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α2-肾上腺素能受体激动剂B-HT 933对麻醉性出血大鼠的升压作用:与去氧肾上腺素血流动力学效应的比较

Pressor effects of the alpha 2-adrenoceptor agonist B-HT 933 in anaesthetized and haemorrhagic rats: comparison with the haemodynamic effects of amidephrine.

作者信息

MacLean M R, Thomson M, Hiley C R

机构信息

Department of Pharmacology, University of Cambridge.

出版信息

Br J Pharmacol. 1989 Jun;97(2):419-32. doi: 10.1111/j.1476-5381.1989.tb11969.x.

Abstract
  1. Blood pressure responses to single and multiple bolus doses of the alpha 2-adrenoceptor agonist B-HT 933 were analysed in intact anaesthetized rats which were either normotensive or hypotensive as a result of haemorrhage. Single bolus doses of B-HT 933 in normotensive rats induced a fall in blood pressure, whilst further doses induced dose-dependent pressor responses which were inhibited by the alpha 2-adrenoceptor antagonist yohimbine and unaffected by the alpha 1-adrenoceptor agonist prazosin. In the haemorrhagic, hypotensive animals, single bolus doses of B-HT 933 induced immediate dose-dependent pressor responses; the maximum pressor responses to the bolus of B-HT 933 and its ED50 values were the same in both the normotensive and hypotensive, haemorrhagic animals. 2. Cardiac output, its distribution and tissue blood flows were determined with tracer microspheres in intact anaesthetized normotensive and haemorrhagic, hypotensive rats during depressor (normotensive) and pressor (normotensive and hypotensive) responses to B-HT 933. Haemodynamics were also determined during pressor responses to the alpha 1-adrenoceptor agonist amidephrine. 3. In control normotensive rats, a single dose of B-HT 933 (1 mg kg-1) reduced blood pressure by reducing cardiac output (through a decrease in heart rate). It increased the fractional distribution of cardiac output to the spleen and stomach, reduced it to the heart and liver and reduced cardiac and hepatic blood flow. A further dose of B-HT 933 (1 mg kg-1 bolus followed by 100 micrograms min-1 infusion) increased blood pressure by increasing total peripheral resistance, which was accompanied by decreased proportions of cardiac output passing to the heart, liver and testes. There was also increased fractional distribution of cardiac output to the lungs, spleen, kidneys and stomach but blood flows through the liver and testes were reduced. Amidephrine (6 micrograms kg-1 bolus followed by 0.5 micrograms min-1 infusion) increased blood pressure by increasing cardiac output through an increased stroke volume. It increased cardiac output distribution to the kidneys and brain, increasing blood flow through the heart, lungs, brain, testes, epididimides, skin and large intestine. 4. Haemorrhage caused a fall in blood pressure which resulted from decreased total peripheral resistance and cardiac output (the latter due to decreases in both heart rate and stroke volume). It reduced the proportion of cardiac output distributed to the lungs, spleen, kidneys, testes and pancreas/mesentery and decreased blood flow through these organs as well as through the heart, liver, brain, epididimides, skin and the gastrointestinal tract.4
摘要
  1. 在完整的麻醉大鼠中分析了α₂肾上腺素能受体激动剂B-HT 933单次和多次推注剂量的血压反应,这些大鼠要么血压正常,要么因出血而低血压。血压正常的大鼠单次推注B-HT 933会导致血压下降,而进一步给药会引起剂量依赖性升压反应,该反应被α₂肾上腺素能受体拮抗剂育亨宾抑制,且不受α₁肾上腺素能受体激动剂哌唑嗪影响。在出血性低血压动物中,单次推注B-HT 933会立即引起剂量依赖性升压反应;血压正常和出血性低血压动物对B-HT 933推注的最大升压反应及其半数有效剂量(ED50)值相同。2. 在完整的麻醉血压正常和出血性低血压大鼠对B-HT 933的降压(血压正常时)和升压(血压正常和低血压时)反应过程中,用微球示踪剂测定心输出量、其分布及组织血流量。在对α₁肾上腺素能受体激动剂去氧肾上腺素的升压反应过程中也测定了血流动力学。3. 在对照血压正常的大鼠中,单次剂量的B-HT 933(1毫克/千克)通过降低心输出量(通过降低心率)来降低血压。它增加了心输出量分配到脾脏和胃的比例,减少了分配到心脏和肝脏的比例,并降低了心脏和肝脏的血流量。进一步剂量的B-HT 933(1毫克/千克推注后接着以100微克/分钟输注)通过增加总外周阻力来升高血压,这伴随着通过心脏、肝脏和睾丸的心输出量比例降低。心输出量分配到肺、脾、肾和胃的比例也增加,但流经肝脏和睾丸的血流量减少。去氧肾上腺素(6微克/千克推注后接着以0.5微克/分钟输注)通过增加每搏输出量来增加心输出量从而升高血压。它增加了心输出量分配到肾脏和大脑的比例,增加了通过心脏、肺、大脑、睾丸、附睾、皮肤和大肠的血流量。4. 出血导致血压下降,这是由于总外周阻力和心输出量降低(后者是由于心率和每搏输出量均降低)所致。它降低了心输出量分配到肺、脾、肾、睾丸和胰腺/肠系膜的比例,并减少了通过这些器官以及心脏、肝脏、大脑、附睾、皮肤和胃肠道的血流量。

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