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对尼古丁诱导的交感肾上腺刺激的耐受性及对应激的交叉耐受性:大鼠中枢和外周机制的差异

Tolerance to nicotine-induced sympathoadrenal stimulation and cross-tolerance to stress: differential central and peripheral mechanisms in rats.

作者信息

Kiritsy-Roy J A, Mousa S A, Appel N M, Van Loon G R

机构信息

Department of Medicine, University of Kentucky, Lexington 40536.

出版信息

Neuropharmacology. 1990 Jun;29(6):579-89. doi: 10.1016/0028-3908(90)90071-x.

Abstract

Nicotine stimulates the secretion of catecholamines from sympathetic nerve endings and adrenal medulla by acting on peripheral nicotinic cholinergic receptors. Nicotine is also a potent stimulant in the central nervous system but the significance of nicotinic receptors in brain in mediating cardiovascular and sympathoadrenal responses to nicotine is unclear. The responses of resting plasma catecholamines, blood pressure and heart rate were compared in rats receiving nicotine, administered either systemically or intracerebroventricularly (i.c.v.). Sympathoadrenal stress responses were also studied in rats rendered tolerant to nicotine from repeated systemic or intraventricular injections. Nicotine, given either intraventricularly or systemically, produced dose-related increases in the concentration of epinephrine in plasma. Little effect on norepinephrine in plasma was observed with nicotine given intraventricularly, indicating predominant stimulation of adrenomedullary pathways. In contrast, nicotine, given systemically, produced comparable increases in both epinephrine and norepinephrine. Blood pressure increased and heart rate fell in response to either intraventricular or systemic administration of nicotine. Rats exhibited tolerance to nicotine 24 hr after a single intraventricular injection; however, tolerance was not detected with systemically injected nicotine unless the injections were given at least every 30 min. Whereas rats rendered tolerant to systemic administration of nicotine were cross-tolerant to stress, with respect to sympathoadrenal stimulation, cross-tolerance with stress was not detected in rats treated with nicotine repeatedly by the intraventricular route. These results indicate that nicotinic receptors in brain modulate the central sympathetic outflow and adapt readily to nicotine stimulation with prolonged tolerance, but are probably not involved in sympathoadrenal stress responses. Peripheral nicotinic receptors, regulating sympathoadrenal secretion of catecholamines, displayed much shorter-lasting tolerance.

摘要

尼古丁通过作用于外周烟碱型胆碱能受体,刺激交感神经末梢和肾上腺髓质分泌儿茶酚胺。尼古丁在中枢神经系统中也是一种强效兴奋剂,但脑内烟碱型受体在介导对尼古丁的心血管和交感肾上腺反应中的作用尚不清楚。比较了经全身或脑室内(i.c.v.)给予尼古丁的大鼠静息血浆儿茶酚胺、血压和心率的反应。还研究了经反复全身或脑室内注射对尼古丁产生耐受的大鼠的交感肾上腺应激反应。脑室内或全身给予尼古丁均可使血浆肾上腺素浓度呈剂量依赖性增加。脑室内给予尼古丁对血浆去甲肾上腺素影响很小,表明主要刺激肾上腺髓质途径。相反,全身给予尼古丁可使肾上腺素和去甲肾上腺素均有类似程度的增加。脑室内或全身给予尼古丁均可使血压升高、心率下降。单次脑室内注射尼古丁24小时后大鼠对尼古丁产生耐受;然而,全身注射尼古丁除非至少每30分钟注射一次,否则不会检测到耐受。虽然对全身给予尼古丁产生耐受的大鼠对压力有交叉耐受,就交感肾上腺刺激而言,经脑室内途径反复用尼古丁处理的大鼠未检测到与压力的交叉耐受。这些结果表明,脑内烟碱型受体调节中枢交感神经输出,并能通过长期耐受轻易适应尼古丁刺激,但可能不参与交感肾上腺应激反应。调节儿茶酚胺交感肾上腺分泌的外周烟碱型受体表现出持续时间短得多的耐受。

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