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儿茶酚胺能和血清素能受体拮抗剂对神经低血糖剂2-脱氧-D-葡萄糖所致高血糖反应的影响。

Influence of catecholaminergic and serotonergic receptor antagonists on the hyperglycaemic response to the neuroglucopaenic agent, 2-deoxy-D-glucose.

作者信息

Baudrie V, Chaouloff F

机构信息

Laboratoire de Pharmacologie, Groupe de Neuropharmacologie, CNRS, CHU Necker, Paris, France.

出版信息

Neuropharmacology. 1991 Jun;30(6):599-605. doi: 10.1016/0028-3908(91)90079-q.

Abstract

The intravenous administration of 2-deoxy-D-glucose (2-DG) to conscious catheterised rats dose-dependently increased the levels of glucose in plasma throughout the analysis (60 min); the levels of insulin in plasma remained unchanged, except for an early significant decrease in rats treated with the largest dose (1 g/kg). Pretreatment (10 min beforehand) with the beta 2-adrenoceptor antagonist, ICI 118,551 (3 mg/kg) or the alpha 2-adrenoceptor antagonist, idazoxan (1 mg/kg) decreased the rise in levels of glucose in plasma elicited by 2-DG (250 mg/kg). Conversely, the alpha 1-adrenoceptor antagonist, prazosin (1 mg/kg) or the dopaminergic receptor blocker, haloperidol (0.5 mg/kg) amplified the hyperglycaemic response to 2-DG. Previous administration of either the 5-HT1A/5-HT2 receptor antagonist, spiperone (3 mg/kg), the 5-HT1/5-HT2 receptor antagonist, methysergide (1 mg/kg), the 5-HT1C/5-HT2 receptor antagonist, ritanserin (1 mg/kg) or the 5-HT3 receptor antagonist, ICS 205.930 (0.1 mg/kg) did not affect 2-DG-induced hyperglycaemia. On the other hand, the mixed 5-HT1A/5-HT1B/beta-adrenoceptor antagonist, (-)-propranolol (5 mg/kg) and the 5-HT1/5-HT2 receptor antagonist, methiotepin (1 mg/kg), respectively, diminished and amplified the hyperglycaemia elicited by 2-DG. Lastly, in rats pretreated with prazosin (1 mg/kg, 30 min beforehand), an additional pretreatment (10 min beforehand) with prazosin or methiotepin (both at 1 mg/kg) did not further amplify the hyperglycaemic response to 2-DG. These results indicate that 2-DG-induced hyperglycaemia is mediated by alpha 2- and beta 2-adrenoceptors and amplified by alpha 1-adrenoceptor blockade. Conversely, neither 5-HT1, 5-HT2 nor 5-HT3 receptors played a role in the hyperglycaemic response to 2-DG.

摘要

对有意识的插管大鼠静脉注射2-脱氧-D-葡萄糖(2-DG),在整个分析过程(60分钟)中,血浆葡萄糖水平呈剂量依赖性升高;血浆胰岛素水平保持不变,但接受最大剂量(1 g/kg)治疗的大鼠早期有显著下降。用β2肾上腺素能受体拮抗剂ICI 118,551(3 mg/kg)或α2肾上腺素能受体拮抗剂咪唑克生(1 mg/kg)进行预处理(提前10分钟),可降低2-DG(250 mg/kg)引起的血浆葡萄糖水平升高。相反,α1肾上腺素能受体拮抗剂哌唑嗪(1 mg/kg)或多巴胺能受体阻滞剂氟哌啶醇(0.5 mg/kg)可增强对2-DG的高血糖反应。预先给予5-HT1A/5-HT2受体拮抗剂螺哌隆(3 mg/kg)、5-HT1/5-HT2受体拮抗剂美西麦角(1 mg/kg)、5-HT1C/5-HT2受体拮抗剂利坦色林(1 mg/kg)或5-HT3受体拮抗剂ICS 205.930(0.1 mg/kg)均不影响2-DG诱导的高血糖症。另一方面,5-HT1A/5-HT1B/β肾上腺素能受体混合拮抗剂(-)-普萘洛尔(5 mg/kg)和5-HT1/5-HT2受体拮抗剂甲硫替平(1 mg/kg)分别减弱和增强了2-DG引起的高血糖症。最后,在预先用哌唑嗪(1 mg/kg,提前30分钟)预处理的大鼠中,再用哌唑嗪或甲硫替平(均为1 mg/kg,提前10分钟)进行额外预处理,并未进一步增强对2-DG的高血糖反应。这些结果表明,2-DG诱导的高血糖症由α2和β2肾上腺素能受体介导,并通过α1肾上腺素能受体阻断增强。相反,5-HT1、5-HT2和5-HT3受体在对2-DG的高血糖反应中均不起作用。

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