Levy J V
Am J Med. 1976 Nov;61(5):779-89. doi: 10.1016/0002-9343(76)90159-5.
Eleven beta-adrenergic receptor blocking agents and derivatives were evaluated for their ability to affect systolic arterial blood pressure and pulse rate in unanesthetized, male spontaneously hypertensive rats (SHRs) and normotensive Wistar Kyoto (WKY) controls. Animals ranged from 7 to 76 weeks of age. The subcutaneous injection of 5 and 45 mg/kg metoprolol in 52 to 64 week old SHRs and 45 mg/kg twice a day to 26 to 29 week old SHRs produced a significant decrease in blooc pressure. The subcutaneous injection of pindolol (0.1 and 1.0 mg/kg) produced a greater and more consistent depressor effect in mature SHRs. The subcutaneous administration of sotalol (100 mg/kg) and alprenolol (20 mg/kg) resulted in a depressor action which was significant 120 minutes after injection of the drug. In the doses used, propranolol, oxprenolol, 4-hydroxypropranolol and K9-1366 produced pressor effect in SHRs. Propranolol did not cause this pressor effect in prehypertensive (seven week old) SHRs. Practolol, dextro-propranolol and KO-1313 had no effect on blood pressure in the doses used. Propranolol, pindolol, metoprolol, dextro-propranolol, 4-hydroxypropranolol, practolol, oxprenolol, KO-1366 and KO-1313 produced no significant effects on blood pressure in normotensive WKY controls in the doses tested. Placing oral doses of 160 mg/kg/day of metoprolol in the drinking water for seven days significantly lowered blood pressure in 14 week old SHRs previously exposed to ineffective doses of 77 mg/kg/day for 24 days. The administration of oral doses of oxprenolol (40 mg/kg/day) in drinking water for three weeks had a slight but insignificant pressor effect. Smaller doses of metoprolol (15 and 39 mg/kg/day for three to four weeks) and practolol (70 to 85 mg/kg/day for two weeks) had no effect on 52 week old SHRs. Oral doses of pindolol, metoprolol, practolol and oxprenolol had no significant effect on blood pressure in WKY controls. There was no clear relationship between the effects of the drugs on blood pressure and their ability to affect the pulse rate. Similarly, there did not appear to be any consistent relationship between the potency of the beta-blocking drug and the blood pressure lowering action. In addition, neither cardioselective beta-blockade nor sympathomimetic properties allowed the prediction of blood pressure responses to the administration of those agents possessing these features. Although SHRs provide a valuable model of human essential hypertension, the variable effects reported here and elsewhere in the literature require caution as to the applicability and usefulness of testing and evaluating beta-adrenergic blocking drugs for theri potential anti-hypertensive effects in this particular form of experimental hypertension.
对11种β - 肾上腺素能受体阻滞剂及其衍生物进行了评估,以研究它们对未麻醉的雄性自发性高血压大鼠(SHR)和正常血压的Wistar Kyoto(WKY)对照大鼠的收缩期动脉血压和脉搏率的影响。动物年龄范围为7至76周。在52至64周龄的SHR中皮下注射5和45mg/kg美托洛尔,以及在26至29周龄的SHR中每天两次皮下注射45mg/kg美托洛尔,均可使血压显著降低。在成熟的SHR中,皮下注射吲哚洛尔(0.1和1.0mg/kg)产生的降压作用更强且更稳定。皮下注射索他洛尔(100mg/kg)和阿普洛尔(20mg/kg)在注射药物120分钟后产生显著的降压作用。在所使用的剂量下,普萘洛尔、氧烯洛尔、4 - 羟基普萘洛尔和K9 - 1366在SHR中产生升压作用。普萘洛尔在高血压前期(7周龄)的SHR中未引起这种升压作用。醋丁洛尔、右旋普萘洛尔和KO - 1313在所使用的剂量下对血压无影响。在测试剂量下,普萘洛尔、吲哚洛尔、美托洛尔、右旋普萘洛尔、4 - 羟基普萘洛尔、醋丁洛尔、氧烯洛尔、KO - 1366和KO - 1313对正常血压的WKY对照大鼠的血压无显著影响。将口服剂量为160mg/kg/天的美托洛尔加入饮用水中7天,可使先前接受无效剂量77mg/kg/天达24天的14周龄SHR的血压显著降低。在饮用水中口服给予氧烯洛尔(40mg/kg/天)3周有轻微但不显著的升压作用。较小剂量的美托洛尔(15和39mg/kg/天持续3至4周)和醋丁洛尔(70至85mg/kg/天持续2周)对52周龄的SHR无影响。口服剂量的吲哚洛尔、美托洛尔、醋丁洛尔和氧烯洛尔对WKY对照大鼠的血压无显著影响。药物对血压的影响与其影响脉搏率的能力之间没有明确的关系。同样,β受体阻滞剂的效力与降压作用之间似乎也没有任何一致关系。此外,心脏选择性β受体阻滞作用或拟交感神经特性均无法预测具有这些特征的药物给药后的血压反应。虽然SHR为人类原发性高血压提供了一个有价值的模型,但此处及文献其他地方报道的可变效应表明,在这种特定形式的实验性高血压中,测试和评估β - 肾上腺素能阻断药物的潜在抗高血压作用时,对于其适用性和有效性需谨慎对待。