Zou A P, Parekh N, Steinhausen M
Institut für Pathophysiologie, Tongji Medizinische Universität, Wuhan, VR China.
J Tongji Med Univ. 1991;11(2):65-72. doi: 10.1007/BF02888091.
Anisodamine is an alkaloid extracted from the Tibetan plant "Anisodus tanguticus". Since 1965 it has been used in China for the treatment of shock but the mechanisms of its action are not fully known. The present study was performed to determine the effect of anisodamine on the renal microcirculation and to examine the underlying mechanism of its actions. The addition of anisodamine (10(-8) M to 10(-3) M) to the kidney bath resulted in a significant and dose dependent dilation of all preglomerular vessels. The maximal dilation (about 30% dilation) was found in the proximal interlobular artery. In contrast to preglomerular vessels anisodamine caused constriction of postglomerular vessels. The glomerular blood flow increased by about 50% at anisodamine concentration of 10(-3) M. Haloperidol, a dopamine receptor antagonist could abolish the renal vascular effect of anisodamine. It is suggested that anisodamine could improve renal function by the dilation of preglomerular vessels in combination with the constriction of postglomerular vessels, and the effect of anisodamine may be mediated by activation of the dopaminergic system.
山莨菪碱是从藏药“唐古特山莨菪”中提取的一种生物碱。自1965年以来,它在中国一直用于治疗休克,但其作用机制尚未完全明确。本研究旨在确定山莨菪碱对肾微循环的影响,并探讨其作用的潜在机制。向肾浴槽中加入山莨菪碱(10⁻⁸M至10⁻³M)可导致所有入球小动脉显著且呈剂量依赖性扩张。在小叶间动脉近端发现最大扩张(约30%)。与入球小动脉不同,山莨菪碱可引起出球小动脉收缩。在山莨菪碱浓度为10⁻³M时,肾小球血流量增加约50%。多巴胺受体拮抗剂氟哌啶醇可消除山莨菪碱的肾血管效应。提示山莨菪碱可通过扩张入球小动脉并结合收缩出球小动脉来改善肾功能,且山莨菪碱的作用可能由多巴胺能系统的激活介导。