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心脏固有神经对尼古丁的快速耐受性:对房室结传导的影响。

Tachyphylaxis of the intrinsic cardiac nerves to nicotine: effects on A-V nodal conduction.

作者信息

Blomquist T M, Priola D V

机构信息

Department of Physiology, University of New Mexico School of Medicine, Albuquerque 87131.

出版信息

J Auton Pharmacol. 1992 Feb;12(1):51-9. doi: 10.1111/j.1474-8673.1992.tb00332.x.

DOI:10.1111/j.1474-8673.1992.tb00332.x
PMID:1551925
Abstract
  1. The possibility that responses of the intrinsic cardiac nerves (ICN) of the dog to nicotinic stimulation are influenced by tachyphylaxis to repeated administration of nicotine (NIC) was evaluated in an anaesthetized preparation. Prolongation of A-V conduction was used as an index of ICN responsiveness. 2. Twenty dogs were placed on cardiopulmonary bypass and an electrode was sutured over the His bundle. Both vagi were sectioned, beta-adrenoceptor blockade instituted, and the hearts were paced. Nicotine (2-100 micrograms) was administered directly into the coronary circulation via an aortic catheter. Tachyphylaxis was estimated from the rate of deterioration of negative dromotropic effect of NIC in response to various protocols of repeated doses. 3. Tachyphylaxis was not observed in response to repeated doses of acetylcholine. 4. Tachyphylaxis to nicotine was found to be both time- and dose-dependent; i.e. increasing the dose or decreasing the time between doses to less than 3 min augmented its development. 5. Tachyphylaxis was pronounced after 5 x 100 micrograms doses of NIC, even if the test doses were greater than 3 min apart and 20 min was allowed to elapse between the two series of test doses. 6. These data are descriptive in nature and no mechanism for the tachyphylaxis could be deduced. Pharmacokinetic data of this nature have not been previously reported for nicotinic stimulation of the intrinsic parasympathetic ganglia of the canine heart. Tachyphylaxis can be avoided when testing the intrinsic innervation of the canine heart if the doses used are less than 100 micrograms and are administered at least 3 min apart.
摘要
  1. 在麻醉的实验准备中,评估了犬类心脏固有神经(ICN)对烟碱刺激的反应是否受反复给予尼古丁(NIC)所致快速耐受性的影响。房室传导延长被用作ICN反应性的指标。2. 20只犬接受体外循环,将电极缝在希氏束上方。切断双侧迷走神经,进行β-肾上腺素能受体阻滞,并对心脏进行起搏。通过主动脉导管将尼古丁(2 - 100微克)直接注入冠状动脉循环。根据NIC负性变传导作用在重复给药不同方案下的恶化速率来估计快速耐受性。3. 对重复给予乙酰胆碱未观察到快速耐受性。4. 发现对尼古丁的快速耐受性具有时间和剂量依赖性;即增加剂量或缩短给药间隔至小于3分钟会加速其发展。5. 在给予5次100微克剂量的NIC后,即使测试剂量间隔大于3分钟且在两组测试剂量之间间隔20分钟,快速耐受性仍很明显。6. 这些数据本质上是描述性的,无法推断出快速耐受性的机制。此前尚未报道过关于犬类心脏固有副交感神经节烟碱刺激的此类药代动力学数据。如果在测试犬类心脏固有神经支配时使用的剂量小于100微克且给药间隔至少3分钟,则可避免快速耐受性。

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