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多巴胺 D(1) 受体激动剂非诺多泮的体内静脉扩张作用。

In vivo venodilator action of fenoldopam, a dopamine D(1)-receptor agonist.

作者信息

Ng S S, Pang C C

机构信息

Department of Pharmacology, Faculty of Medicine, The University of British Columbia, 2176 Health Sciences Mall, Vancouver, V6T 1Z3 B.C., Canada.

出版信息

Br J Pharmacol. 2000 Mar;129(5):853-8. doi: 10.1038/sj.bjp.0703119.

Abstract

The effects of the dopamine D(1)-receptor agonist fenoldopam were compared with those of the D(2)-receptor agonist R(-)-propylnorapomorphine and vehicle on mean arterial pressure (MAP), mean circulatory filling pressure (MCFP, the driving force of venous return), arterial resistance (R(a)), venous resistance (R(v)), heart rate (HR) and cardiac output (CO) in groups of thiobutabarbitone-anaesthetized rats pre-treated with i.v. injection of mecamylamine (3.7 micromol kg(-1)) and continuously infused with noradrenaline (6.8 nmol kg(-1) min(-1)). The vehicle did not alter any haemodynamic variables. All doses of fenoldopam (0.5, 2 and 16 microgram kg(-1) min(-1)) reduced MAP, R(a) and R(v), and increased CO. At the highest dose, fenoldopam also increased HR and reduced MCFP. All doses of R(-)-propylnorapomorphine (0.5, 2 and 16 microgram kg(-1) min(-1)) increased MAP but did not significantly alter CO, R(v) and MCFP. Both R(a) and HR were increased by the highest dose of R(-)-propylnorapomorphine. Our results indicate that fenoldopam reduces MAP and MCFP, and markedly increases CO through reductions of arterial and venous resistances. The effects of fenoldopam in dilating arterial resistance and capacitance vessels were similar. In contrast, R(-)-propylnorapomorphine elevates MAP through an increase in arterial resistance but has minimal effects on CO, MCFP and venous resistance. Both drugs have a small direct, positive chronotropic action at the highest dose.

摘要

在静脉注射美加明(3.7微摩尔/千克)预处理并持续输注去甲肾上腺素(6.8纳摩尔/千克·分钟)的硫喷妥钠麻醉大鼠组中,比较多巴胺D(1)受体激动剂非诺多泮与D(2)受体激动剂R(-)-丙基去甲吗啡及溶媒对平均动脉压(MAP)、平均循环充盈压(MCFP,静脉回流驱动力)、动脉阻力(R(a))、静脉阻力(R(v))、心率(HR)和心输出量(CO)的影响。溶媒未改变任何血流动力学变量。所有剂量的非诺多泮(0.5、2和16微克/千克·分钟)均降低MAP、R(a)和R(v),并增加CO。在最高剂量时,非诺多泮还增加HR并降低MCFP。所有剂量的R(-)-丙基去甲吗啡(0.5、2和16微克/千克·分钟)均增加MAP,但未显著改变CO、R(v)和MCFP。最高剂量的R(-)-丙基去甲吗啡使R(a)和HR均增加。我们的结果表明,非诺多泮通过降低动脉和静脉阻力来降低MAP和MCFP,并显著增加CO。非诺多泮在扩张动脉阻力血管和容量血管方面的作用相似。相比之下,R(-)-丙基去甲吗啡通过增加动脉阻力来升高MAP,但对CO、MCFP和静脉阻力影响极小。两种药物在最高剂量时都有较小的直接正性变时作用。

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