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β-交感神经阻滞剂对血管对去甲肾上腺素和氯化钾反应的影响。

Effect of beta-sympatholytic agents on vascular responses to noradrenaline and potassium chloride.

作者信息

Kababgi M D, Henrich H, Schneider K W

出版信息

Acta Cardiol. 1978;33(1):5-23.

PMID:27930
Abstract

Vasoconstrictory responses to noradrenaline (NA) or high potassium chloride (130 mM) usually show a biphasic behaviour: an initial peak is followed by a lower steady state level. The influence of three beta-sympatholytic agents (propranolol, pindolol, practolol) and a "Ca-antagonist" (verapamil) on this particular behaviour of KCl-induced vasoconstrictions was compared with responses to NA. Studies were performed on the intact vascular bed of an isolated intestinal preparation of the rat. 1. Increases in the concentration of propranolol and pindolol from 10(-10) to 10(-6) M attenuated the vascular responses to high KCl. Practolol, however, distinctly enhanced the KCl-responses. NA (1.3 microgram/ml)-elicited vasoconstriction was found to be influenced in a similar manner by the beta-receptor antagonists used, though lower concentrations of pindolol had an enhancing, higher concentrations a reducing effect on the constrictory responses to NA. 2. The extent to which the biphasic response adjusted to the steady state level was concentration-dependently increased KCl-responses and significantly decreased to a monophasic response to NA, in the presence of the beta-sympatholytic agents. 3. By using a quotient of deltaPs (steady-state phase) to deltaPi (initial vasoconstriction) and by comparing the effect of the three beta-sympatholytic agents with that of verapamil on this quotient showed a concentration-dependent decrease in presence of the beta-sympatholytic as well as of the Ca-antagonistic agents. These myotropic actions, i.e. negative influences on the mechanism of vascular smooth muscle activation ranged in the following sequence: Verapamil greater than propranolol greater than pindolol greater than practolol. 4. The mechanism underlying the biphasic responses to high potassium chloride are concluded to be basically different from the NA-responses because they are inversely affected by beta-sympatholytic agents. The steady-state response to KCl was found to be very sensitive to non-specific pharmacological actions of beta-sympatholytic substances. The myotropic action of the beta-receptor antagonists is compared with that of the Ca-antagonist verapamil and the role of calcium in the mechanism of activation of vascular smooth muscle is discussed.

摘要

对去甲肾上腺素(NA)或高浓度氯化钾(130 mM)的血管收缩反应通常呈现双相行为:初始峰值后接着是较低的稳态水平。将三种β-交感神经阻滞剂(普萘洛尔、吲哚洛尔、普拉洛尔)和一种“钙拮抗剂”(维拉帕米)对氯化钾诱导的血管收缩这一特定行为的影响与对NA的反应进行了比较。研究在大鼠离体肠制备物的完整血管床中进行。1. 普萘洛尔和吲哚洛尔浓度从10^(-10) M增加到10^(-6) M可减弱对高浓度氯化钾的血管反应。然而,普拉洛尔明显增强了对氯化钾的反应。发现所使用的β受体拮抗剂以类似方式影响NA(1.3微克/毫升)引起的血管收缩,尽管较低浓度的吲哚洛尔对NA的收缩反应有增强作用,较高浓度则有减弱作用。2. 在存在β-交感神经阻滞剂的情况下,双相反应调整到稳态水平的程度在浓度依赖性上增加了对氯化钾的反应,并显著降低为对NA的单相反应。3. 通过使用δPs(稳态相)与δPi(初始血管收缩)的商,并比较三种β-交感神经阻滞剂与维拉帕米对该商的影响,结果显示在存在β-交感神经阻滞剂以及钙拮抗剂的情况下均呈浓度依赖性降低。这些对肌动作用,即对血管平滑肌激活机制的负面影响按以下顺序排列:维拉帕米>普萘洛尔>吲哚洛尔>普拉洛尔。4. 对高浓度氯化钾双相反应的潜在机制被认为与对NA的反应基本不同,因为它们受到β-交感神经阻滞剂的反向影响。发现对氯化钾的稳态反应对β-交感神经阻滞剂物质的非特异性药理作用非常敏感。将β受体拮抗剂的对肌动作用与钙拮抗剂维拉帕米的进行了比较,并讨论了钙在血管平滑肌激活机制中的作用。

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