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慢性氟西汀治疗可改变血管交感神经递质传递及其 5-羟色胺能调节。

Vascular sympathetic neurotransmission and its serotonergic regulation are modified by chronic fluoxetine treatment.

机构信息

Laboratory of Pharmacology, Department of Physiology and Pharmacology, Faculty of Pharmacy, University of Salamanca, 37007, Salamanca, Spain; Research Institute of Salamanca (IBSAL), Paseo San Vicente 58-182, 37007, Salamanca, Spain.

Laboratory of Pharmacology, Department of Physiology and Pharmacology, Faculty of Pharmacy, University of Salamanca, 37007, Salamanca, Spain.

出版信息

J Pharmacol Sci. 2021 Sep;147(1):48-57. doi: 10.1016/j.jphs.2021.05.008. Epub 2021 May 23.

DOI:10.1016/j.jphs.2021.05.008
PMID:34294372
Abstract

Given the interconnection between depressive and cardiovascular disorders, we investigated whether antidepressant treatment (fluoxetine) modifies the serotonergic influence on rat vascular noradrenergic outflow. Twelve-week-old male Wistar rats received fluoxetine treatment (10 mg/kg/day; p.o.) for 14 days; then, they were pithed and prepared for sympathetic stimulation. Vasopressor responses were obtained by electrical stimulation of the sympathetic outflow (0.1, 0.5, 1, and 5 Hz) or i.v. noradrenaline (NA; 0.01, 0.05, 0.1, and 0.5 μg/kg). In fluoxetine-treated group, the electrical-induced vasoconstrictions were lower compared to non-treated rats. Intravenous infusion of 5-HT (10 μg/kg/min) inhibited the sympathetically-induced vasoconstrictions. Only 5-CT, 8-OH-DPAT and L-694,247 (5-HT, 5-HT and 5-HT agonists, respectively) mimicked 5-HT-induced inhibition, while α-methyl-5-HT (5-HT agonist) increased the vasopressor responses. The inhibitory effect of 5-HT was: a) no modified by SB269970 (5-HT antagonist); b) abolished by WAY-100,635 (5-HT antagonist) plus LY310762 (5-HT antagonist); and c) potentiated by ritanserin (5-HT receptor antagonist). The vasoconstrictions induced by exogenous NA were not modified by 5-CT but were increased by α-methyl-5-HT. Our results suggest that fluoxetine treatment decreases NA release at vascular level and changes 5-HT modulation on rat vascular noradrenergic neurotransmission, inducing sympatho-inhibition via prejunctional 5-HT receptors, and sympatho-potentiation via pre and/or postjunctional 5-HT receptors.

摘要

鉴于抑郁和心血管疾病之间的相互关系,我们研究了抗抑郁治疗(氟西汀)是否会改变 5-羟色胺对大鼠血管去甲肾上腺素流出的影响。12 周龄雄性 Wistar 大鼠接受氟西汀治疗(10mg/kg/天;口服)14 天;然后,它们被开颅并准备进行交感神经刺激。通过刺激交感神经流出(0.1、0.5、1 和 5Hz)或静脉内给予去甲肾上腺素(NA;0.01、0.05、0.1 和 0.5μg/kg)获得加压反应。与未治疗的大鼠相比,氟西汀治疗组的电刺激引起的血管收缩较低。静脉内输注 5-HT(10μg/kg/min)抑制了交感神经引起的血管收缩。只有 5-CT、8-OH-DPAT 和 L-694,247(5-HT、5-HT 和 5-HT 激动剂,分别)模拟 5-HT 诱导的抑制,而α-甲基-5-HT(5-HT 激动剂)增加了升压反应。5-HT 的抑制作用:a)不被 SB269970(5-HT 拮抗剂)改变;b)被 WAY-100,635(5-HT 拮抗剂)加 LY310762(5-HT 拮抗剂)消除;c)被 ritanserin(5-HT 受体拮抗剂)增强。外源性 NA 引起的血管收缩不受 5-CT 影响,但受α-甲基-5-HT 影响增加。我们的结果表明,氟西汀治疗降低了血管水平的 NA 释放,并改变了 5-HT 对大鼠血管去甲肾上腺素神经传递的调节,通过前突触 5-HT 受体诱导交感抑制,并通过前和/或后突触 5-HT 受体诱导交感兴奋。

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