Aizawa Y, Niwano S, Aizawa M, Tamura M, Shibata A
First Department of Internal Medicine, Niigata University, Japan.
Angiology. 1989 Oct;40(10):890-4. doi: 10.1177/000331978904001006.
Neuropeptide-Y (NPY) was administered intracoronarily in dogs to see the modification of its vasoconstrictor action by the calcium (Ca)-channel blockers nisoldipine (0.1 microgram/kg) and nifedipine (1 microgram/kg). Dogs were anesthetized and the left circumflex artery was cannulated without opening the chest by using a specially designed cannula perfused at constant pressure. The change in coronary flow due to NPY was determined before and after the systemic administration of the two Ca-channel blockers. With administration of 1 to 2 nmol of NPY, coronary blood flow decreased maximally by 23.4 +/- 7.8% without changes in perfusion pressure or central venous pressure and it became significantly less after nisoldipine: 16.0 +/- 5.7% (p less than 0.02). A similar attenuation in the decrease in coronary flow was observed in the nifedipine study: 23.2 +/- 7.5% to 12.0 +/- 6.7% (p less than 0.02). A fall in systemic arterial blood pressure was observed after administration of both Ca-channel blockers, but it was significant only after nisoldipine (p less than 0.01). Nonsignificant increases in heart rate were observed after both drugs. Nisoldipine seemed to attenuate the NPY-induced vasoconstriction in dogs, and its equimolar potency is about ten times that of nifedipine.
在犬类动物中进行冠状动脉内注射神经肽 Y(NPY),以观察钙通道阻滞剂尼索地平(0.1微克/千克)和硝苯地平(1微克/千克)对其血管收缩作用的影响。犬类动物麻醉后,使用特制的恒压灌注插管在不打开胸腔的情况下将其插入左旋冠状动脉。在全身给予两种钙通道阻滞剂之前和之后,测定NPY引起的冠状动脉血流变化。注射1至2纳摩尔NPY后,冠状动脉血流量最大减少23.4±7.8%,灌注压力或中心静脉压无变化,尼索地平给药后血流量减少明显减轻:16.0±5.7%(p<0.02)。在硝苯地平研究中也观察到冠状动脉血流减少的类似减弱:从23.2±7.5%降至12.0±6.7%(p<0.02)。两种钙通道阻滞剂给药后均观察到体循环动脉血压下降,但仅尼索地平给药后显著(p<0.01)。两种药物给药后心率均有非显著增加。尼索地平似乎能减弱犬类动物中NPY诱导的血管收缩,其等摩尔效力约为硝苯地平的十倍。