Achike Francis Ifejika, Kwan Chiu-Yin
Clinical Sciences Section, International Medical University, Kuala Lumpur, Malaysia.
Acta Pharmacol Sin. 2002 Aug;23(8):698-704.
In an attempt to pharmacologically characterize the Chinese antihypertensive drug, tetrandrine, we observed in rat-tail arteries, an unusual contraction in tissues that were stimulated with high [KCl] and not those stimulated with phenylephrine. The characteristics of this contraction were studied.
Segments of perfused ventral rat-tail arteries (RTA) were contracted with a depolarizing concentration (120 mmol/L) of KCl or with phenylephrine (3.0 micromol/L). At peak contraction, they were exposed to tetrandrine (40 micromol/L), which caused marked relaxation in each case. Washing the RTA led to an unusual, slowly-declining contraction, hereafter referred to as tetrandrine-induced contraction (TIC) which was also observed when the tissues were exposed to 80 micromol/L, but not 10 micromol/L or 20 micromol/L of tetrandrine.
Pretreatment with phentolamine (non-selective alpha-adrenoceptor antagonist), prazosin (selective alpha1-adrenoceptor antagonist) or 6-hydroxydopamine (for denervation), but not rauwolscine or atropine abolished the TIC. Treatment with ouabain (Na+/K+-ATPase inhibitor) did not sustain the contraction. Changing the depolarizing concentrations of KCl to 80 mmol/L or 100 mmol/L did not alter the TIC, but at 60 mmol/L, it was abolished.
The data show that tetrandrine induces a K+-dependent contraction of the RTA through a neuronal mechanism involving alpha1-adrenoceptors. It is speculated that this contraction may be a factor in the reported absence of postural hypotension in the clinical use of tetrandrine.
为了从药理学角度对中国抗高血压药物粉防己碱进行特性分析,我们在大鼠尾动脉中观察到,用高浓度氯化钾刺激的组织会出现异常收缩,而用去氧肾上腺素刺激的组织则不会。我们研究了这种收缩的特性。
用去极化浓度(120 mmol/L)的氯化钾或去氧肾上腺素(3.0 μmol/L)使灌注的大鼠腹侧尾动脉(RTA)节段收缩。在收缩峰值时,将它们暴露于粉防己碱(40 μmol/L),每种情况下均导致明显松弛。冲洗RTA会导致异常的、缓慢下降的收缩,以下称为粉防己碱诱导的收缩(TIC),当组织暴露于80 μmol/L而非10 μmol/L或20 μmol/L的粉防己碱时也观察到这种收缩。
用酚妥拉明(非选择性α-肾上腺素能受体拮抗剂)、哌唑嗪(选择性α1-肾上腺素能受体拮抗剂)或6-羟基多巴胺(用于去神经支配)预处理,但不用育亨宾或阿托品,可消除TIC。用哇巴因(Na+/K+-ATP酶抑制剂)处理不能维持收缩。将氯化钾的去极化浓度改为80 mmol/L或100 mmol/L不会改变TIC,但在60 mmol/L时,TIC被消除。
数据表明,粉防己碱通过涉及α1-肾上腺素能受体的神经元机制诱导RTA产生钾离子依赖性收缩。据推测,这种收缩可能是粉防己碱临床使用中报道的无体位性低血压的一个因素。