Imms F J, Neame R L, Powis D A
Br J Pharmacol. 1977 May;60(1):115-22. doi: 10.1111/j.1476-5381.1977.tb16755.x.
1 The effects of noradrenaline upon the cardiovascular system of the rat, anaesthetized with pentobarbitone, have been investigated.2 Noradrenaline produces a dose-dependent increase in mean arterial blood pressure (MABP) which is due entirely to an increase in cardiac output; total peripheral vascular resistance (TPR) remains unchanged.3 Following beta-adrenoceptor blockade the pressor response to infused noradrenaline is enhanced and is now due mainly to an increase in TPR; the increment in cardiac output is reduced.4 After alpha-adrenoceptor blockade the pressor response is greatly reduced; the residual increase in MABP is due solely to an increase in cardiac output.5 After ganglion blockade resting cardiac output and TPR both fall, resulting in a reduction in MABP. The pressor response to noradrenaline is enhanced and is now due to increases in both TPR and in cardiac output.6 The cardiovascular response of the anaesthetized rat to noradrenaline can be explained in terms of classical alpha- and beta-adrenoceptor stimulation by the amine; the unusual form of the response may be due to an effective predominance of beta-adrenoceptor-mediated effects in this species.7 It is suggested that the failure of exogenous noradrenaline to produce a rise in TPR results from a balance between the alpha-adrenoceptor-mediated increase and beta-adrenoceptor-mediated decrease in this variable. However, this proposed balance is lost if resting vasoconstrictor tone is reduced by ganglion blockade.
研究了去甲肾上腺素对用戊巴比妥麻醉的大鼠心血管系统的影响。
去甲肾上腺素使平均动脉血压(MABP)呈剂量依赖性升高,这完全是由于心输出量增加所致;总外周血管阻力(TPR)保持不变。
β-肾上腺素能受体阻断后,对注入去甲肾上腺素的升压反应增强,现在主要是由于TPR增加;心输出量的增加减少。
α-肾上腺素能受体阻断后,升压反应大大降低;MABP的残余升高仅归因于心输出量的增加。
神经节阻断后,静息心输出量和TPR均下降,导致MABP降低。对去甲肾上腺素的升压反应增强,现在是由于TPR和心输出量均增加。
麻醉大鼠对去甲肾上腺素的心血管反应可以用该胺对经典α-和β-肾上腺素能受体的刺激来解释;这种反应的异常形式可能是由于该物种中β-肾上腺素能受体介导的效应有效占优势。
有人提出,外源性去甲肾上腺素未能使TPR升高是由于该变量中α-肾上腺素能受体介导的增加和β-肾上腺素能受体介导的减少之间的平衡。然而,如果通过神经节阻断降低静息血管收缩张力,则这种假设的平衡就会丧失。