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儿茶酚胺受体刺激剂在延髓孤束核局部应用后对血压的影响。

Effect of catecholamine-receptor stimulating agents on blood pressure after local application in the nucleus tractus solitarii of the medulla oblongata.

作者信息

Zandberg P, De Jong W, De Wied D

出版信息

Eur J Pharmacol. 1979 Apr 1;55(1):43-56. doi: 10.1016/0014-2999(79)90146-8.

Abstract

The effect of various catecholamines and alpha-mimetics, given by microinjection in the A2-region of the nucleus tractus solitarii (NTS), on blood pressure was investigated in anesthetized male rats. A dose-dependent decrease of blood pressure and heart rate was induced by adrenaline as the most effective drug, followed by noradrenaline, dopamine, alpha-methylnoradrenaline and octopamine. Ablation of the rostral or caudal part of the NTS, or removal of the area postrema did not diminish the effect of alpha-methylnoradrenaline. Higher doses of noradrenaline and alpha-methylnoradrenaline caused an initial rise of blood pressure, while the blood pressure lowering effect of noradrenaline was diminished, and that of alpha-methylnoradrenaline and dopamine delayed. Isoprenaline and the (+)-stereoisomers of noradrenaline and alpha-methylnoradrenaline were ineffective. The hypotensive effect of dopamine was not prevented by systemic injection of the dopamine beta-hydroxylase inhibitor FLA 63. Prior application of haloperidol, yohimbine and phentolamine antagonized the hypotensive response to dopamine and alpha-methylnoradrenaline. Application of peripherally effective alpha-mimetics into the A2-region had no or little effect, while high doses increased blood pressure. Tyramine and clonidine caused some decrease of blood pressure. Clonidine also decreased blood pressure when it was applied in the area of the locus coeruleus. Application of isoprenaline in the locus coeruleus also decreased blood pressure while in contrast adrenaline, noradrenaline, dopamine and alpha-methylnoradrenaline increased blood pressure. The present data suggest that the catecholaminergic receptors in the A2-region of the NTS differ from the classic vascular alpha-receptor and that the NTS also may contain structures which can antagonize the decrease in blood pressure.

摘要

在麻醉的雄性大鼠中,研究了通过向孤束核(NTS)A2区微量注射各种儿茶酚胺和α-拟交感神经药对血压的影响。肾上腺素是最有效的药物,可引起剂量依赖性的血压和心率下降,其次是去甲肾上腺素、多巴胺、α-甲基去甲肾上腺素和章鱼胺。切除NTS的头端或尾端部分,或去除最后区,并不减弱α-甲基去甲肾上腺素的作用。较高剂量的去甲肾上腺素和α-甲基去甲肾上腺素会导致血压最初升高,而去甲肾上腺素的降压作用减弱,α-甲基去甲肾上腺素和多巴胺的降压作用延迟。异丙肾上腺素以及去甲肾上腺素和α-甲基去甲肾上腺素的(+)-立体异构体无效。全身注射多巴胺β-羟化酶抑制剂FLA 63不能阻止多巴胺的降压作用。预先应用氟哌啶醇、育亨宾和酚妥拉明可拮抗对多巴胺和α-甲基去甲肾上腺素的降压反应。向A2区应用外周有效的α-拟交感神经药没有或几乎没有作用,而高剂量会升高血压。酪胺和可乐定引起一定程度的血压下降。可乐定应用于蓝斑区域时也会降低血压。在蓝斑区域应用异丙肾上腺素也会降低血压,而相比之下,肾上腺素、去甲肾上腺素、多巴胺和α-甲基去甲肾上腺素会升高血压。目前的数据表明,NTS的A2区中的儿茶酚胺能受体不同于经典的血管α受体,并且NTS也可能包含能够拮抗血压下降的结构。

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