Kalsner S, Quillan M
Department of Physiology, City University of New York Medical School, City College of New York, New York.
J Pharmacol Exp Ther. 1989 Jun;249(3):785-9.
Epicardial coronary artery strips of cattle hearts mounted in vitro respond to transmural stimulation with a neurogenic constriction, attributable to the endogenous release of acetylcholine. These responses were elicited with frequencies as low as 1.0 Hz and with pulse durations as low as 100 microseconds. The magnitude of the contractile response increased with increasing frequency of stimulation. Blockade of adrenergic neuronal mechanisms with guanethidine (5 x 10(-6) M) increased the size of the contractile responses at 10 Hz and they were antagonized markedly by the muscarinic antagonist atropine (4.3 or 8.6 x 10(-7) M), but not by the adrenergic antagonist phentolamine (3.6 x 10(-7) M). Contractions to field stimulation were increased greatly by the cholinesterase inhibitor physostigmine (1.1 x 10(-6) M). Blockade of neuronal sodium channels with tetrodotoxin (9.4 x 10(-7) M) reduced severely the contractions to field stimulation, as did cold storage of coronary vessels for 5 or 6 days. The contractile responses to stimulation were not inhibited significantly by antagonists of prostaglandin synthesis, or were they enhanced by denudation of the endothelium. It is concluded that cholinergic constrictor mechanisms, linked to medial muscarinic receptors, operate in the large coronary arteries, which are associated in humans with coronary spasm.
体外安装的牛心冠状动脉条对跨壁刺激产生神经源性收缩反应,这归因于乙酰胆碱的内源性释放。这些反应在低至1.0 Hz的频率和低至100微秒的脉冲持续时间下即可引发。收缩反应的幅度随刺激频率的增加而增大。用胍乙啶(5×10⁻⁶ M)阻断肾上腺素能神经元机制可增加10 Hz时收缩反应的大小,且这些反应被毒蕈碱拮抗剂阿托品(4.3或8.6×10⁻⁷ M)显著拮抗,但不被肾上腺素能拮抗剂酚妥拉明(3.6×10⁻⁷ M)拮抗。胆碱酯酶抑制剂毒扁豆碱(1.1×10⁻⁶ M)可大大增强对场刺激的收缩反应。用河豚毒素(9.4×10⁻⁷ M)阻断神经元钠通道可严重降低对场刺激的收缩反应,冠状动脉血管冷藏5或6天也会如此。对刺激的收缩反应未被前列腺素合成拮抗剂显著抑制,内皮剥脱也未增强这种反应。结论是,与内侧毒蕈碱受体相关的胆碱能收缩机制在大冠状动脉中起作用,在人类中这些动脉与冠状动脉痉挛有关。