Jurcovicová J, Le T, Krulich L
Institute for Experimental Endocrinology, Bratislava, Czechoslovakia.
Brain Res Bull. 1989 Dec;23(6):425-32. doi: 10.1016/0361-9230(89)90184-6.
It has been suggested that the stimulation of the secretion of PRL by the alpha 2 adrenergic receptor antagonists (yohimbine, piperoxane) results from blockade of an inhibitory influence imposed on PRL release by the central alpha 2 receptors (7, 15). Our present results do not support these conclusions for the following reasons: 1) The effectiveness of the alpha 2 receptor antagonists yohimbine (YOH), rauwolscine (RAU), Wy 26392 and idazoxan (IDAZ) respectively to activate secretion of PRL was not related to their alpha 2 antagonist potencies. RAU was more effective in activation of PRL secretion than either YOH or Wy 26392 although it had a similar alpha 2 antagonist activity, while IDAZ, the most potent alpha 2 blocker among the four compounds, did not stimulate PRL secretion. 2) The PRL-releasing effect of YOH or Wy 26392 was reversed by the alpha 2 agonist clonidine but the same effect of RAU was not, speaking against a common alpha 2-mediated mechanism of action of the three antagonists. 3) The PRL-stimulating effect of YOH, RAU or Wy 26392 persisted following inhibition of NE synthesis and presumably release with FLA 63, DDC or combination of reserpine and DDC. 4) Conversely, we found no indication for an inhibiting influence of activation of the alpha 2 receptors on the secretion of PRL. We conclude that the stimulation of PRL secretion by the alpha 2 receptor antagonists is not derived from blockade of the central alpha 2 receptors but from other, not yet defined properties of the drugs.
有人提出,α2肾上腺素能受体拮抗剂(育亨宾、哌罗克生)刺激催乳素(PRL)分泌是由于阻断了中枢α2受体对PRL释放施加的抑制性影响(7, 15)。我们目前的结果不支持这些结论,原因如下:1)α2受体拮抗剂育亨宾(YOH)、利血胺(RAU)、Wy 26392和咪唑克生(IDAZ)分别激活PRL分泌的有效性与其α2拮抗剂效力无关。尽管RAU具有与YOH或Wy 26392相似的α2拮抗剂活性,但它在激活PRL分泌方面比YOH或Wy 26392更有效,而IDAZ是这四种化合物中最有效的α2阻滞剂,却不刺激PRL分泌。2)α2激动剂可乐定可逆转YOH或Wy 26392的PRL释放效应,但RAU的相同效应却不能被逆转,这表明这三种拮抗剂并非通过共同的α2介导作用机制发挥作用。3)在抑制去甲肾上腺素(NE)合成并可能通过氟拉明63、二硫代苏糖醇(DDC)或利血平和DDC的组合抑制NE释放后,YOH、RAU或Wy 26392的PRL刺激效应仍然持续存在。4)相反,我们没有发现α2受体激活对PRL分泌有抑制性影响的迹象。我们得出结论,α2受体拮抗剂刺激PRL分泌并非源于对中枢α2受体的阻断,而是源于药物的其他尚未明确的特性。