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非洛地平和其他钙拮抗剂对血管平滑肌中去甲肾上腺素反应的功能性拮抗作用。

Functional antagonism of noradrenaline responses by felodipine and other calcium antagonists in vascular smooth muscles.

作者信息

Ljung B, Kjellstedt A

出版信息

J Cardiovasc Pharmacol. 1987;10 Suppl 1:S82-8. doi: 10.1097/00005344-198710001-00016.

Abstract

Calcium antagonists inhibit vascular smooth muscle activity in a way that depends on the properties of the inhibitory agent, the type of effector tissue studied, and the applied means of activation. In the experiments described here, the phasically active portal vein of the rat and the essentially tonic aortae of the rat and the rabbit were examined. They were exposed to reduced external calcium ion concentration (from 2.5 mM to 0.6 and 0.2 mM) and to the structurally different calcium antagonists felodipine, verapamil, and diltiazem in "therapeutic" and 1,000-fold higher concentrations. The tissues were pretreated for 1 h with the intended [Ca2+]0 or the calcium antagonist concentration under study. Cumulative concentration-effect curves to noradrenaline (NA) were obtained in the control situation at reduced [Ca2+]0 and at two concentrations of a calcium antagonist. In the rat portal vein, low doses of all calcium antagonists suppressed all NA responses but caused no rightward shift of the concentration-effect curve. High doses of the calcium antagonist abolished portal vein spontaneous activity and reduced the maximum NA response to some 10% of control. In the rat portal vein, reduced [Ca2+] caused rightward shifts of the NA concentration-effect curve without (0.6 mM) or with (0.2 mM) reduced maximum NA responses. In the rat aorta, reduced [Ca2+]0 and the calcium antagonists caused progressive rightward shifts of the curves with progressive reductions in the maximum NA responses. In the rabbit aorta, there was no effect on NA responses with reduced [Ca2+]0 or of the calcium antagonists in "therapeutic" concentrations: verapamil and diltiazem, but not felodipine, caused significant effects in the 1,000-fold higher concentrations.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

钙拮抗剂抑制血管平滑肌活动的方式取决于抑制剂的特性、所研究效应组织的类型以及所采用的激活方式。在本文所述的实验中,对大鼠的节律性活动门静脉以及大鼠和家兔基本呈紧张性的主动脉进行了研究。将它们置于外部钙离子浓度降低的环境中(从2.5 mM降至0.6 mM和0.2 mM),并分别暴露于结构不同的钙拮抗剂非洛地平、维拉帕米和地尔硫䓬的“治疗”浓度及1000倍的高浓度环境中。用预期的[Ca2+]0或所研究的钙拮抗剂浓度对组织进行1小时的预处理。在对照情况下,于降低的[Ca2+]0以及两种钙拮抗剂浓度下,获得去甲肾上腺素(NA)的累积浓度 - 效应曲线。在大鼠门静脉中,低剂量的所有钙拮抗剂均抑制所有NA反应,但未使浓度 - 效应曲线右移。高剂量的钙拮抗剂消除了门静脉的自发活动,并使最大NA反应降低至对照的约10%。在大鼠门静脉中,降低[Ca2+]会导致NA浓度 - 效应曲线右移,最大NA反应在[Ca2+]为0.6 mM时未降低,在[Ca2+]为0.2 mM时降低。在大鼠主动脉中,降低[Ca2+]0和钙拮抗剂会导致曲线逐渐右移,同时最大NA反应逐渐降低。在家兔主动脉中,降低[Ca2+]0或“治疗”浓度的钙拮抗剂对NA反应无影响:维拉帕米和地尔硫䓬在1000倍高浓度时有显著影响,但非洛地平无此影响。(摘要截短于250字)

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