Teräväinen T L, Buñag R D
Department of Pharmacology, College of Health Sciences and Hospital, University of Kansas Medical Center, Kansas City 66103.
Mech Ageing Dev. 1992 Mar 15;63(1):91-103. doi: 10.1016/0047-6374(92)90019-a.
We compared cardiovascular responses to various adrenergic agonists in conscious 3-month and 12-month old rats that had been treated with propranolol daily for 7 days, to determine whether changes in beta-adrenergic hypersensitivity induced by abrupt propranolol withdrawal would differ with age. Depressor and tachycardic responses elicited by beta-adrenergic stimulation with isoproterenol were still reduced during the first 3 days following propranolol withdrawal, but were restored to pretreatment levels, more slowly in 12-month than in 3-month-old rats. Opposite pressor and bradycardic responses to alpha-adrenergic stimulation with phenylephrine did not differ between age groups, either before or after propranolol withdrawal. By contrast, pressor and bradycardic responses produced by combined alpha- and beta-adrenergic stimulation with epinephrine after propranolol withdrawal, though unaltered in 3-month-old rats, were enhanced in 12-month-old rats. Hence after sudden propranolol withdrawal beta-adrenergic sensitivity in conscious rats was gradually restored, rather than being enhanced, but more slowly at 12 than at 3 months of age. These results suggest that following abrupt cessation of prolonged propranolol treatment, restoration of normal beta-adrenergic sensitivity becomes delayed in older rats.
我们比较了每日给予普萘洛尔治疗7天的3月龄和12月龄清醒大鼠对各种肾上腺素能激动剂的心血管反应,以确定突然停用普萘洛尔所诱导的β-肾上腺素能超敏反应的变化是否因年龄而异。在停用普萘洛尔后的前3天,异丙肾上腺素β-肾上腺素能刺激引起的降压和心动过速反应仍降低,但恢复到预处理水平,12月龄大鼠比3月龄大鼠恢复得更慢。去氧肾上腺素α-肾上腺素能刺激引起的相反升压和心动过缓反应,在停用普萘洛尔前后,各年龄组之间均无差异。相比之下,停用普萘洛尔后肾上腺素联合α和β肾上腺素能刺激产生的升压和心动过缓反应,虽然在3月龄大鼠中未改变,但在12月龄大鼠中增强。因此,突然停用普萘洛尔后,清醒大鼠的β-肾上腺素能敏感性逐渐恢复,而非增强,但12月龄时比3月龄时恢复得更慢。这些结果表明,长期普萘洛尔治疗突然停止后,老年大鼠正常β-肾上腺素能敏感性的恢复会延迟。