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肾上腺切除的糖皮质激素性高血压大鼠中普萘洛尔后的血管舒张作用。

Postpropranolol vasodilation in adrenalectomized glucocorticoid hypertensive rats.

作者信息

DiPette D J, Burris J F, Rogers A, Waeber B, Brunner H R

出版信息

Am J Physiol. 1987 Jun;252(6 Pt 2):H1243-8. doi: 10.1152/ajpheart.1987.252.6.H1243.

Abstract

Acute beta-adrenoreceptor blockade results in an enhanced blood pressure-lowering effect in glucocorticoid hypertensive rats in the absence of the adrenals. To evaluate the possible mechanism of this enhanced blood pressure-lowering effect, systemic and regional hemodynamics were determined by the radioactive microsphere technique before and after propranolol administration in bilaterally adrenalectomized (AX) and sham-operated (SH) glucocorticoid hypertensive rats. Propranolol decreased mean blood pressure (BP) and heart rate (HR) to a greater extent in the AX animals. In response to propranolol, cardiac output (CO) decreased equally in both the AX and SH animals. Regional vascular responses to propranolol were similar between the AX and SH animals, except in muscle. In muscle propranolol significantly decreased blood flow and increased resistance in the SH animals. In marked contrast, in the AX animals propranolol significantly increased blood flow and decreased vascular resistance. The results of this study show that in adrenalectomized glucocorticoid hypertensive rats, the enhanced BP lowering effect of acute beta-adrenoreceptor blockade is not mediated by changes in CO. Additionally, in glucocorticoid hypertensive rats acute beta-adrenoreceptor blockade causes selective vasodilation in skeletal muscle.

摘要

急性β-肾上腺素能受体阻断在无肾上腺的糖皮质激素性高血压大鼠中可增强降压效果。为评估这种增强的降压效果的可能机制,在双侧肾上腺切除(AX)和假手术(SH)的糖皮质激素性高血压大鼠中,在给予普萘洛尔前后,通过放射性微球技术测定全身和局部血流动力学。普萘洛尔使AX动物的平均血压(BP)和心率(HR)下降幅度更大。对普萘洛尔的反应,AX和SH动物的心输出量(CO)均同等程度下降。AX和SH动物对普萘洛尔的局部血管反应相似,但肌肉除外。在肌肉中,普萘洛尔使SH动物的血流显著减少,阻力增加。与之形成显著对比的是,在AX动物中,普萘洛尔使血流显著增加,血管阻力降低。本研究结果表明,在肾上腺切除的糖皮质激素性高血压大鼠中,急性β-肾上腺素能受体阻断增强的降压效果并非由心输出量的变化介导。此外,在糖皮质激素性高血压大鼠中,急性β-肾上腺素能受体阻断导致骨骼肌选择性血管舒张。

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