Gradin K, Nicholas A P, Hjemdahl P, Svensson T, Hökfelt T
Department of Pharmacology, Karolinska Institute, Stockholm, Sweden.
J Cardiovasc Pharmacol. 1992 Sep;20(3):367-74. doi: 10.1097/00005344-199209000-00005.
In conscious rats, intrathecal (i.t.) administration of norepinephrine (NE) produced pressor responses, whereas i.t. epinephrine (Epi) caused depressor responses at low doses (0.1-1 microgram) and pressor responses at a higher dose (10 micrograms). Epi administered i.t. produced bradycardia; however, NE caused tachycardia at low doses and bradycardia at high doses. The cardiovascular responses were dissimilar to those observed after intravenous (i.v.) administration of these doses of NE and Epi. When [3H]NE or [3H]Epi (1.0 microgram, 10 mCi) was injected i.t., minimal radioactivity was detected in peripheral blood (PB) samples, indicating that the effects of i.t.-injected catecholamines on blood pressure (BP) and heart rate (HR) are due to stimulation of central spinal adrenoceptors and not to peripheral effects after leakage. Pretreatment with i.t. administration of the alpha 1-antagonist prazosin (1.0 microgram) attenuated pressor responses and tachycardia produced by i.t. NE (1.0 microgram), whereas i.t. pretreatment with the alpha 2-antagonist yohimbine (10 micrograms) counteracted depressor responses and bradycardia produced by i.t. Epi. Therefore, these spinally released catecholamines appear to produce opposite cardiovascular effects whereby sympathetic preganglionic neurons are excited by NE through spinal alpha 1-adrenoceptors and are inhibited by Epi through spinal alpha 2-adrenoceptors.
在清醒大鼠中,鞘内注射去甲肾上腺素(NE)可产生升压反应,而鞘内注射肾上腺素(Epi)在低剂量(0.1 - 1微克)时引起降压反应,在高剂量(10微克)时引起升压反应。鞘内注射Epi可导致心动过缓;然而,NE在低剂量时引起心动过速,在高剂量时引起心动过缓。这些心血管反应与静脉注射这些剂量的NE和Epi后观察到的反应不同。当鞘内注射[³H]NE或[³H]Epi(1.0微克,10毫居里)时,在外周血(PB)样本中检测到的放射性极少,这表明鞘内注射的儿茶酚胺对血压(BP)和心率(HR)的影响是由于刺激中枢脊髓肾上腺素能受体,而非渗漏后的外周效应。鞘内预先注射α₁拮抗剂哌唑嗪(1.0微克)可减弱鞘内注射NE(1.0微克)产生的升压反应和心动过速,而鞘内预先注射α₂拮抗剂育亨宾(10微克)可抵消鞘内注射Epi产生的降压反应和心动过缓。因此,这些脊髓释放的儿茶酚胺似乎产生相反的心血管效应,即交感神经节前神经元通过脊髓α₁肾上腺素能受体被NE兴奋,通过脊髓α₂肾上腺素能受体被Epi抑制。