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关于硝酸甘油中枢作用的进一步研究以及缺乏硝酸甘油与皮质膜中[3H]可乐定结合位点相互作用的证据。

Further studies on central actions of nitroglycerin and lack of evidence for nitroglycerin interacting on [3H]clonidine binding sites in cortex membranes.

作者信息

Ma S, Long J P, Bhatnagar R K

机构信息

Department of Pharmacology, College of Medicine, University of Iowa, Iowa City.

出版信息

J Pharmacol Exp Ther. 1992 Jun;261(3):1187-94.

PMID:1318374
Abstract

Decerebration and transection of the spinal cord totally abolished the hypotensive and tachycardiac responses to i.c.v injection of nitroglycerin (NTG) and reduced the tachycardia induced by i.v. injection of the drug. The hypotensive responses to i.v. injection of sodium nitroprusside were not altered by decerebration. Microinjection of NTG (0.1-1.0 nmol) into anterior hypothalamic medial preoptic area (AH/POA) produced dose-dependent decreases in mean arterial pressure and heart rate, but minimal responses were induced when the same doses of NTG were injected into the rostral ventrolateral medulla. Pretreatment with rauwolscine (2.5 nmol), injected into the AH/POAs, antagonized the depressor responses to NTG when it was administered into the areas or given i.v. However, rauwolscine did not alter the depressor responses induced by i.v. sodium nitroprusside. Prazosin (1.5 nmol) in the AH/POA did not alter the bradycardic effects induced by microinjection of NTG into the areas. (minus)-Epinephrine significantly interacted with alpha-2 adrenoceptor binding sites, but serotonin and NTG did not interact with [3H] clonidine binding sites in cortex membranes. Results suggest that cardiovascular responses after i.v. injection of NTG involve central and peripheral component. AH/POA is one of the central sites involved in the depressor effects of NTG. NTG-induced modulation of noradrenergic transmission appears to stimulate alpha-2 adrenoceptors in the central nervous system, but the drug does not involve direct interaction with alpha-2 adrenoceptors. Hypotensive effects of sodium nitroprusside result from its action at peripheral sites.

摘要

大脑切除和脊髓横断完全消除了静脉注射硝酸甘油(NTG)引起的低血压和心动过速反应,并减轻了静脉注射该药物引起的心动过速。大脑切除对静脉注射硝普钠引起的低血压反应没有影响。向前下丘脑内侧视前区(AH/POA)微量注射NTG(0.1 - 1.0 nmol)可使平均动脉压和心率呈剂量依赖性降低,但将相同剂量的NTG注射到延髓头端腹外侧时,引起的反应最小。向AH/POA注射萝芙木碱(2.5 nmol)预处理,当NTG注射到该区域或静脉给药时,可拮抗NTG的降压反应。然而,萝芙木碱并没有改变静脉注射硝普钠引起的降压反应。AH/POA中的哌唑嗪(1.5 nmol)并没有改变向该区域微量注射NTG引起的心动过缓效应。(-)-肾上腺素与α-2肾上腺素能受体结合位点有显著相互作用,但血清素和NTG与皮质膜中的[3H]可乐定结合位点没有相互作用。结果表明,静脉注射NTG后的心血管反应涉及中枢和外周成分。AH/POA是参与NTG降压作用的中枢位点之一。NTG诱导的去甲肾上腺素能传递调节似乎刺激了中枢神经系统中的α-2肾上腺素能受体,但该药物并不涉及与α-2肾上腺素能受体的直接相互作用。硝普钠的降压作用源于其在外周部位的作用。

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