Mattila J, Buñag R D
J Pharmacol Exp Ther. 1986 Jul;238(1):232-6.
To study peripheral mechanisms underlying cardiovascular responses to thyrotropin-releasing hormone (TRH) we recorded the effects of i.c.v. infusions of TRH in urethane-anesthetized rats after various drug pretreatments, nephrectomy or renal denervation. TRH invariably increased blood pressure, heart rate and sympathetic nerve activity. After alpha-1 adrenergic blockade with prazosin, pressor responses to TRH were delayed in onset and reduced in magnitude. After renal denervation or pretreatment with propranolol for beta adrenergic blockade, captopril for converting enzyme inhibition or Sar1Ile8 angiotensin II for angiotensin II blockade, pressor responses to TRH were unaltered during the first few minutes but became significantly reduced thereafter. Bilateral nephrectomy inhibited markedly the whole pressor response including its onset and subsequent elevation. Consequently, initial inhibition by prazosin was considered due to removal of alpha-1 adrenergic vasoconstriction whereas the later attenuation was attributed to antagonism of the renin-angiotensin system. None of the procedures tested affected the attendant sympathetic hyperactivity, but the tachycardia was prevented by beta adrenergic blockade. These results are compatible with the interpretation that, by acting centrally, TRH stimulates sympathetic hyperactivity which then elevates blood pressure by increasing not only sympathetic vasomotor tone but also renal renin secretion.
为研究促甲状腺激素释放激素(TRH)引起心血管反应的外周机制,我们记录了在各种药物预处理、肾切除或肾去神经支配后,向氨基甲酸乙酯麻醉的大鼠脑室内注射TRH的效应。TRH总是会升高血压、心率和交感神经活性。用哌唑嗪进行α-1肾上腺素能阻断后,对TRH的升压反应起效延迟且幅度减小。在肾去神经支配或用普萘洛尔进行β-肾上腺素能阻断预处理、用卡托普利抑制转化酶或用Sar1Ile8血管紧张素II阻断血管紧张素II后,对TRH的升压反应在最初几分钟内未改变,但此后显著降低。双侧肾切除明显抑制了整个升压反应,包括其起效和随后的升高。因此,哌唑嗪的初始抑制作用被认为是由于去除了α-1肾上腺素能血管收缩,而后期的减弱归因于肾素-血管紧张素系统的拮抗作用。所测试的任何程序均未影响伴随的交感神经过度活动,但β-肾上腺素能阻断可预防心动过速。这些结果符合以下解释:TRH通过中枢作用刺激交感神经过度活动,进而不仅通过增加交感缩血管张力而且通过增加肾素分泌来升高血压。