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选择性α2-肾上腺素能受体拮抗剂的促惊厥作用。

A proconvulsant action of selective alpha 2-adrenoceptor antagonists.

作者信息

Fletcher A, Forster E A

机构信息

Department of Biomedical Research, Wyeth Research, Taplow, Maidenhead, Berkshire, U.K.

出版信息

Eur J Pharmacol. 1988 Jun 22;151(1):27-34. doi: 10.1016/0014-2999(88)90688-7.

Abstract

The effects of alpha 2-adrenoceptor agonists and antagonists were examined on seizure thresholds determined by intravenous infusions of convulsants in rodents. alpha 2-Adrenoceptor antagonists were proconvulsant; dose dependently reducing the threshold for pentylenetetrazol- or bicuculline-induced tonic seizures. Strychnine-induced tonic seizures were unaffected. The alpha 2-adrenoceptor agonists clonidine, BHT-933 and UK 14,304 did not modify pentylenetetazol-induced seizures at low or moderate doses but at high doses clonidine and BHT-933 were proconvulsant. The facilitatory effect of alpha 2-adrenoceptor antagonists on pentylenetetrazol-induced tonic seizures was blocked by clonidine or UK 14,304. The proconvulsant action of alpha 2-adrenoceptor antagonists was contrasted with that of ethyl-beta-carboline-3-carboxylate, a benzodiazepine receptor contragonist, which markedly reduced the threshold for seizure initiation rather than the tonic seizure threshold. The selective facilitatory action of alpha 2-adrenoceptor blockade on tonic seizures suggests that a noradrenergic mechanism is involved in the control of seizure propagation rather than seizure initiation.

摘要

研究了α2 -肾上腺素能受体激动剂和拮抗剂对通过静脉注射惊厥剂在啮齿动物中测定的癫痫发作阈值的影响。α2 -肾上腺素能受体拮抗剂具有惊厥促发作用;剂量依赖性地降低戊四氮或荷包牡丹碱诱导的强直性癫痫发作阈值。士的宁诱导的强直性癫痫发作不受影响。α2 -肾上腺素能受体激动剂可乐定、BHT - 933和UK 14,304在低剂量或中等剂量时不改变戊四氮诱导的癫痫发作,但在高剂量时可乐定和BHT - 933具有惊厥促发作用。α2 -肾上腺素能受体拮抗剂对戊四氮诱导的强直性癫痫发作的促进作用被可乐定或UK 14,304阻断。α2 -肾上腺素能受体拮抗剂的惊厥促发作用与β-咔啉-3-羧酸乙酯(一种苯二氮䓬受体拮抗物)的作用形成对比,后者显著降低癫痫发作起始阈值而非强直性癫痫发作阈值。α2 -肾上腺素能受体阻断对强直性癫痫发作的选择性促进作用表明,去甲肾上腺素能机制参与癫痫发作传播的控制而非癫痫发作起始的控制。

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