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[肾上腺素能阻断对静脉输注异丙肾上腺素在猫和人类中引发的脂肪组织脂解的影响]

[Effects of adrenergic blockade on adipose tissue lipolysis provoked in cats and humans by intravenous perfusion of isoprenaline].

作者信息

Ashford A

出版信息

Nouv Presse Med. 1975 Dec 31;4(46 Suppl):3265-7.

PMID:3767
Abstract

An intravenous infusion of isoprenaline (1 mug/kg/mn during 4 h) elicited a rise in serum free fatty acids (FFA) and glucose in anaesthetised cats. The effect reached a peak in 1 h and was then maintained at a plateau level for the remainder of the infusion. Acebutolol and practolol (0,1-10 mg/kg, p.o.) were more potent in reducing the concentration of free fatty acids (FFA) than in lowering glucose. Propranolol was roughly equipotent on FFA and glucose. In 6 fasted human volunteers, an intravenous infusion of isoprenaline (0,03 mug/kg/mn during 15 min) stimulated a rise in serum FFA. Peak values were attained rapidly and FFA levels began to fall soon after the end of the infusion. Blood glucose concentration was not changed. A placebo, given after the first infusion of isoprenaline, did not significantly affect the response to 2 further infusions at 2 and 4 h later. An oral dose of acebutolol (300 mg) largely suppressed the lipolytic effect of the 2nd and 3rd isoprenaline infusions, the degrees of inhibition being 70 p.cent and 85 p.cent respectively. The same dose of practolol was considerably less effective in inhibiting lipolysis (37 p.cent and 25 p.cent inhibition).

摘要

对麻醉猫静脉输注异丙肾上腺素(4小时内1微克/千克/分钟)可使血清游离脂肪酸(FFA)和葡萄糖水平升高。该效应在1小时达到峰值,然后在输注的剩余时间维持在平台水平。醋丁洛尔和心得宁(0.1 - 10毫克/千克,口服)降低游离脂肪酸(FFA)浓度的作用比降低葡萄糖的作用更强。普萘洛尔对FFA和葡萄糖的作用大致相当。在6名禁食的人类志愿者中,静脉输注异丙肾上腺素(15分钟内0.03微克/千克/分钟)刺激血清FFA升高。峰值迅速达到,输注结束后不久FFA水平开始下降。血糖浓度未改变。在首次输注异丙肾上腺素后给予安慰剂,对2小时和4小时后另外两次输注的反应无显著影响。口服一剂醋丁洛尔(300毫克)在很大程度上抑制了第二次和第三次异丙肾上腺素输注的脂解作用,抑制程度分别为70%和85%。相同剂量的心得宁抑制脂解的效果明显较差(抑制率为37%和25%)。

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