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乌拉地尔与脑血清素-1A受体的相互作用,因外周α-肾上腺素能受体抑制作用而增强了降压效果。

Interaction of urapidil with brain serotonin-1A receptors increases the blood pressure reduction due to peripheral alpha-adrenoceptor inhibition.

作者信息

Sanders K H, Beller K D, Bischler P, Kolassa N

机构信息

Department of Pharmacology, Byk Gulden Pharmaceuticals, Konstanz, Federal Republic of Germany.

出版信息

J Hypertens Suppl. 1988 Dec;6(2):S65-8.

PMID:2906703
Abstract

The alpha-adrenoceptor antagonist urapidil influences central cardiovascular regulation, and this effect is unrelated to alpha-adrenoceptors. Since urapidil has appreciable affinity and selectivity for serotonin-1A (5HT1A) receptors, the activity of urapidil at these sites may be relevant for the centrally mediated component of its antihypertensive action. The latter hypothesis was tested by analysing the influence of the 5HT1A receptor antagonist spiroxatrine on the hypotensive response to urapidil, in comparison with the influence on the hypotensive response to the 5HT1A receptor agonist 8-OH-DPAT (8-hydroxy-2-[di-n-propylamino]tetralin). Anaesthetized cats were thoracotomized and artificially ventilated. Blood pressure was monitored in the descending aorta, and the drugs were injected into the vertebral artery. Spiroxatrine (0.1-3.0 nmol/kg) shifted the cumulative dose response curve (blood pressure reduction) of urapidil (3-20 nmol/kg) and of 8-OH-DPAT (0.01-0.1 nmol/kg) to the right, suggesting competitive antagonism. The results support the hypothesis that the effects of urapidil on central cardiovascular regulation and at least part of the hypotensive effects are due to 5HT1A receptor stimulation.

摘要

α-肾上腺素能受体拮抗剂乌拉地尔影响中枢心血管调节,且这种作用与α-肾上腺素能受体无关。由于乌拉地尔对5-羟色胺-1A(5HT1A)受体具有显著的亲和力和选择性,其在这些位点的活性可能与其降压作用的中枢介导成分相关。通过分析5HT1A受体拮抗剂螺沙群对乌拉地尔降压反应的影响,并与对5HT1A受体激动剂8-OH-DPAT(8-羟基-2-[二正丙基氨基]四氢萘)降压反应的影响进行比较,对后一种假设进行了验证。将麻醉的猫开胸并进行人工通气。在降主动脉监测血压,并将药物注入椎动脉。螺沙群(0.1 - 3.0 nmol/kg)使乌拉地尔(3 - 20 nmol/kg)和8-OH-DPAT(0.01 - 0.1 nmol/kg)的累积剂量反应曲线(血压降低)右移,提示竞争性拮抗作用。结果支持以下假设,即乌拉地尔对中枢心血管调节的作用以及至少部分降压作用是由于5HT1A受体激动所致。

相似文献

1
Interaction of urapidil with brain serotonin-1A receptors increases the blood pressure reduction due to peripheral alpha-adrenoceptor inhibition.乌拉地尔与脑血清素-1A受体的相互作用,因外周α-肾上腺素能受体抑制作用而增强了降压效果。
J Hypertens Suppl. 1988 Dec;6(2):S65-8.
2
Involvement of 5-HT1A receptors in blood pressure reduction by 8-OH-DPAT and urapidil in cats.5-羟色胺1A受体在猫体内8-羟基二丙胺和乌拉地尔降压作用中的参与情况。
J Cardiovasc Pharmacol. 1990;15 Suppl 7:S86-93.
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Involvement of brain 5-HT1A receptors in the hypotensive response to urapidil.脑5-羟色胺1A受体参与乌拉地尔的降压反应。
Am J Cardiol. 1989 Aug 15;64(7):7D-10D. doi: 10.1016/0002-9149(89)90688-7.
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Importance of central nervous system serotonin-1A receptors for mediating the hypotensive effect of urapidil.中枢神经系统5-羟色胺-1A受体在介导乌拉地尔降压作用中的重要性。
J Pharmacol Exp Ther. 1989 Nov;251(2):563-70.
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Influence of urapidil and 8-OH-DPAT on brain 5-HT turnover and blood pressure in rats.乌拉地尔和8-羟基二丙胺对大鼠脑5-羟色胺代谢及血压的影响。
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Differential cardiovascular effects of 8-hydroxy-2-(di-n-propylamino) tetralin (8-OH-DPAT), flesinoxan, 5-methyl-urapidil and MDL 75,608A in conscious spontaneously hypertensive rats.8-羟基-2-(二正丙基氨基)四氢萘(8-OH-DPAT)、氟司立哌、5-甲基乌拉地尔和MDL 75,608A对清醒自发性高血压大鼠的心血管差异作用。
Fundam Clin Pharmacol. 1993;7(9):499-511. doi: 10.1111/j.1472-8206.1993.tb00254.x.

引用本文的文献

1
Urapidil. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in the treatment of hypertension.乌拉地尔。对其药效学和药代动力学特性以及在高血压治疗中的治疗潜力的综述。
Drugs. 1989 Dec;38(6):900-40. doi: 10.2165/00003495-198938060-00005.
2
Is blockade of alpha 1-adrenoceptors favourable in hypotension induced by stimulation of serotonin1A receptors in conscious dogs?在清醒犬中,阻断α1-肾上腺素能受体对5-羟色胺1A受体刺激诱导的低血压是否有利?
Drugs. 1990;40 Suppl 4:38-41. doi: 10.2165/00003495-199000404-00010.
3
The mechanism of the sympathoinhibitory action of urapidil: role of 5-HT1A receptors.
乌拉地尔交感神经抑制作用的机制:5-羟色胺1A受体的作用
Br J Pharmacol. 1991 Apr;102(4):998-1002. doi: 10.1111/j.1476-5381.1991.tb12290.x.