Estato V, Antunes E, Machado B, De Nucci G, Tibiriçá E
Departamento de Fisiologia e Farmacodinâmica, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, RJ, Brazil.
Toxicon. 2000 Jun;38(6):841-53. doi: 10.1016/s0041-0101(99)00198-1.
The haemodynamic alterations induced by the central and peripheral administration of the armed spider (Phoneutria nigriventer) venom (PNV) were investigated in anaesthetised rabbits. The intracerebroventricular injection of increasing doses of PNV (30 and 100 microg/kg) elicited a biphasic cardiovascular response characterised by a brief hypotension (1-3 min) followed by a marked and sustained (more than 30 min) increase in mean arterial pressure (61 +/- 5 and 61 +/- 10%, respectively) and in systemic vascular resistance (135 +/- 21 and 161 +/- 37%) accompanied by mild increases in cardiac contractility. Systemic alterations such as salivation and muscular fasciculation were also observed. At the opposite, the dose of 100 microg/kg of PNV injected intravenously produced only a hypotensive effect (29 +/- 4% decrease in mean arterial pressure) and a decrease in vascular resistance (38 +/- 5%). Nevertheless, a much higher dose of PNV (1 mg/kg) injected intravenously produced a hypertensive response analogous to the one observed upon central administration. The central hypertensive response induced by PNV was not affected by preteating the animals with selective antagonists of receptors of different neurotransmitters or endogenous mediators such as: acethylcoline muscarinic, bradykinin B2, angiotensin II AT1 receptors and also antagonists of the excitatory amino acid receptors of the central nervous system. Nevertheless, the intravenous pretreatment with the selective alpha1-adrenergic receptor antagonist prazosin significantly blunted the excitatory cardiovascular response evoked by the central injection of PNV. It is concluded that PNV can induce central as well as peripheral haemodynamic effects. The central component seems to be mediated by the activation of cardiovascular centres which in turn lead to an increase in the sympathetic outflow to the periphery, whereas the peripheral component can be accounted for either by direct activation of the vascular alpha1-adrenergic receptors or by catecholamine release from the sympathetic nerve endings.
在麻醉兔中研究了经中枢和外周给予武装蜘蛛(黑腹捕鸟蛛)毒液(PNV)所诱导的血流动力学改变。脑室内注射递增剂量的PNV(30和100微克/千克)引发双相心血管反应,其特征为短暂低血压(1 - 3分钟),随后平均动脉压显著且持续升高(分别为61±5%和61±10%)以及全身血管阻力升高(135±21%和161±37%),同时伴有心脏收缩力轻度增加。还观察到流涎和肌肉震颤等全身改变。相反,静脉注射100微克/千克的PNV仅产生降压作用(平均动脉压降低29±4%)和血管阻力降低(38±5%)。然而,静脉注射更高剂量的PNV(1毫克/千克)产生类似于中枢给药时观察到的升压反应。PNV诱导的中枢升压反应不受用不同神经递质或内源性介质受体的选择性拮抗剂预处理动物的影响,这些拮抗剂如:乙酰胆碱毒蕈碱受体、缓激肽B2受体、血管紧张素II AT1受体以及中枢神经系统兴奋性氨基酸受体的拮抗剂。然而,用选择性α1 - 肾上腺素能受体拮抗剂哌唑嗪进行静脉预处理可显著减弱由中枢注射PNV所诱发的兴奋性心血管反应。结论是PNV可诱导中枢和外周血流动力学效应。中枢成分似乎是由心血管中枢的激活介导的,这反过来导致外周交感神经输出增加,而外周成分可归因于血管α1 - 肾上腺素能受体的直接激活或交感神经末梢儿茶酚胺的释放。