Camilion de Hurtado M C, Gende O A
Centro de Investigaciones Cardiovasculares, Facultad de Ciencias Medicas, La Plata, Argentina.
Naunyn Schmiedebergs Arch Pharmacol. 1989 Mar;339(3):315-9. doi: 10.1007/BF00173585.
The chronotropic response to phenylephrine of isolated rat atria was determined at 37 degrees C and 30 degrees C. At both temperatures similar maximal increases in rate were obtained (91 +/- 4 beats/min and 93 +/- 8 beats/min, respectively). Beta-adrenoceptor blockade (10(-6) M propranolol) abolished the chronotropic effect of phenylephrine at 37 degrees C whereas at 30 degrees C a propranolol-resistant chronotropic effect was detected. The propranolol-resistant chronotropic effect of phenylephrine was sensitive to prazosin blockade (10(-6) M) indicating alpha adrenoceptors involvement in the response. At 37 degrees C a propranolol-resistant, prazosin-sensitive effect of phenylephrine could be obtained if basal rate was lowered (by cholinergic stimulation or acidosis) or if extracellular calcium was increased over 1.35 mM. When the chronotropic effect of phenylephrine was compared at similar basal rates, it was greater at 37 degrees C than at 30 degrees C. These results make unlikely the possibility of increases in sensitivity or in density of alpha-adrenoceptors at low temperature. The fact that alpha-adrenoceptor mediated chronotropic response is enhanced at low basal frequencies makes this mechanism a potential safety factor during bradycardia.
在37℃和30℃下测定了苯肾上腺素对离体大鼠心房的变时反应。在这两个温度下,心率的最大增加相似(分别为91±4次/分钟和93±8次/分钟)。β-肾上腺素能受体阻断(10⁻⁶M普萘洛尔)在37℃时消除了苯肾上腺素的变时效应,而在30℃时检测到对普萘洛尔有抗性的变时效应。苯肾上腺素对普萘洛尔有抗性的变时效应对哌唑嗪阻断(10⁻⁶M)敏感,表明α肾上腺素能受体参与了该反应。在37℃时,如果基础心率降低(通过胆碱能刺激或酸中毒)或细胞外钙增加超过1.35 mM,可获得对普萘洛尔有抗性、对哌唑嗪敏感的苯肾上腺素效应。当在相似基础心率下比较苯肾上腺素的变时效应时,37℃时比30℃时更大。这些结果使得在低温下α-肾上腺素能受体敏感性或密度增加的可能性不大。α-肾上腺素能受体介导的变时反应在低基础频率下增强这一事实,使得该机制成为心动过缓期间的一个潜在安全因素。