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刺激孤束核A1腺苷受体会对后肢血管产生抵消作用。

Stimulation of NTS A1 adenosine receptors evokes counteracting effects on hindlimb vasculature.

作者信息

McClure Joseph M, O'Leary Donal S, Scislo Tadeusz J

机构信息

Dept. of Physiology, Wayne State Univ., School of Medicine, 540 East Canfield Ave., Detroit, MI 48201, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2005 Dec;289(6):H2536-42. doi: 10.1152/ajpheart.00723.2005. Epub 2005 Aug 12.

Abstract

Our previous studies concluded that stimulation of the nucleus of the solitary tract (NTS) A2a receptors evokes preferential hindlimb vasodilation mainly via inducing increases in preganglionic sympathetic nerve activity (pre-ASNA) directed to the adrenal medulla. This increase in pre-ASNA causes the release of epinephrine and subsequent activation of beta-adrenergic receptors that are preferentially located in the skeletal muscle vasculature. Selective activation of NTS A1 adenosine receptors evokes variable, mostly pressor effects and increases pre-ASNA, as well as lumbar sympathetic activity, which is directed to the hindlimb. These counteracting factors may have opposite effects on the hindlimb vasculature resulting in mixed vascular responses. Therefore, in chloralose-urethane-anesthetized rats, we evaluated the contribution of vasodilator versus vasoconstrictor effects of stimulation of NTS A1 receptors on the hindlimb vasculature. We compared the changes in iliac vascular conductance evoked by microinejctions into the NTS of the selective A1 receptor agonist N6-cyclopentyladenosine (330 pmol in 50 nl volume) in intact animals with the responses evoked after beta-adrenergic blockade, bilateral adrenalectomy, bilateral lumbar sympathectomy, and combined adrenalectomy + lumbar sympathectomy. In intact animals, stimulation of NTS A1 receptors evoked variable effects: increases and decreases in mean arterial pressure and iliac conductance with prevailing pressor and vasoconstrictor effects. Peripheral beta-adrenergic receptor blockade and bilateral adrenalectomy eliminated the depressor component of the responses, markedly potentiated iliac vasoconstriction, and tended to increase the pressor responses. Lumbar sympathectomy tended to decrease the pressor and vasoconstrictor responses. After bilateral adrenalectomy plus lumbar sympathectomy, a marked vasoconstriction in iliac vascular bed still persisted, suggesting that the vasoconstrictor component of the response to stimulation of NTS A1 receptors is mediated mostly via circulating factors (e.g., vasopressin, angiotensin II, or circulating catecholamines released from other sympathetic terminals). These data strongly suggest that stimulation of NTS A1 receptors exerts counteracting effects on the iliac vascular bed: activation of the adrenal medulla and beta-adrenergic vasodilation versus vasoconstriction mediated by neural and humoral factors.

摘要

我们之前的研究得出结论,刺激孤束核(NTS)的A2a受体主要通过诱导支配肾上腺髓质的节前交感神经活动(节前ASNA)增加,引发优先的后肢血管舒张。节前ASNA的这种增加导致肾上腺素释放,随后激活主要位于骨骼肌血管系统中的β-肾上腺素能受体。选择性激活NTS的A1腺苷受体可引发多种变化,主要是升压效应,并增加节前ASNA以及支配后肢的腰交感神经活动。这些相互抵消的因素可能对后肢血管系统产生相反的影响,从而导致混合性血管反应。因此,在氯醛糖-乌拉坦麻醉的大鼠中,我们评估了刺激NTS的A1受体对后肢血管系统的血管舒张与血管收缩作用的贡献。我们比较了在完整动物中,将选择性A1受体激动剂N6-环戊基腺苷(50 nl体积中含330 pmol)微量注射到NTS所诱发的髂血管传导变化,与β-肾上腺素能阻断、双侧肾上腺切除术、双侧腰交感神经切除术以及联合肾上腺切除术+腰交感神经切除术后所诱发的反应。在完整动物中,刺激NTS的A1受体可引发多种效应:平均动脉压和髂血管传导增加和降低,主要表现为升压和血管收缩效应。外周β-肾上腺素能受体阻断和双侧肾上腺切除术消除了反应中的降压成分,显著增强了髂血管收缩,并倾向于增加升压反应。腰交感神经切除术倾向于降低升压和血管收缩反应。双侧肾上腺切除术加腰交感神经切除术后,髂血管床仍持续出现明显的血管收缩,这表明对刺激NTS的A1受体的反应中的血管收缩成分主要通过循环因子(如血管加压素、血管紧张素II或从其他交感神经末梢释放的循环儿茶酚胺)介导。这些数据强烈表明,刺激NTS的A1受体对髂血管床产生相互抵消的作用:肾上腺髓质的激活和β-肾上腺素能血管舒张与神经和体液因素介导 的血管收缩。

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