Molderings G J, Schümann H J
Pharmakologisches Institut, Universitätsklinikum Essen, F.R. Germany.
Arch Int Pharmacodyn Ther. 1989 Jan-Feb;297:18-28.
The modulatory influence of alpha 1-adrenoceptor agonists on the beta-adrenoceptor-mediated or H2-receptor-mediated positive chronotropic effect was investigated in isolated guinea-pig right atria. In the presence of cirazoline, the isoprenaline- or impromidine-induced positive chronotropic effect was significantly reduced. Methoxamine also reduced the isoprenaline-induced positive chronotropic effect. The reduction was abolished by the alpha 1-adrenoceptor antagonist prazosin. The protein kinase C activator phorbol-12-myristate-13-acetate, as well as the protein kinase inhibitor polymyxin B, had no influence on the cirazoline-evoked decrease of the beta-adrenoceptor-mediated positive chronotropic effect. Cirazoline, in the absence of isoprenaline or impromidine, concentration-dependently decreased heart rate, which could not be abolished by phentolamine and prazosin. Stimulation of alpha 1-adrenoceptors by phenylephrine in the presence of the beta-adrenoceptor antagonist sotalol, decreased spontaneous heart rate. The decrease was abolished by prazosin as well as by pretreatment with the neurotoxin 6-hydroxy-dopamine. The decrease in heart rate may to some extent be the result of interactions at the level of signal transduction systems of the 3 receptors.
在离体豚鼠右心房中研究了α1 -肾上腺素能受体激动剂对β -肾上腺素能受体介导或H2 -受体介导的正性变时作用的调节影响。在存在可乐定的情况下,异丙肾上腺素或英普咪定诱导的正性变时作用显著降低。甲氧明也降低了异丙肾上腺素诱导的正性变时作用。这种降低被α1 -肾上腺素能受体拮抗剂哌唑嗪消除。蛋白激酶C激活剂佛波醇-12 -肉豆蔻酸酯-13 -乙酸酯以及蛋白激酶抑制剂多粘菌素B对可乐定引起的β -肾上腺素能受体介导的正性变时作用的降低没有影响。在没有异丙肾上腺素或英普咪定的情况下,可乐定浓度依赖性地降低心率,酚妥拉明和哌唑嗪不能消除这种作用。在β -肾上腺素能受体拮抗剂索他洛尔存在的情况下,去氧肾上腺素刺激α1 -肾上腺素能受体可降低自发心率。这种降低被哌唑嗪以及用神经毒素6 -羟基多巴胺预处理所消除。心率降低在一定程度上可能是3种受体信号转导系统水平相互作用的结果。