Rudehill A, Sollevi A, Franco-Cereceda A, Lundberg J M
Peptides. 1986 Sep-Oct;7(5):821-6. doi: 10.1016/0196-9781(86)90101-4.
The effects of electrical stimulation of the stellate ganglia on the arterio-venous concentration differences of neuropeptide Y (NPY)-like immunoreactivity (LI) over the pig heart were studied in vivo in relation to changes in heart rate and left ventricular pressure. Furthermore, the effects of NPY on coronary vascular tone were analysed in vivo and in vitro. Stellate ganglion stimulation at a high frequency (10 Hz) caused a clear-cut, long lasting increase in plasma levels of NPY-LI in the coronary sinus compared to the aorta, suggesting release of this peptide from sympathetic terminals within the heart. The stimulation-evoked overflow of NPY-LI from the heart was enhanced about 3-fold by alpha-adrenoceptor blockade using phenoxybenzamine, suggesting that NPY release is under prejunctional inhibitory control by noradrenaline (NA). Combined alpha- and beta-adrenoceptor blockade abolished most of the positive inotropic response of the heart upon stellate ganglion stimulation, while a considerable positive chronotropic effect remained. After guanethidine treatment, stellate ganglion stimulation still produced a small positive inotropic and chronotropic effect on the heart. The stimulation evoked NPY overflow was markedly reduced by guanethidine indicating an origin from sympathetic nerve terminals. Injection of NPY into the constantly perfused left anterior descending artery in vivo caused a long lasting, adrenoceptor antagonist resistant increase in perfusion pressure, suggesting coronary vasoconstriction. NPY contracted coronary arteries in vitro via a nifedipine-sensitive mechanism. NA dilated coronary vessels both in vivo and in vitro via beta-adrenoceptor activation. It is concluded that sympathetic nerve stimulation increases overflow of NPY-LI from the heart suggesting release from cardiac nerves in vivo.(ABSTRACT TRUNCATED AT 250 WORDS)
在猪体内研究了星状神经节电刺激对心脏动静脉神经肽Y(NPY)-免疫反应性(LI)浓度差的影响,并与心率和左心室压力的变化相关联。此外,还在体内和体外分析了NPY对冠状血管张力的影响。与主动脉相比,高频(10Hz)刺激星状神经节导致冠状窦中NPY-LI血浆水平明显且持久升高,提示该肽从心脏内的交感神经末梢释放。使用酚苄明进行α-肾上腺素能受体阻断可使刺激诱发的心脏NPY-LI溢出增加约3倍,提示NPY释放受去甲肾上腺素(NA)的节前抑制控制。联合α和β肾上腺素能受体阻断可消除星状神经节刺激时心脏的大部分正性肌力反应,而相当大的正性变时作用仍然存在。胍乙啶治疗后,星状神经节刺激仍对心脏产生小的正性肌力和正性变时作用。胍乙啶可显著降低刺激诱发的NPY溢出,表明其起源于交感神经末梢。在体内将NPY注入持续灌注的左前降支动脉可导致灌注压持续升高,且不受肾上腺素能受体拮抗剂影响,提示冠状血管收缩。NPY在体外通过硝苯地平敏感机制使冠状动脉收缩。NA在体内和体外均通过β-肾上腺素能受体激活使冠状血管扩张。结论是交感神经刺激增加了心脏NPY-LI的溢出,提示在体内从心脏神经释放。(摘要截短至250字)