Keeton T K, Biediger A M
Department of Pharmacology, University of Texas Health Science Center, San Antonio 78284-7764.
Naunyn Schmiedebergs Arch Pharmacol. 1991 Jul;344(1):47-55. doi: 10.1007/BF00167382.
Radiotracer techniques capable of measuring norepinephrine clearance and spillover rate into plasma were used to test the hypothesis that the antihypertensive effects of propranolol and atenolol in conscious spontaneously hypertensive rats are associated with an inhibition of norepinephrine release from postganglionic sympathetic neurons. The 10%-15% fall in mean arterial pressure produced over 4 h by propranolol (1, 3.3 and 10 mg/kg, s.c.) and atenolol (1, 3.3 and 10 mg/kg, s.c.) was not dose-related, and only the largest dose of propranolol caused a significant bradycardia. Each dose of atenolol significantly lowered heart rate. The decrease in blood pressure caused by propranolol and atenolol was not related to the decrease in heart rate. Both propranolol and atenolol inhibited norepinephrine clearance by 12% to 16%. The 1 mg/kg doses of propranolol and atenolol significantly suppressed norepinephrine spillover rate by 21% and 32%, respectively, at 4 h postinjection. As the dose of propranolol was increased, the inhibition of norepinephrine spillover was reversed as plasma epinephrine concentration rose by 125%. The suppression of norepinephrine spillover rate caused by atenolol was more persistent but did diminish after the 10 mg/kg dose, when plasma epinephrine concentration was elevated by 55%. Both drugs suppressed plasma renin concentration, but the inhibition of norepinephrine spillover rate by propranolol and atenolol was not related to the fall in plasma renin concentration. By comparison, treatment with the adrenergic neuron blocking agent bretylium (5, 10, 20 and 40 mg/kg, s.c.) elicited a dose-related vasodepression with no change in heart rate or plasma renin concentration.(ABSTRACT TRUNCATED AT 250 WORDS)
能够测量去甲肾上腺素清除率和向血浆中的溢出率的放射性示踪技术,被用于检验以下假设:普萘洛尔和阿替洛尔对清醒的自发性高血压大鼠的降压作用,与抑制节后交感神经元释放去甲肾上腺素有关。普萘洛尔(1、3.3和10mg/kg,皮下注射)和阿替洛尔(1、3.3和10mg/kg,皮下注射)在4小时内使平均动脉压下降10%-15%,但与剂量无关,只有最大剂量的普萘洛尔引起显著心动过缓。各剂量的阿替洛尔均显著降低心率。普萘洛尔和阿替洛尔引起的血压下降与心率下降无关。普萘洛尔和阿替洛尔均使去甲肾上腺素清除率降低12%至16%。注射后4小时,1mg/kg剂量的普萘洛尔和阿替洛尔分别使去甲肾上腺素溢出率显著抑制21%和32%。随着普萘洛尔剂量增加,去甲肾上腺素溢出抑制作用被逆转,同时血浆肾上腺素浓度上升125%。阿替洛尔引起的去甲肾上腺素溢出率抑制作用更持久,但在10mg/kg剂量后减弱,此时血浆肾上腺素浓度升高55%。两种药物均抑制血浆肾素浓度,但普萘洛尔和阿替洛尔对去甲肾上腺素溢出率的抑制与血浆肾素浓度下降无关。相比之下,用肾上腺素能神经元阻断剂溴苄铵(5、10、20和40mg/kg,皮下注射)治疗引起剂量相关的血管减压,心率和血浆肾素浓度无变化。(摘要截短于250字)