Williams J B, Pruett J K, Mote P S
Department of Anesthesiology, Medical College of Georgia, Augusta 30912.
Arch Int Pharmacodyn Ther. 1988 May-Jun;293:154-61.
The vasodilatory effect of the synthetic glucocorticoid methylprednisolone was studied in the vascular bed of the isolated hind limb of the dog. The isolated hind limb was perfused with the animal's blood by means of a roller pump at a flow to maintain a constant control pressure. The effects on hind limb pressure of alpha- and beta-agonists, sodium nitroprusside, and methylprednisolone sodium succinate were observed in unblocked (Group I) as well as in alpha- and beta-adrenoceptor blocked (Group II) animals. The agonists epinephrine (2 micrograms) and isoproterenol (0.5 micrograms) caused significant increases (+45%) and decreases (-43%) in hind limb pressure, respectively, and both sodium nitroprusside (100-200 micrograms) and methylprednisolone (500 mg) caused significant decreases in hind limb pressure of unblocked animals. In animals with adrenoceptors blocked by phenoxybenzamine and propranolol (Group II) the agonists produced no significant effects, but the methylprednisolone and sodium nitroprusside caused significant decreases in pressure, 45% and 28%, respectively. Following vasodilatation by methylprednisolone, sodium nitroprusside caused a slight, but not significant decrease in hind limb pressure. These data show that methylprednisolone will produce significant vasodilatation even in the presence of alpha- and beta-adrenoceptor blockade, indicating that adrenoceptors alone cannot account for the vasodilatory actions of the steroid in the isolated hind limb.
在犬离体后肢血管床中研究了合成糖皮质激素甲泼尼龙的血管舒张作用。通过滚轴泵用动物自身的血液灌注离体后肢,以维持恒定的对照压力。在未阻断(I组)以及α和β肾上腺素能受体阻断(II组)的动物中观察了α和β激动剂、硝普钠和甲泼尼龙琥珀酸钠对后肢压力的影响。激动剂肾上腺素(2微克)和异丙肾上腺素(0.5微克)分别使后肢压力显著升高(+45%)和降低(-43%),硝普钠(100 - 200微克)和甲泼尼龙(500毫克)均使未阻断动物的后肢压力显著降低。在肾上腺素能受体被酚苄明和普萘洛尔阻断的动物(II组)中,激动剂未产生显著影响,但甲泼尼龙和硝普钠分别使压力显著降低45%和28%。甲泼尼龙引起血管舒张后,硝普钠使后肢压力略有降低,但不显著。这些数据表明,即使存在α和β肾上腺素能受体阻断,甲泼尼龙仍会产生显著的血管舒张作用,这表明仅肾上腺素能受体不能解释该类固醇在离体后肢中的血管舒张作用。