Bhandari P, Andrews P L
Department of Physiology, St. George's Hospital Medical School, London, U.K.
Eur J Pharmacol. 1991 Nov 12;204(3):273-80. doi: 10.1016/0014-2999(91)90852-h.
Previous studies of the mechanism of zacopride-induced emesis in ferrets have concluded that it is mediated predominantly by an antagonist effect on 5-HT3 receptors although the possibility of a contribution from an agonist effect at 5-HT4 receptors was not excluded. This study shows that zacopride (200 micrograms/kg p.o.)-induced emesis can be blocked by a 'high dose' (1000 micrograms/kg) of ICS205930 but not by a low dose (100 micrograms/kg) or by 'high doses' (1000 micrograms/kg) of another more selective 5-HT3 receptor antagonist granisetron. As ICS205930, at high doses, is reported to be a 5-HT4 receptor antagonist it appears likely that activation of 5HT4-receptors contributes to emesis induced by zacopride. 'High' doses of ICS205930, but not granisetron or ondansetron, can also block the vagally mediated emesis induced by oral CuSO4 suggesting that 5-HT4 receptors involved in emesis are closely associated with abdominal vagal afferents.
此前针对扎考必利诱导雪貂呕吐机制的研究得出结论,其主要通过对5-HT3受体的拮抗作用介导,不过5-HT4受体激动效应的作用可能性并未被排除。本研究表明,扎考必利(200微克/千克,口服)诱导的呕吐可被“高剂量”(1000微克/千克)的ICS205930阻断,但不能被低剂量(100微克/千克)或“高剂量”(1000微克/千克)的另一种更具选择性的5-HT3受体拮抗剂格拉司琼阻断。由于高剂量的ICS205930据报道是一种5-HT4受体拮抗剂,因此5-HT4受体的激活似乎促成了扎考必利诱导的呕吐。“高”剂量的ICS205930而非格拉司琼或昂丹司琼,也能阻断口服硫酸铜诱导的迷走神经介导的呕吐,这表明参与呕吐的5-HT4受体与腹部迷走神经传入密切相关。