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肾上腺在普萘洛尔对自发性高血压大鼠降压作用中的相反作用。

An opposing role for the adrenals in the hypotensive effects of propranolol in the spontaneously hypertensive rat.

作者信息

Nijkamp F P, Van Den Bosch R, De Jong W

出版信息

Eur J Pharmacol. 1979 Jun 15;56(3):187-95. doi: 10.1016/0014-2999(79)90171-7.

Abstract

d,l-Propranolol (1 and 5 mg/kg s.c.) did not cause a fall in blood pressure and induced only a limited decrease in heart rate in conscious spontaneously) hypertensive rats (SHR). In contrast, after bilateral adrenalectomy, d,l-propranolol induced a rapid and profound decrease in blood pressure and heart rate. Decreases in heart rate and blood pressure in the individual animals were not correlated. The effects were mainly caused by l-propranolol but an additional effect of d-propranolol cannot be excluded. The decrease in blood pressure was not observed after removal of the adrenal medulla. Heart rate decreased only slightly in these animals. After treatment of adrenalectomized SHR with corticosterone (1 mg/kg b.w./h) the decrease in blood pressure due to d,l-propranolol was completely abolished. The fall in heart rate was diminished. Central injection of d,l-propranolol into the lateral brain ventricle of adrenalectomized SHR caused cardiovascular changes which were less pronounced than those following peripheral injection of comparable doses. The inhibitory effects of d,l-propranolol also occurred in adrenalectomized normotensive Wistar Kyoto rats. However, no significant changes in blood pressure and only a limited fall in heart rate were observed in adrenalectomized normotensive and renal hypertensive Wistar rats. It is concluded that the presence of the adrenal cortex, but not of the adrenal medulla prevents acute hypotension and bradycardia after propranolol in the conscious SHR.

摘要

消旋普萘洛尔(1和5毫克/千克,皮下注射)不会导致清醒的自发性高血压大鼠(SHR)血压下降,仅引起心率有限下降。相比之下,双侧肾上腺切除术后,消旋普萘洛尔会导致血压和心率迅速且显著下降。个体动物的心率和血压下降并无相关性。这些作用主要由左旋普萘洛尔引起,但不能排除右旋普萘洛尔的额外作用。切除肾上腺髓质后未观察到血压下降。这些动物的心率仅略有下降。用皮质酮(1毫克/千克体重/小时)治疗肾上腺切除的SHR后,消旋普萘洛尔引起的血压下降完全消除。心率下降幅度减小。向肾上腺切除的SHR侧脑室中央注射消旋普萘洛尔引起的心血管变化不如外周注射同等剂量时明显。消旋普萘洛尔的抑制作用在肾上腺切除的正常血压Wistar Kyoto大鼠中也会出现。然而,在肾上腺切除的正常血压和肾性高血压Wistar大鼠中,未观察到血压有显著变化,心率仅有限下降。结论是,肾上腺皮质而非肾上腺髓质的存在可防止清醒SHR在使用普萘洛尔后出现急性低血压和心动过缓。

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