Elfellah M S, Turnbull M J
Eur J Pharmacol. 1978 Oct 1;51(3):211-7. doi: 10.1016/0014-2999(78)90406-5.
Pretreatment of guinea pigs with 5 microgram/kg isoprenaline or 10 microgram/kg salbutamol s.c. thrice daily for 7 days reduced the responsiveness of lung slice and tracheal ring adenylate cyclase to isoprenaline, but not to prostaglandin E1. Pretreatment of guinea pigs with isoprenaline also reduced the sensitivity of tracheal smooth muscle strip adenylate cyclase to isoprenaline. Cross-tolerance developed to noradrenaline in lung slices obtained from guinea pigs pretreated with isoprenaline. Propranolol blocked the response of lung slice adenylate cyclase of control and isoprenaline-pretreated animals to approximately the same degree. The presence of phentolamine in the incubation medium did not affect the reduced sensitivity to isoprenaline. Possible mechanisms of development of tolerance to sympathomimetic bronchodilator drugs are discussed.
用5微克/千克异丙肾上腺素或10微克/千克沙丁胺醇皮下注射,每日三次,连续7天对豚鼠进行预处理,可降低肺切片和气管环腺苷酸环化酶对异丙肾上腺素的反应性,但对前列腺素E1的反应性无影响。用异丙肾上腺素对豚鼠进行预处理也降低了气管平滑肌条腺苷酸环化酶对异丙肾上腺素的敏感性。在用异丙肾上腺素预处理的豚鼠获得的肺切片中,对去甲肾上腺素产生了交叉耐受性。普萘洛尔对对照组和用异丙肾上腺素预处理的动物的肺切片腺苷酸环化酶反应的阻断程度大致相同。孵育培养基中存在酚妥拉明并不影响对异丙肾上腺素降低的敏感性。文中讨论了对拟交感神经支气管扩张药产生耐受性的可能机制。