Gardemann A, Strulik H, Jungermann K
Institut für Biochemie, Fachbereich Medizin, Georg-August-Universität, Göttingen.
Biol Chem Hoppe Seyler. 1989 Jan;370(1):47-54. doi: 10.1515/bchm3.1989.370.1.47.
In perfused rat liver perivascular nerve stimulation (7.5 Hz, 20 V, 2 ms, 5 min) at the liver hilus caused an increase in glucose and lactate output and a decrease in flow. The influence of the alpha 1-receptor blocker prazosine and the beta-blocker propranolol on these nerve effects was studied in the isolated rat liver perfused classically via the portal vein only and, as developed recently, via both the hepatic artery and the portal vein. 1) In livers perfused via the portal vein only the nerve stimulation-dependent metabolic alterations were nearly completely inhibited by prazosine (5 microM), but not influenced by propranolol (10 microM). The hemodynamic changes were lowered to only 33% by prazosine and not altered by propranolol either. 2) In livers perfused via the hepatic artery (100 mm Hg, 20-40% of flow) and the portal vein (10 mm Hg, 80-60% of flow)--similar to portal perfusions--the nerve stimulation--dependent metabolic alterations were almost completely blocked by arterial, portal or simultaneously applied arterial and portal prazosine. However--in contrast to portal perfusions--the metabolic alterations were reduced to about 20% (glucose) and 50% (lactate) also by propranolol independently of its site of application. The decrease in flow was reduced by prazosine to about 60%, 50% and 30% when applied via the artery, the portal vein or via both vessels, respectively. The hemodynamic alterations were not influenced by propranolol. These results allow the following conclusions: A subpopulation of beta-receptors can play a permissive role in the alpha 1-receptor-mediated sympathetic nerve action on glucose and lactate metabolism.(ABSTRACT TRUNCATED AT 250 WORDS)
在灌注的大鼠肝脏中,在肝门处进行血管周围神经刺激(7.5赫兹、20伏、2毫秒、5分钟)会导致葡萄糖和乳酸输出增加以及血流量减少。在仅通过门静脉进行经典灌注以及最近发展的通过肝动脉和门静脉同时灌注的离体大鼠肝脏中,研究了α1受体阻滞剂哌唑嗪和β受体阻滞剂普萘洛尔对这些神经效应的影响。1)在仅通过门静脉灌注的肝脏中,哌唑嗪(5微摩尔)几乎完全抑制了神经刺激依赖性代谢改变,但普萘洛尔(10微摩尔)对其无影响。哌唑嗪使血流动力学变化降低至仅33%,普萘洛尔对其也无改变。2)在通过肝动脉(100毫米汞柱,血流量的20 - 40%)和门静脉(10毫米汞柱,血流量的80 - 60%)进行灌注的肝脏中——类似于门静脉灌注——神经刺激依赖性代谢改变几乎完全被动脉、门静脉或同时应用的动脉和门静脉哌唑嗪阻断。然而——与门静脉灌注不同——无论普萘洛尔的应用部位如何,其也能将代谢改变分别降低至约20%(葡萄糖)和50%(乳酸)。当通过动脉、门静脉或两者同时应用时,哌唑嗪分别将血流量减少至约60%、50%和30%。血流动力学改变不受普萘洛尔影响。这些结果可得出以下结论:β受体的一个亚群在α1受体介导的交感神经对葡萄糖和乳酸代谢的作用中可发挥允许作用。(摘要截断于250字)