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山莨菪碱对大鼠肾积水肾脏微循环的影响。

Effect of anisodamine on the microcirculation of the hydronephrotic kidney of rats.

作者信息

Zou A P, Parekh N, Steinhausen M

机构信息

First Institute of Physiology, University of Heidelberg, FRG.

出版信息

Int J Microcirc Clin Exp. 1990 Aug;9(3):285-96.

PMID:2394549
Abstract

Anisodamine, an atropine analog, is widely used in China for treatment of acute circulatory shock but mechanisms of its action are not fully known. We investigated the effect of anisodamine on different renal vessels in the hydronephrotic kidney. Anisodamine was added to the tissue bath containing the kidney to produce increasing concentrations from 10(-8) to 10(-3) M. Anisodamine dilated the arcuate artery, interlobular artery and afferent arteriole in a dose dependent manner. The maximal dilation of 15 to 25% in these preglomerular vessels was attained at a concentration of about 10(-5) M. In contrast, the efferent arteriole constricted by about 55% in response to anisodamine. The glomerular blood flow increased by 15 and 40% at anisodamine concentrations of 10(-8) and 10(-5) M respectively. The renal vascular effect of anisodamine could be abolished by the dopamine receptor antagonist haloperidol. Our data indicate that anisodamine is a potent vasodilator of preglomerular renal vessels and that its effect is mediated by activation of the dopaminergic system. The action of anisodamine through a dopaminergic mechanism, as found in the hydronephrotic kidney, may also be involved in its antishock properties.

摘要

山莨菪碱是阿托品的类似物,在中国被广泛用于治疗急性循环性休克,但其作用机制尚未完全明确。我们研究了山莨菪碱对肾积水肾脏不同肾血管的影响。将山莨菪碱添加到含有肾脏的组织浴中,使其浓度从10(-8)M增加到10(-3)M。山莨菪碱以剂量依赖的方式扩张弓形动脉、小叶间动脉和入球小动脉。在这些球前血管中,当浓度约为10(-5)M时,最大扩张率达到15%至25%。相比之下,出球小动脉对山莨菪碱的反应收缩约55%。在山莨菪碱浓度为10(-8)M和10(-5)M时,肾小球血流量分别增加15%和40%。山莨菪碱的肾血管效应可被多巴胺受体拮抗剂氟哌啶醇消除。我们的数据表明,山莨菪碱是球前肾血管的强效血管扩张剂,其作用是由多巴胺能系统的激活介导的。如在肾积水肾脏中发现的那样,山莨菪碱通过多巴胺能机制的作用也可能涉及其抗休克特性。

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