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猪鼻黏膜的交感神经血管控制:血流和容量控制中的肾上腺素能受体机制。

Sympathetic vascular control of the pig nasal mucosa: adrenoceptor mechanisms in blood flow and volume control.

作者信息

Lacroix J S, Lundberg J M

机构信息

Department of Pharmacology, Karolinska Institute, Stockholm, Sweden.

出版信息

Br J Pharmacol. 1989 Aug;97(4):1075-84. doi: 10.1111/j.1476-5381.1989.tb12564.x.

Abstract
  1. The adrenoceptor mechanisms influencing the total blood flow, volume and superficial blood flow in the nasal mucosa of pigs anaesthetized with pentobarbitone have been characterized by use of various agonists and antagonists. 2. Local intra-arterial bolus injection of the selective alpha 1-agonist phenylephrine, the selective alpha 2-agonist UK 14.304, the mixed alpha 1/alpha 2-agonist oxymetazoline and the mixed alpha/beta-agonists noradrenaline (NA) and adrenaline induced dosed-related reduction of nasal arterial blood flow (BF), nasal mucosal volume (V, reflecting capacitance vessel function) and the laser Doppler flowmetry signal (LDF, reflecting superficial movement of blood cells). The rank order of alpha-agonist potency regarding BF reduction was UK 14.304 greater than oxymetazoline greater than phenylephrine = adrenaline. For the volume response the potency order was UK 14.304 greater than oxymetazoline = NA = adrenaline greater than phenylephrine while for the reduction of the LDF signal the potency was UK 14.304 = NA = adrenaline greater than oxymetazoline greater than phenylephrine. The selective beta 2-agonist terbutaline caused dose-dependent increase of BF whereas only a small augmentation of the V was obtained upon the highest dose (40 nmol) while no modification of the LDF signal was observed. 3. After pretreatment with the selective alpha 1-antagonist prazosin, the response to phenylephrine was abolished while the selective alpha 2-antagonist idazoxan attenuated the effect of UK 14.304. After pretreatment with alpha-antagonists, both NA and adrenaline caused biphasic effects with constriction followed by vasodilatation for BF, but not for V or LDF. This vasodilatation was blocked by the beta-antagonist propranolol. 4. The reduction in nasal BF and V upon sympathetic nerve stimulation was attenuated both by prazosin and idazoxan. Propranolol enhanced the remaining reduction of BF but not of V in the presence of alpha-antagonists. 5. It is concluded that alpha 2-adrenoceptor mechanisms in the pig nasal mucosa are dominating for the BF, V and LDF responses to exogenous agonists. alpha 1-Adrenoceptors also seem to be involved in the sympathetic control of BF, V and LDF. Activation of beta 2-receptors increases mainly BF and does not influence the LDF signal.
摘要
  1. 利用多种激动剂和拮抗剂,对戊巴比妥麻醉猪鼻黏膜的总血流量、血容量和浅表血流量的肾上腺素能受体机制进行了表征。2. 局部动脉内推注选择性α1激动剂去氧肾上腺素、选择性α2激动剂UK 14.304、α1/α2混合激动剂羟甲唑啉以及α/β混合激动剂去甲肾上腺素(NA)和肾上腺素,可引起鼻动脉血流量(BF)、鼻黏膜血容量(V,反映容量血管功能)和激光多普勒血流仪信号(LDF,反映血细胞浅表运动)的剂量依赖性降低。关于BF降低的α激动剂效力顺序为:UK 14.304>羟甲唑啉>去氧肾上腺素 = 肾上腺素。对于血容量反应,效力顺序为:UK 14.304>羟甲唑啉 = NA = 肾上腺素>去氧肾上腺素;而对于LDF信号降低,效力为:UK 14.304 = NA = 肾上腺素>羟甲唑啉>去氧肾上腺素。选择性β2激动剂特布他林引起BF的剂量依赖性增加,而在最高剂量(40 nmol)时仅使V略有增加,且未观察到LDF信号的改变。3. 用选择性α1拮抗剂哌唑嗪预处理后,对去氧肾上腺素的反应消失,而选择性α2拮抗剂咪唑克生减弱了UK 14.304的作用。用α拮抗剂预处理后,NA和肾上腺素对BF均产生双相作用,先是收缩,随后是血管舒张,但对V或LDF无此作用。这种血管舒张被β拮抗剂普萘洛尔阻断。4. 哌唑嗪和咪唑克生均减弱了交感神经刺激引起的鼻BF和V的降低。在存在α拮抗剂的情况下,普萘洛尔增强了BF剩余的降低,但未增强V的降低。5. 得出结论:猪鼻黏膜中的α2肾上腺素能受体机制在对外源性激动剂的BF、V和LDF反应中起主导作用。α1肾上腺素能受体似乎也参与了对BF、V和LDF的交感神经控制。β2受体的激活主要增加BF,且不影响LDF信号。

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