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儿茶酚胺对兔脑血管中血小板功能的调节作用。

Regulation of platelet function by catecholamines in the cerebral vasculature of the rabbit.

作者信息

Emerson M, Paul W, Page C P

机构信息

Sackler Institute of Pulmonary Pharmacology, Division of Pharmacology & Therapeutics, Guy's, King's and St. Thomas' School of Biomedical Sciences, King's College London, Manresa Road, London SW3 6LX.

出版信息

Br J Pharmacol. 1999 Aug;127(7):1652-6. doi: 10.1038/sj.bjp.0702671.

Abstract
  1. 111In-labelled platelets were monitored continuously in the cerebral and pulmonary vascular beds of anaesthetized rabbits. Dopamine can, depending upon the concentration, either potentiate or inhibit thrombin-induced platelet accumulation in the cerebral vasculature of rabbits by unknown mechanisms. The effects of specific adrenergic and dopaminergic receptor antagonists were tested upon dopamine's actions on intracarotid (i.c.) thrombin-induced (80 u kg-1) platelet accumulation in the cerebral vasculature. The effect of adrenaline on the response to thrombin in this vascular bed was also investigated. 2. Thrombin-induced platelet accumulation was significantly (P<0.01) potentiated by dopamine (100 microgkg-1 min-1, i.c.) and this effect was significantly inhibited by infusion of the alpha-adrenoceptor antagonist, phentolamine. 3 A higher dose of dopamine (2 mg kg-1 min-1, i.c.) inhibited thrombin-induced platelet accumulation. The beta-adrenoceptor antagonist, propranolol, did not significantly alter this inhibitory effect whereas it was abolished by the dopamine D1 selective antagonist, SCH23390. 4 Adrenaline (when administered i.c. by bolus injection or infusion) had no significant effect on thrombin-induced accumulation at any of the doses tested. 5 Potentiation of in vivo platelet accumulation by dopamine therefore seems to occur via alpha-adrenergic receptors. However, the inhibitory effect of dopamine appears to be exerted via the activation of dopamine D1 receptors and not via beta-adrenergic receptors. Our findings confirm that dopamine, but not adrenaline, can modify platelet function in the cerebral vasculature and these observations may have implications for current and potential therapeutic uses of dopamine and selective dopaminergic compounds.
摘要
  1. 对麻醉兔的脑和肺血管床持续监测¹¹¹铟标记的血小板。多巴胺可根据浓度,通过未知机制增强或抑制兔脑血管系统中凝血酶诱导的血小板聚集。测试了特异性肾上腺素能和多巴胺能受体拮抗剂对多巴胺作用于颈内动脉(i.c.)凝血酶诱导(80 u kg⁻¹)的脑血管系统血小板聚集的影响。还研究了肾上腺素对该血管床中凝血酶反应的影响。2. 多巴胺(100 μgkg⁻¹ min⁻¹,i.c.)显著(P<0.01)增强了凝血酶诱导的血小板聚集,而α-肾上腺素能受体拮抗剂酚妥拉明的输注显著抑制了这种作用。3. 更高剂量的多巴胺(2 mg kg⁻¹ min⁻¹,i.c.)抑制了凝血酶诱导的血小板聚集。β-肾上腺素能受体拮抗剂普萘洛尔并未显著改变这种抑制作用,而多巴胺D1选择性拮抗剂SCH23390则消除了这种作用。4. 肾上腺素(通过推注或输注i.c.给药)在任何测试剂量下对凝血酶诱导的聚集均无显著影响。5. 因此,多巴胺对体内血小板聚集的增强作用似乎是通过α-肾上腺素能受体发生的。然而,多巴胺的抑制作用似乎是通过多巴胺D1受体的激活而不是通过β-肾上腺素能受体发挥的。我们的研究结果证实,多巴胺而非肾上腺素可改变脑血管系统中的血小板功能,这些观察结果可能对多巴胺和选择性多巴胺能化合物的当前及潜在治疗用途具有启示意义。

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