Hertle L, Nawrath H
Urologe A. 1986 Sep;25(5):252-8.
The effects and the possible mode of action of some drugs were studied in isolated preparations of the human upper urinary tract. Norepinephrine, histamine and serotonin had excitatory effects, whereas isoprenaline had inhibitory effects on smooth muscle activity. Norepinephrine induced different types of mechanical activity in different tissues of the human upper urinary tract suggesting different and separate coupling mechanism between the receptors involved and the calcium pools responsible for initiation of contraction. Acetylcholine had only little effects on smooth muscle activity even in high concentrations. Contractions which were triggered by action potentials or depolarizing extracellular potassium concentrations were highly sensitive to calcium channel blockers. Other drugs with relaxing properties such as papaverine, bencyclane, flavoxate or pitofenone seem to have effects on different calcium activation or calcium storing mechanisms.
在人体上尿路的离体标本中研究了某些药物的作用及其可能的作用方式。去甲肾上腺素、组胺和5-羟色胺具有兴奋作用,而异丙肾上腺素对平滑肌活动具有抑制作用。去甲肾上腺素在人体上尿路的不同组织中诱导出不同类型的机械活动,这表明所涉及的受体与负责引发收缩的钙库之间存在不同且独立的偶联机制。即使在高浓度下,乙酰胆碱对平滑肌活动的影响也很小。由动作电位或去极化细胞外钾浓度引发的收缩对钙通道阻滞剂高度敏感。其他具有松弛作用的药物,如罂粟碱、苄环烷、黄酮哌酯或匹托非诺,似乎对不同的钙激活或钙储存机制有影响。