Aizawa H, Inoue H, Ikeda T, Hirose T, Ito Y
Research Institute for Diseases of the Chest, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Respiration. 1991;58(3-4):163-6. doi: 10.1159/000195919.
It has been reported that low concentrations of noradrenaline or isoprenaline reduce the resting tension of the smooth muscle cells and suppress acetylcholine release from the vagal nerve terminals through activation of beta 2-adrenoceptors. Procaterol, beta 2-adrenoceptor stimulant, has a high potency and selectivity for airway smooth muscle tissues. However, there is little documentation on the prejunctional actions of this chemical in airway smooth muscle, especially in man. In the present study, the effects of procaterol on excitatory neuroeffector transmission in the human bronchus were investigated. Procaterol (10(-10) to 10(-7) M) dose dependently reduced the amplitude of the contractions evoked by electrical field stimulation in the presence of indomethacin (10(-5) M), FPL-55712 (10(-6) M), and guanethidine (10(-6) M). By contrast, procaterol (10(-10) to 10(-9) M) had no effect on the postjunctional response of smooth muscle cells to exogenously applied acetylcholine. Pretreatment with ICI-118551 (10(-7) M), a beta 2-adrenoceptor-blocking agent, reduced the inhibitory action of procaterol on the amplitude of twitch contractions evoked by field stimulations in the human bronchus. These results indicate that procaterol at low concentrations has a prejunctional action, inhibiting the excitatory neuroeffector transmission and presumably suppressing transmitter release from the vagal nerve terminals through beta 2-adrenoceptors in the human bronchial tissue. The prejunctional action of procaterol explains partly its potent bronchodilator effects in clinical use.
据报道,低浓度的去甲肾上腺素或异丙肾上腺素可降低平滑肌细胞的静息张力,并通过激活β2 -肾上腺素能受体抑制迷走神经末梢乙酰胆碱的释放。丙卡特罗作为一种β2 -肾上腺素能受体兴奋剂,对气道平滑肌组织具有高效能和选择性。然而,关于这种药物在气道平滑肌中,尤其是在人体中的节前作用的文献报道很少。在本研究中,我们调查了丙卡特罗对人支气管中兴奋性神经效应传递的影响。在存在吲哚美辛(10^(-5) M)、FPL - 55712(10^(-6) M)和胍乙啶(10^(-6) M)的情况下,丙卡特罗(10^(-10)至10^(-7) M)剂量依赖性地降低了电场刺激诱发的收缩幅度。相比之下,丙卡特罗(10^(-10)至10^(-9) M)对外源性应用乙酰胆碱引起的平滑肌细胞节后反应没有影响。用β2 -肾上腺素能受体阻断剂ICI - 118551(10^(-7) M)预处理可降低丙卡特罗对人支气管中电场刺激诱发的抽搐收缩幅度的抑制作用。这些结果表明,低浓度的丙卡特罗具有节前作用,抑制兴奋性神经效应传递,并推测通过人支气管组织中的β2 -肾上腺素能受体抑制迷走神经末梢递质的释放。丙卡特罗的节前作用部分解释了其在临床使用中强大的支气管扩张作用。