Takahashi H, Okabayashi H, Suga K, Matsuzawa M, Ikegaki I, Yoshimura M
Second Department of Medicine, Kyoto Prefectural University of Medicine, Japan.
J Hypertens. 1987 Dec;5(6):677-82. doi: 10.1097/00004872-198712000-00007.
Cardiovascular regulation during alpha 1-adrenergic blocker-induced vasodepression was investigated in urethane-anaesthetized rats. Intravenous (i.v.) injections of bunazosin, an alpha 1-blocker, elicited depressor responses which were accompanied by corresponding decreases in both heart rate and abdominal sympathetic discharge, dose-dependently. Those responses were not affected by the bilateral sino-aortic de-afferentation. Assuming that the site of action is in the central nervous system, bunazosin was injected intracerebroventricularly (i.c.v.). It produced hypotension accompanied by decreases in heart rate and abdominal sympathetic nerve activity. The magnitude of the responses was greater when bunazosin was injected i.c.v. than when injected i.v. Since these results indicated that the central alpha 1-adrenergic receptors mediate vasopressor responses, the effects of i.c.v. injections of an alpha 1-agonist, phenylephrine was explored. It elicited vasopressor responses accompanied by corresponding increases in heart rate and abdominal sympathetic nerve activity. Furthermore, i.c.v. pretreatment with bunazosin abolished the vasopressor responses to i.c.v. injections of phenylephrine. These results indicate that central alpha 1-adrenergic receptors mediate vasopressor responses and that i.v. injections of alpha 1-blockers affect the central alpha 1-receptors, to produce a decrease in sympathetic nerve activity. Consequently, alpha 1-adrenergic blockers decrease blood pressure not only by peripheral vasodilation but also by inhibition of the sympathetic outflow in rats.
在乌拉坦麻醉的大鼠中研究了α1-肾上腺素能阻滞剂诱导血管抑制期间的心血管调节。静脉注射α1-阻滞剂布那唑嗪可引起降压反应,同时心率和腹部交感神经放电相应降低,且呈剂量依赖性。双侧窦主动脉去传入神经并不影响这些反应。假设作用部位在中枢神经系统,将布那唑嗪脑室内注射(i.c.v.)。它引起低血压,同时伴有心率和腹部交感神经活动降低。脑室内注射布那唑嗪时的反应幅度大于静脉注射时。由于这些结果表明中枢α1-肾上腺素能受体介导升压反应,因此探索了脑室内注射α1-激动剂去氧肾上腺素的作用。它引起升压反应,同时伴有心率和腹部交感神经活动相应增加。此外,用布那唑嗪进行脑室内预处理可消除对脑室内注射去氧肾上腺素的升压反应。这些结果表明中枢α1-肾上腺素能受体介导升压反应,静脉注射α1-阻滞剂会影响中枢α1-受体,从而导致交感神经活动降低。因此,α1-肾上腺素能阻滞剂不仅通过外周血管舒张降低血压,还通过抑制大鼠的交感神经传出而降低血压。