Raasch Walter, Jungbluth Britta, Schäfer Ulrich, Häuser Walter, Dominiak Peter
Institute of Experimental and Clinical Pharmacology, Lübeck, Germany.
J Pharmacol Exp Ther. 2003 Mar;304(3):1063-71. doi: 10.1124/jpet.102.044966.
It is known that moxonidine acts as an agonist at presynaptic alpha(2)-adrenoceptors of the postganglionic sympathetic nerve terminals and leads to a reduction in noradrenaline release. In addition, it is conceivable that I(1)-binding sites located in other regions of the pre- and postganglionic sympathetic neurons are involved in this effect. Our aim was to investigate whether and to what extent activation of the I(1)-binding sites contributes to the moxonidine-induced inhibition of noradrenaline release. Noradrenaline release was induced in pithed spontaneously hypertensive rats (pretreated with phenoxybenzamine/desipramine at 10/0.5 mg/kg) by stimulation of sympathetic overflow from the spinal cord. Noradrenaline overflow was reduced using moxonidine (0.18, 0.6, and 1.8 mg/kg) by 39.4, 70.4, or 78.7%, respectively, even when all alpha(1)-/alpha(2)-adrenoceptors were blocked effectively by phenoxybenzamine. In contrast, the I(1)-antagonist efaroxan (0.1, 1, and 3 mg/kg) increased noradrenaline overflow from 453 (control) to 1710, 1999, or 2754 pg/ml, suggesting an autoreceptor-like function of I(1)-binding sites. In consequence, moxonidine (0.18, 0.6, and 1.8 mg/kg) reduced the increase in noradrenaline overflow in efaroxan-treated animals (1 mg/kg) by 22.7, 41.7, and 50.5%, respectively. Agmatine (6 and 60 mg/kg), an endogenous agonist at I(1)-binding sites, reduced noradrenaline overflow (-36 or 53%), even under alpha(2)-adrenoceptor blockade. When 2-endo-amino-3-exo-isopropylbicyclo[2.2.1]heptane (AGN192403) (10 mg/kg) was injected, a selective blocker of I(1)-binding sites, noradrenaline overflow was not influenced by agmatine. It is concluded that moxonidine reduces noradrenaline overflow by acting at I(1)-binding sites in addition to its agonistic property at alpha(2)-adrenoceptors. The exact location of the I(1)-binding sites on the pre- or postsynaptic sympathetic neurons is unknown, but the location in the pre- or postsynaptic membrane of the sympathetic ganglion is the most plausible explanation.
已知莫索尼定可作为节后交感神经末梢突触前α₂肾上腺素能受体的激动剂,导致去甲肾上腺素释放减少。此外,可以想象,位于节前和节后交感神经元其他区域的I₁结合位点也参与了这一效应。我们的目的是研究I₁结合位点的激活是否以及在多大程度上有助于莫索尼定诱导的去甲肾上腺素释放抑制。通过刺激脊髓交感神经溢出,在去脑自发高血压大鼠(预先用10/0.5mg/kg的苯氧苄胺/地昔帕明处理)中诱导去甲肾上腺素释放。即使所有α₁/α₂肾上腺素能受体都被苯氧苄胺有效阻断,使用莫索尼定(0.18、0.6和1.8mg/kg)分别使去甲肾上腺素溢出减少39.4%、70.4%或78.7%。相反,I₁拮抗剂依酚氯铵(0.1、1和3mg/kg)使去甲肾上腺素溢出从453(对照)增加到1710、1999或2754pg/ml,提示I₁结合位点具有类似自身受体的功能。因此,莫索尼定(0.18、0.6和1.8mg/kg)分别使依酚氯铵处理的动物(1mg/kg)去甲肾上腺素溢出的增加减少22.7%、41.7%和50.5%。胍丁胺(6和60mg/kg),一种I₁结合位点的内源性激动剂,即使在α₂肾上腺素能受体阻断的情况下也能减少去甲肾上腺素溢出(-36%或53%)。当注射I₁结合位点的选择性阻断剂2-endo-氨基-3-exo-异丙基双环[2.2.1]庚烷(AGN192403)(10mg/kg)时,胍丁胺对去甲肾上腺素溢出没有影响。得出的结论是,莫索尼定除了对α₂肾上腺素能受体具有激动特性外,还通过作用于I₁结合位点来减少去甲肾上腺素溢出。I₁结合位点在突触前或突触后交感神经元上的确切位置尚不清楚,但最合理的解释是位于交感神经节的突触前或突触后膜上。