改变钾和钠的排泄。非选择性咪唑啉/α2-肾上腺素能受体拮抗剂咪唑克生和纯α2-肾上腺素能受体拮抗剂育亨宾都减弱了莫索尼定对钾和钠排泄的诱导作用。可乐定与同时注射这两种拮抗剂时也能观察到这种情况。我们的结果表明,在这个动物模型中莫索尼定和可乐定也会增加肾脏钾排泄。钾和钠排泄表现出平行行为,表明钾排泄增加主要是由于肾小管系统中的钠负荷。