Willems E W, Trion M, De Vries P, Heiligers J P, Villalón C M, Saxena P R
Department of Pharmacology, Dutch Migraine Research Group and Cardiovascular Research Institute COEUR, Erasmus University Medical Centre Rotterdam, The Netherlands.
Br J Pharmacol. 1999 Jul;127(5):1263-71. doi: 10.1038/sj.bjp.0702655.
Vasoconstriction of carotid arteriovenous anastomoses may be involved in the therapeutic action of acutely acting anti-migraine agents, including the triptans and ergot alkaloids. While 5-HT1B/1D receptors mediate the effect of triptans, ergotamine and dihydroergotamine also interact with alpha-adrenoceptors. In the present study, we investigated the potential role of alpha1- and alpha2-adrenoceptors in mediating vasoconstriction of carotid arteriovenous anastomoses in anaesthetized pigs. Ten minute intracarotid infusions of phenylephrine (1, 3 and 10 microg kg(-1) min(-1)) or BHT 933 (3, 10 and 30 microg kg(-1) min(-1)) produced dose-dependent decreases in total carotid and arteriovenous anastomotic conductances; no changes were observed in the capillary fraction. The carotid vascular effects of phenylephrine and BHT 933 were selectively abolished by prazosin (100 microg kg(-1), i.v.) and rauwolscine (300 microg kg(-1), i.v.), respectively. The responses to phenylephrine and BHT 933 were not affected by the selective 5-HT1B/1D receptor antagonist GR127935 (500 microg kg(-1), i.v.). These results show that both alpha1- and alpha2-adrenoceptors can mediate vasoconstriction of carotid arteriovenous anastomoses in anaesthetized pigs. Since vasoconstrictor activity in this in vivo model is predictive of anti-migraine activity, an agonist activity at particularly the alpha2-adrenoceptor subtypes, in view of their less ubiquitous nature, could provide migraine abortive potential. Thus, the present results may aid further understanding of the mode of action of some current anti-migraine agents and may eventually be helpful in the development of future treatment in migraine.
颈动脉动静脉吻合处的血管收缩可能与急性抗偏头痛药物(包括曲坦类药物和麦角生物碱)的治疗作用有关。虽然5-HT1B/1D受体介导曲坦类药物的作用,但麦角胺和二氢麦角胺也与α-肾上腺素能受体相互作用。在本研究中,我们调查了α1-和α2-肾上腺素能受体在介导麻醉猪颈动脉动静脉吻合处血管收缩中的潜在作用。向颈动脉内输注10分钟的去氧肾上腺素(1、3和10微克/千克(-1)分钟(-1))或BHT 933(3、10和30微克/千克(-1)分钟(-1))可使总颈动脉和动静脉吻合处的传导率呈剂量依赖性降低;毛细血管部分未观察到变化。去氧肾上腺素和BHT 933对颈动脉的血管作用分别被哌唑嗪(100微克/千克(-1),静脉注射)和育亨宾(300微克/千克(-1),静脉注射)选择性消除。对去氧肾上腺素和BHT 933的反应不受选择性5-HT1B/1D受体拮抗剂GR127935(500微克/千克(-1),静脉注射)的影响。这些结果表明,α1-和α2-肾上腺素能受体均可介导麻醉猪颈动脉动静脉吻合处的血管收缩。由于该体内模型中的血管收缩活性可预测抗偏头痛活性,鉴于α2-肾上腺素能受体亚型分布不那么广泛,其激动剂活性可能具有偏头痛中止潜力。因此,本研究结果可能有助于进一步了解一些现有抗偏头痛药物的作用模式,并最终有助于未来偏头痛治疗方法的开发。