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儿茶酚胺和血管紧张素对细胞外液及阳离子转运的影响以及α和β肾上腺素能受体阻断的作用

Effect of catecholamines and angiotensin on extracellular water and cation movements and the effect of alpha and beta-adrenoceptor blockade.

作者信息

Hettiaratchi E S, Pickford M

出版信息

Br J Pharmacol. 1971 Feb;41(2):302-16. doi: 10.1111/j.1476-5381.1971.tb08031.x.

Abstract
  1. The extracellular fluid volume (ECFV), as raffinose space, and its content of Na, K and Ca were measured in anaesthetized dogs in acute experiments before and during the vascular response to intravenous injections and infusions of noradrenaline, adrenaline, isoprenaline and angiotensin.2. In male dogs the effect of noradrenaline was unpredictable, the ECFV might increase or decrease. In female dogs noradrenaline caused an increase in the ECFV. The difference between the responses of the two sexes was statistically significant (P<0.001). After phentolamine, noradrenaline exerted no effect at all in either sex. After bretylium the results were like those in normal animals.3. In both males and females adrenaline generally induced an increase in the ECFV. After phentolamine, adrenaline decreased the ECFV in males and caused little change in females. The differences before and after blockade were statistically significant (P<0.001). After bretylium the results in both sexes were like those in normal animals.4. In both male and female dogs isoprenaline induced an increase in the ECFV and the results were the same as in the normal animals after both phentolamine and bretylium.5. In male dogs there was no change in the ECFV as a result of administering angiotensin, either alone or in the presence of phentolamine or bretylium. In normal females angiotensin induced a decrease in ECFV and the difference between the responses of the males and females was statistically significant (P<0.005). In females which had received either phentolamine or bretylium the results were indistinguishable from those in the males.6. Blockade of the beta-adrenoceptors with pronethalol in a few animals did not change the response to the drugs from those seen in normal animals.7. The cation content of the ECF changed in the same direction and to about the same extent as the water, except after noradrenaline when in some experiments the proportionate change in potassium concentration was considerably greater than that of the other substances.8. The inulin space and its Na and K content were measured in several dioestrous, oestrous and pro-oestrous rats and in normal and stilboestrol treated males before and after giving an intravenous injection of angiotensin. There was little difference between the results of control injections of 0.9% saline solution and of angiotensin in dioestrous and oestrous females and normal males. On the other hand, pro-oestrous females and stilboestrol treated males responded alike to angiotensin in the form of a decrease in ECFV which was statistically different from the responses in the other three groups (P<0.0005).9. It is suggested that the various results depend on two factors: the site of action of the drug-for example, whether it increases or decreases capillary pressure and therefore, fluid transfer-and also the sex of the animal. The ground substance of the small blood vessels is probably important in taking up and releasing fluid, and its capacity for so doing may well vary with the amount of available oestrogen. It appears that the effect of oestrogens and events at the alpha-adrenoceptor site are connected in some way.
摘要
  1. 在急性实验中,对麻醉犬静脉注射和输注去甲肾上腺素、肾上腺素、异丙肾上腺素和血管紧张素,在血管反应之前和期间,测量细胞外液量(ECFV),即棉子糖间隙,及其钠、钾和钙含量。

  2. 在雄性犬中,去甲肾上腺素的作用不可预测,ECFV可能增加或减少。在雌性犬中,去甲肾上腺素导致ECFV增加。两性反应之间的差异具有统计学意义(P<0.001)。酚妥拉明给药后,去甲肾上腺素对两性均无作用。溴苄铵给药后,结果与正常动物相似。

  3. 在雄性和雌性犬中,肾上腺素通常会导致ECFV增加。酚妥拉明给药后,肾上腺素使雄性犬的ECFV降低,而对雌性犬影响不大。阻断前后的差异具有统计学意义(P<0.001)。溴苄铵给药后,两性的结果与正常动物相似。

  4. 在雄性和雌性犬中,异丙肾上腺素均导致ECFV增加,酚妥拉明和溴苄铵给药后的结果与正常动物相同。

  5. 单独给予血管紧张素或在酚妥拉明或溴苄铵存在的情况下,雄性犬的ECFV没有变化。在正常雌性犬中,血管紧张素导致ECFV降低,雄性和雌性反应之间的差异具有统计学意义(P<0.005)。接受酚妥拉明或溴苄铵治疗的雌性犬的结果与雄性犬无法区分。

  6. 用心得宁阻断少数动物的β-肾上腺素受体后,对药物的反应与正常动物无变化。

  7. ECF的阳离子含量与水的变化方向相同,变化程度大致相同,但去甲肾上腺素给药后,在某些实验中,钾浓度的比例变化比其他物质大得多。

  8. 在几只处于间情期、发情期和发情前期的大鼠以及正常和己烯雌酚处理的雄性大鼠中,静脉注射血管紧张素前后,测量菊粉间隙及其钠和钾含量。在间情期和发情期雌性大鼠以及正常雄性大鼠中,0.9%盐水溶液和血管紧张素对照注射的结果几乎没有差异。另一方面,发情前期雌性大鼠和己烯雌酚处理的雄性大鼠对血管紧张素的反应相似,表现为ECFV降低,这与其他三组的反应在统计学上不同(P<0.0005)。

  9. 提示各种结果取决于两个因素:药物的作用部位,例如它是增加还是降低毛细血管压力,从而影响液体转移;以及动物的性别。小血管的基质在吸收和释放液体方面可能很重要,其这样做的能力很可能随可用雌激素的量而变化。雌激素的作用似乎与α-肾上腺素受体部位的情况在某种程度上有关。

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Arch Otolaryngol. 1961 Jan;73:43-51. doi: 10.1001/archotol.1961.00740020047005.

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