Yoneda S, Tomioka H, Fukuyama M, Lee L C, Iyota I, Okajima H, Inoue A, Sasaki S, Takeda K, Takahashi H
Jpn Circ J. 1985 Sep;49(9):1028-34. doi: 10.1253/jcj.49.1028.
To clarify the peripheral origin of plasma dopamine (DA), we studied the changes in plasma levels of free and conjugated catecholamines after nephrectomy, adrenalectomy, chemical sympathectomy and renal denervation. Nephrectomy markedly increased conjugated DA levels, indicating that plasma DA is rapidly excreted through the kidney and originates outside the kidney. Adrenalectomy reduced plasma total epinephrine (E) to undetectable limits, whereas total norepinephrine (NE) and DA levels remained unchanged. In addition, the subsequent immobilization stress significantly increased both total NE and DA, but not E. Chemical sympathectomy with 6-hydroxydopamine decreased both NE and DA by 66% and 72%, respectively. E level, however, was not affected by sympathectomy. Although the following immobilization stress significantly increased all catecholamines levels, the magnitude of increase in concentrations of NE and DA were much less than that of E. These results suggest that plasma DA is mainly derived from the peripheral sympathetic nerve terminals. However, the renal nerve, one of the sympathetic nerves, did not serve as a source of plasma DA because renal denervation had no effect on plasma DA levels in spite of the marked depletion of free DA in the kidney.
为了阐明血浆多巴胺(DA)的外周来源,我们研究了肾切除、肾上腺切除、化学性交感神经切除术和肾去神经支配术后游离和结合儿茶酚胺血浆水平的变化。肾切除显著增加了结合型DA水平,表明血浆DA通过肾脏快速排泄,且起源于肾脏之外。肾上腺切除将血浆总肾上腺素(E)降低至检测不到的水平,而总去甲肾上腺素(NE)和DA水平保持不变。此外,随后的固定应激显著增加了总NE和DA,但未增加E。用6-羟基多巴胺进行化学性交感神经切除术分别使NE和DA降低了66%和72%。然而,E水平不受交感神经切除术的影响。尽管随后的固定应激显著增加了所有儿茶酚胺水平,但NE和DA浓度的增加幅度远小于E。这些结果表明,血浆DA主要来源于外周交感神经末梢。然而,肾神经作为交感神经之一,并不是血浆DA的来源,因为尽管肾脏中的游离DA明显耗竭,但肾去神经支配对血浆DA水平没有影响。