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对未接触过药物的清醒大鼠静脉输注吗啡(IMF)会引起心动过缓和低血压效应,但对先前给予过吗啡的大鼠进行IMF后会引发升压作用。

Intravenous morphine infusion (IMF) to drug-naive, conscious rats evokes bradycardic, hypotensive effects, but pressor actions are elicited after IMF to rats previously given morphine.

作者信息

Thornhill J A, Townsend C, Gregor L

机构信息

Department of Physiology, University of Saskatchewan, Saskatoon, Canada.

出版信息

Can J Physiol Pharmacol. 1989 Mar;67(3):213-22. doi: 10.1139/y89-036.

Abstract

Hemodynamic (blood pressure and heart rate) responses of conscious drug-naive rats were studied following intravenous (i.v.) infusion of sterile saline, morphine sulphate, and then naloxone hydrochloride, as well as of other groups previously injected with morphine sulphate. Those groups chronically given morphine sulphate received twice daily injections of morphine sulphate (5 mg/kg, s.c. per injection) for 3 or 6 days before testing with the i.v. infusion of morphine sulphate. Drugs were infused (135 microL/min) through an indwelling femoral venous catheter via a Harvard infusion pump, and blood pressure was recorded from the abdominal aorta via a femoral arterial catheter. Other pretreatment studies were done to determine the receptor mechanisms mediating the blood pressure responses of drug-naive and chronic morphine-treated rats, whereby equimolar doses (0.32 mumol) of specific receptor antagonists were given as a bolus i.v. injection 5 min after saline but before subsequent infusion with morphine sulphate. Intravenous infusion of morphine sulphate (7.5 mg/kg total over 15 min) to drug-native rats caused a transient but precipitous fall in mean arterial pressure and mean heart rate with an associated rise in mean pulse pressure; these effects were blocked in other groups pretreated with atropine. Interestingly, however, rats chronically injected with morphine sulphate for 3 days previously evoked a transient pressor response when subsequently infused i.v. with morphine sulphate, actions that were blocked in other groups when pretreated i.v. with 0.32 mumol of phentolamine, yohimbine, prazosin, or guanethidine. A greater and persistent pressor response occurred following morphine infusion to groups of rats previously injected over 6 days with morphine sulphate, which was associated with tachycardia during the later stages of the 15-min morphine sulphate infusion period. The prolonged pressor and tachycardic responses of this 6-day chronically injected group were completely blocked in another group pretreated i.v. with both phentolamine and propranolol (0.32 mumol). The results suggest that morphine sulphate infusion to conscious, drug-naive rats evokes classical hypotensive effects due to decreases in mean heart rate caused by activation of parasympathetic vagal activity. With 3 or 6 days of chronic morphine sulphate administration beforehand, subsequent i.v. infusion of morphine sulphate evoked pressor actions felt to be caused by a progressive activation of the sympathetic nervous system.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

对未用过药物的清醒大鼠静脉注射无菌生理盐水、硫酸吗啡、盐酸纳洛酮后,以及对其他预先注射过硫酸吗啡的组,研究其血流动力学(血压和心率)反应。那些长期给予硫酸吗啡的组在通过静脉注射硫酸吗啡进行测试前,每天皮下注射两次硫酸吗啡(每次5mg/kg),共3天或6天。药物通过哈佛输液泵经留置的股静脉导管以135微升/分钟的速度输注,血压通过股动脉导管从腹主动脉记录。还进行了其他预处理研究,以确定介导未用过药物和慢性吗啡处理大鼠血压反应的受体机制,即在注射生理盐水后但在随后输注硫酸吗啡前5分钟,静脉推注等摩尔剂量(0.32微摩尔)的特异性受体拮抗剂。对未用过药物的大鼠静脉输注硫酸吗啡(15分钟内总量7.5mg/kg)导致平均动脉压和平均心率短暂但急剧下降,同时平均脉压升高;这些效应在预先用阿托品处理的其他组中被阻断。然而,有趣的是,先前连续3天注射硫酸吗啡的大鼠随后静脉输注硫酸吗啡时会引发短暂的升压反应,当预先静脉注射0.32微摩尔酚妥拉明、育亨宾、哌唑嗪或胍乙啶时,其他组的这些反应被阻断。对先前6天注射过硫酸吗啡的大鼠组输注吗啡后出现更大且持续的升压反应,这与15分钟硫酸吗啡输注后期的心动过速有关。预先静脉注射酚妥拉明和普萘洛尔(0.32微摩尔)的另一组中,该6天长期注射组延长的升压和心动过速反应完全被阻断。结果表明,对未用过药物的清醒大鼠输注硫酸吗啡会引起典型的降压作用,这是由于副交感迷走神经活动激活导致平均心率下降。预先给予3天或6天的慢性硫酸吗啡给药后,随后静脉输注硫酸吗啡会引发升压作用,这被认为是由交感神经系统的逐渐激活引起的。(摘要截短至400字)

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