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中枢和外周κ1及κ2阿片受体在心律失常发生中的作用。

Participation of central and peripheral kappa 1 and kappa 2 opioid receptors in arrhythmogenesis.

作者信息

Lishmanov Y B, Maslov L N, Ugdyzhekova D S

机构信息

Department of Experimental Cardiology, Institute of Cardiology, Tomsk, Russia.

出版信息

Clin Exp Pharmacol Physiol. 1999 Sep;26(9):716-23. doi: 10.1046/j.1440-1681.1999.03115.x.

Abstract
  1. The kappa 1 and kappa 2 opioid receptor agonists U-62066 (8 mg/kg, i.p.) and (-)-bremazocine (0.7 mg/kg, i.v.), respectively, both exhibit anti-arrhythmic properties against adrenaline-induced dysrhythmias in rats. 2. In contrast, (+)-bremazocine has no effect on adrenaline-induced dysrhythmias. 3. The kappa 1 opioid receptor agonists U-50488 (110 nmol) and [D-Ala2]-dynorphin A (20 nmol) and the kappa 2 opioid receptor agonist (-)-bremazocine (30 nmol) exhibit pro-arrhythmic properties following intracerebroventricular administration. 4. Prior administration of the kappa opioid receptor antagonist nor-binaltorphimine doses i.c.v. (14 nmol), i.p. (10 mg/kg), completely abolishes the pro-arrhythmic (BNI, i.c.v., 14 nmol) as well as anti-arrhythmic (BNI, 10 mg/kg, i.p.) effects of the kappa opioid receptor agonists. 5. Neither hexamethonium (10 mg/kg, i.v.) nor atropine (1 mg/kg, i.v.) have any effect on the anti-arrhythmic actions of the kappa 1 opioid receptor agonist U-62066 following systemic administration. 6. It is suggested that the anti-arrhythmic effects of U-62066 and (-)-bremazocine are associated with the activation of peripheral kappa opioid receptors and do not depend on the activation of kappa opioid receptors in the autonomic nervous system.
摘要
  1. κ1和κ2阿片受体激动剂U - 62066(8毫克/千克,腹腔注射)和(-)-布瑞马佐辛(0.7毫克/千克,静脉注射)分别对大鼠肾上腺素诱发的心律失常均具有抗心律失常特性。2. 相比之下,(+)-布瑞马佐辛对肾上腺素诱发的心律失常没有影响。3. κ1阿片受体激动剂U - 50488(110纳摩尔)、[D - Ala2]-强啡肽A(20纳摩尔)和κ2阿片受体激动剂(-)-布瑞马佐辛(30纳摩尔)在脑室内给药后表现出促心律失常特性。4. 预先脑室内注射(14纳摩尔)、腹腔注射(10毫克/千克)κ阿片受体拮抗剂诺宾那托啡,可完全消除κ阿片受体激动剂的促心律失常(脑室内注射BNI,14纳摩尔)以及抗心律失常(腹腔注射BNI,10毫克/千克)作用。5. 六甲铵(10毫克/千克,静脉注射)和阿托品(1毫克/千克,静脉注射)对全身给药后κ1阿片受体激动剂U - 62066的抗心律失常作用均无影响。6. 提示U - 62066和(-)-布瑞马佐辛的抗心律失常作用与外周κ阿片受体的激活有关,而不依赖于自主神经系统中κ阿片受体的激活。

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