Lu Hai-gang, Liu Li-fang, Ren Lei-ming, Zhao Qing-hua, Duan Li-hua, Zhang Xiao-yuan
Department of Pharmacology, School of Pharmacy, Hebei Medical University, Shijiazhuang 050017, China.
Yao Xue Xue Bao. 2007 Feb;42(2):145-51.
Doxazosin, a high selective alpha1-adrenoceptor antagonist, is considered as the first-line therapy for the patients with benign prostatic hyperplasia (BPH) and also produce several side effects in cardiovascular system. In this study, we observed the isometric vasoconstrictive responses of the rabbit isolated arterial rings to electric field stimulation and noradrenaline ( NA ) to study the effects of R-doxazosin ( R-DOX ) and S-doxazosin ( S-DOX ) on the alpha1-adrenoceptor-regulated vasoconstrictive responses in the rabbit isolated ear artery, mesenteric artery and pulmonary artery, and the effects of higher concentration of S-DOX and R-DOX on presynaptic alpha2-adrenoceptor-regulated purinergic vasoconstriction in the rabbit isolated saphenous artery. We found that R-DOX and S-DOX competitively inhibited the vasoconstriction induced by NA in the rabbit isolated ear artery, mesenteric artery and pulmonary artery. The pA2 values of R-DOX and S-DOX against NA in the rabbit isolated ear artery, mesenteric artery and pulmonary artery were 7. 91 +/- 0. 03 and 7. 53 +/- 0. 05, 7. 80 +/- 0. 05 and 7. 29 +/-0. 07, 8. 32 +/- 0. 06 and 7. 97 +/- 0. 07, respectively. The pA2 values of R-DOX in the three arterial preparations were significantly higher than those of S-DOX (P < 0. 01). R-DOX and S-DOX at the concentrations of 0. 1 - 10 micromol x L (-1) did not affect the vasoconstriction induced by electric stimulation in the rabbit isolated saphenous artery. R-DOX and S-DOX at 100 micromol x L(-1) in the rabbit isolated saphenous artery completely inhibited the vascular responses to exogenous NA, but did not affect the vascular responses to exogenous adenosine triphosphate (1 mmol x L(-1) ). It is reasonable to suggest that R-DOX and S-DOX competitively inhibit the vasoconstriction induced by NA in the rabbit ear artery, mesenteric artery and pulmonary artery, and the pA2 values of S-DOX are significantly lower than those of R-DOX. The higher concentration (10 micromol x L(-1)) of R-DOX and S-DOX does not affect the presynaptic alpha2-adrenoceptors at sympathetic nerve terminals of the rabbit saphenous artery.
多沙唑嗪是一种高选择性α1肾上腺素能受体拮抗剂,被认为是良性前列腺增生(BPH)患者的一线治疗药物,但也会在心血管系统产生多种副作用。在本研究中,我们观察了兔离体动脉环对电场刺激和去甲肾上腺素(NA)的等长血管收缩反应,以研究R-多沙唑嗪(R-DOX)和S-多沙唑嗪(S-DOX)对兔离体耳动脉、肠系膜动脉和肺动脉中α1肾上腺素能受体调节的血管收缩反应的影响,以及较高浓度的S-DOX和R-DOX对兔离体隐动脉中突触前α2肾上腺素能受体调节的嘌呤能血管收缩的影响。我们发现,R-DOX和S-DOX竞争性抑制兔离体耳动脉、肠系膜动脉和肺动脉中NA诱导的血管收缩。R-DOX和S-DOX在兔离体耳动脉、肠系膜动脉和肺动脉中对NA的pA2值分别为7.91±0.03和7.53±0.05、7.80±0.05和7.29±0.07、8.32±0.06和7.97±0.07。R-DOX在三种动脉制剂中的pA2值均显著高于S-DOX(P<0.01)。浓度为0.1 - 10 μmol·L-1的R-DOX和S-DOX不影响兔离体隐动脉中电刺激诱导的血管收缩。兔离体隐动脉中100 μmol·L-1的R-DOX和S-DOX完全抑制了对外源性NA的血管反应,但不影响对外源性三磷酸腺苷(1 mmol·L-1)的血管反应。可以合理推测,R-DOX和S-DOX竞争性抑制兔耳动脉、肠系膜动脉和肺动脉中NA诱导的血管收缩,且S-DOX的pA2值显著低于R-DOX。较高浓度(10 μmol·L-1)的R-DOX和S-DOX不影响兔隐动脉交感神经末梢的突触前α2肾上腺素能受体。