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一氧化氮对去甲肾上腺素和肾上腺素释放的选择性外周调节

Selective peripheral regulation of noradrenaline and adrenaline release by nitric oxide.

作者信息

Elayan Hamzeh H, Kennedy Brian P, Ziegler Michael G

机构信息

UCSD Medical Center, San Diego, California 92103-8341, USA.

出版信息

Clin Exp Pharmacol Physiol. 2002 Jul;29(7):589-94. doi: 10.1046/j.1440-1681.2002.03693.x.

Abstract
  1. Nitric oxide (NO) has complex effects on the sympathoadrenal and cardiovascular systems and may act at both central and peripheral loci. Nitric oxide appears to act directly on blood vessels and indirectly by modulating the sympathoadrenal system. In the present study, we investigated the contribution of catecholamine release from peripheral vascular and adrenal sympathetic nerves to the cardiovascular effects of the NO synthesis inhibitor N(G)-nitro-L-arginine methyl ester (L-NAME; 10 mg/kg). Our experiments were performed in pithed vagotomized rats to remove the influence of central and baroreflex pathways. 2. Spinal cord stimulations for 30 s periods at 1, 2, 5 and 10 Hz using pulses of 1 msec at 10 V caused marked increases in plasma adrenaline and noradrenaline. N(G)-Nitro-L-arginine methyl ester did not alter resting plasma catecholamine concentrations. However, L-NAME generally more than doubled stimulation-evoked release of adrenaline while reducing the extent of noradrenaline release relative to vehicle (saline)-treated controls. 3. N(G)-Nitro-L-arginine methyl ester significantly enhanced the vasopressor responses to spinal cord stimulation. The alpha1-adrenoceptor antagonist prazosin (0.2 mg/kg) reduced the pressor responses of electrically stimulated L-NAME-treated rats to levels below those of vehicle-treated control rats. 4. In the absence of electrical stimulation, L-NAME raised the blood pressure of pithed rats without altering plasma catecholamines and the pressor effect was briefly attenuated by L-arginine, but was unaffected by prazosin. 5. We conclude that the augmented pressor response to sympathetic stimulation in L-NAME-treated pithed rats is due largely to enhanced adrenal adrenaline release mediated by a peripheral mechanism. Stimulation of alpha(1)-adrenoceptors plays a major role in the pressor response to electrical stimulation of L-NAME-treated rats, but this is not due to L-NAME augmentation of noradrenaline release from vascular sympathetic nerves.
摘要
  1. 一氧化氮(NO)对交感肾上腺系统和心血管系统具有复杂的作用,可能在中枢和外周部位发挥作用。一氧化氮似乎直接作用于血管,并通过调节交感肾上腺系统间接发挥作用。在本研究中,我们调查了外周血管和肾上腺交感神经释放的儿茶酚胺对一氧化氮合成抑制剂N(G)-硝基-L-精氨酸甲酯(L-NAME;10mg/kg)心血管效应的贡献。我们的实验在去大脑迷走神经切断的大鼠中进行,以消除中枢和压力反射途径的影响。2. 使用10V、1ms的脉冲,在1、2、5和10Hz频率下对脊髓进行30s的刺激,导致血浆肾上腺素和去甲肾上腺素显著增加。N(G)-硝基-L-精氨酸甲酯未改变静息血浆儿茶酚胺浓度。然而,相对于用载体(生理盐水)处理的对照组,L-NAME通常使刺激诱发的肾上腺素释放增加一倍以上,同时减少去甲肾上腺素的释放程度。3. N(G)-硝基-L-精氨酸甲酯显著增强了对脊髓刺激的升压反应。α1-肾上腺素能受体拮抗剂哌唑嗪(0.2mg/kg)将电刺激L-NAME处理大鼠的升压反应降低至载体处理对照大鼠以下水平。4. 在无电刺激的情况下,L-NAME升高了去大脑大鼠的血压,而不改变血浆儿茶酚胺,L-精氨酸可短暂减弱升压作用,但不受哌唑嗪影响。5. 我们得出结论,L-NAME处理的去大脑大鼠对交感刺激的升压反应增强主要是由于外周机制介导的肾上腺肾上腺素释放增加。刺激α(1)-肾上腺素能受体在L-NAME处理大鼠的电刺激升压反应中起主要作用,但这不是由于L-NAME增加了血管交感神经去甲肾上腺素的释放。

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