Jacques D P, Reynolds D G, Evans L W, Swan K G
Surgery. 1975 Apr;77(4):577-85.
The effects of the adrenergic agonists norepinephrine, epinephrine, isoproterenol, and phenylephrine upon femoral arterial blood flow were measured in baboons before and after alpha (phenoxybenzamine) and beta (propranolol) adrenergic receptor blockade. Flow was measured with an electromagnetic flowmeter. Arterial and venous pressures were recorded simultaneously. Femoral vascular resistance was calculated from these data. Catecholamines were injected intra-arterially (10(-3)--10(0) mug, base, kg.(-1) and intravenously (1.0 mug kg.(-1) in a randomized sequence. All four adrenergic amines were vasodilators at low dose (10(-3) mug kg.(-1), intra-arterially) and this effect was abolished during beta adrenergic receptor blockade. Intra-arterial isoproterenol elicited dose-dependent increases in femoral flow; the other amines were vasoconstrictors at high doses. Alpha adrenergic blockade "reversed" the vasoconstrictor effects of these three amines. At the same dose isoproterenol increased flow more through the intra-arterial than the intravenous route. Conversely, norepinephrine and epinephrine were potent femoral vasodilators when injected intravenously. The findings indicate that the classical adrenergic amines are all vasodilators of the subhuman primate hindlimb at low doses due to their interaction with beta receptor sites. The fact that epinephrine and norepinephrine exert a greater increase in flow when given intravenously than when given intra-arterially is presumably secondary to increased arterial pressure, in turn due to the vasoconstrictor effects of these agents on other regional circulations.
在给予α(酚苄明)和β(普萘洛尔)肾上腺素能受体阻滞剂前后,测定了狒狒体内肾上腺素能激动剂去甲肾上腺素、肾上腺素、异丙肾上腺素和去氧肾上腺素对股动脉血流的影响。血流用电磁流量计测量。同时记录动脉压和静脉压。根据这些数据计算股血管阻力。以随机顺序动脉内注射(10⁻³~10⁰微克,碱基,千克⁻¹)和静脉内注射(1.0微克/千克⁻¹)儿茶酚胺。所有四种肾上腺素能胺在低剂量(动脉内注射10⁻³微克/千克⁻¹)时都是血管扩张剂,且这种作用在β肾上腺素能受体阻滞期间消失。动脉内注射异丙肾上腺素可引起股血流剂量依赖性增加;其他胺在高剂量时是血管收缩剂。α肾上腺素能阻滞“逆转”了这三种胺的血管收缩作用。在相同剂量下,异丙肾上腺素通过动脉内注射比静脉内注射使血流增加更多。相反,去甲肾上腺素和肾上腺素静脉内注射时是强效的股血管扩张剂。这些发现表明,经典的肾上腺素能胺在低剂量时都是亚人类灵长类后肢的血管扩张剂,这是由于它们与β受体位点相互作用的结果。肾上腺素和去甲肾上腺素静脉内给药时比动脉内给药时使血流增加得更多,这一事实可能继发于动脉压升高,而动脉压升高又是由于这些药物对其他区域循环的血管收缩作用所致。