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α1和α2肾上腺素能受体介导的升压反应:它们是由钙拮抗剂还是功能性拮抗作用区分的?

Alpha 1- and alpha 2-adrenoceptor-mediated pressor responses: are they differentiated by calcium antagonists or by functional antagonism?

作者信息

Lew M J, Angus J A

出版信息

J Cardiovasc Pharmacol. 1985 Mar-Apr;7(2):401-8.

PMID:2581097
Abstract

We investigated the effect of cardiovascular depression on the pressor responses to the alpha 1-adrenoceptor selective agonist methoxamine, and the alpha 2-adrenoceptor selective agonist B-HT 920 in anesthetized ganglion-blocked rats. The calcium channel blocking drug nifedipine preferentially inhibited the effect of B-HT 920, as has been reported by other authors. Lowering the starting blood pressure by hemorrhage, by nitroprusside infusion, or by additional pentobarbitone also preferentially inhibited the pressor effect of B-HT 920. These selective effects of vascular depression on B-HT 920 are consistent with predicted interactions between functional antagonists and a partial (low-efficacy) agonist. This was tested in part by reducing the maximum effect of methoxamine by phenoxybenzamine treatment. Under these conditions, methoxamine behaved like B-HT 920 in that it was sensitive to inhibition by nitroprusside infusion. By analogy, the vasodepressive effect of calcium channel blocking drugs could be responsible for the preferential inhibition of the vasoconstrictor responses to alpha 2-adrenoceptor agonists. It is concluded that a differential reliance on influx of extracellular Ca2+ by alpha 1- and alpha 2-adrenoceptors may not be the only explanation of the selective effect of calcium channel blocking drugs.

摘要

我们研究了在麻醉的神经节阻断大鼠中,心血管抑制对α1肾上腺素能受体选择性激动剂甲氧明和α2肾上腺素能受体选择性激动剂B-HT 920的升压反应的影响。正如其他作者所报道的,钙通道阻滞剂硝苯地平优先抑制B-HT 920的作用。通过出血、输注硝普钠或额外给予戊巴比妥降低起始血压,也优先抑制B-HT 920的升压作用。血管抑制对B-HT 920的这些选择性作用与功能性拮抗剂和部分(低效)激动剂之间的预测相互作用一致。部分通过用酚苄明处理降低甲氧明的最大效应来对此进行了测试。在这些条件下,甲氧明的表现与B-HT 920相似,即它对输注硝普钠的抑制敏感。由此类推,钙通道阻滞剂的血管舒张抑制作用可能是对α2肾上腺素能受体激动剂的血管收缩反应优先受到抑制的原因。得出的结论是,α1和α2肾上腺素能受体对细胞外Ca2+内流的不同依赖性可能不是钙通道阻滞剂选择性作用的唯一解释。

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