Maggi C A, Santicioli P, Furio M, Meli A
J Pharmacol Exp Ther. 1985 Nov;235(2):528-36.
The effects of clonidine (CLO) on reflexly activated bladder motility have been examined in urethane-anesthetized rats and compared to its effects on field stimulation-induced contractions of isolated urinary bladder. Intravenous CLO suppressed micturition reflex transiently in a yohimbine-sensitive manner. The suppressive effect of i.v. CLO was greater after surgical sympathectomy (bilateral section of the hypogastric nerves). Intracisternal CLO was more effective than topical (on the bladder dome) or intracerebroventricular CLO in suppressing micturition. When tested in experimental conditions involving activation of both excitatory and inhibitory reflexes to the bladder CLO produced either inhibitory and/or excitatory effects on bladder motility in dependence of factors such as dose, route of administration and integrity of the sympathetic (inhibitory) innervation to the bladder. CLO suppressed bladder contractions produced by dimethylphenilpiperazinium, a ganglionic stimulant, and reduced those produced by postganglionic nerve stimulation. CLO inhibited, in a yohimbine-sensitive manner, amplitude of field stimulation-induced contractions of isolated rat bladder, and its effectiveness was inversely related to the frequency of stimulation. Our findings are suggestive that the inhibitory action of CLO on micturition reflex is counteracted, in normal animals, by a negative feedback on sympathetic inhibitory influences carried out through the hypogastric nerves.
已在乌拉坦麻醉的大鼠中研究了可乐定(CLO)对反射性激活膀胱运动的影响,并将其与对离体膀胱场刺激诱导收缩的影响进行了比较。静脉注射CLO以育亨宾敏感的方式短暂抑制排尿反射。手术去交感神经(双侧切断腹下神经)后,静脉注射CLO的抑制作用更强。脑池内注射CLO在抑制排尿方面比局部(膀胱穹窿部)或脑室内注射CLO更有效。在涉及激活对膀胱的兴奋性和抑制性反射的实验条件下进行测试时,CLO根据剂量、给药途径和膀胱交感(抑制性)神经支配的完整性等因素,对膀胱运动产生抑制和/或兴奋作用。CLO抑制了神经节兴奋剂二甲基苯哌嗪引起的膀胱收缩,并减少了节后神经刺激引起的收缩。CLO以育亨宾敏感的方式抑制离体大鼠膀胱场刺激诱导收缩的幅度,其有效性与刺激频率呈负相关。我们的研究结果表明,在正常动物中,CLO对排尿反射的抑制作用被通过腹下神经对交感抑制影响的负反馈所抵消。