Pettinger W A, Keeton T K, Campbell W B, Harper D C
Circ Res. 1976 May;38(5):338-46. doi: 10.1161/01.res.38.5.338.
The mechanism by which clonidine suppresses renin release was investigated in conscious rats. This suppression was studied by means of selected autonomic interventions in conjunction with changes in sodium balance. Serum renin activity and direct arterial pressure were monitored. Clonidine administration suppressed basal (by 68-85%), diuretic-induced (by 89%), and sympathetic nervous system-mediated (by 75-100%) renin release. Cholinergic, ganglionic, and peripheral sympathetic neuronal blockade did not prevent this inhibitory effect of clonidine. These results indicate a peripheral site of action for suppression of renin release by clonidine. The alpha-adrenergic blocking drug phentolamine prevented clonidine suppression of renin release in sodium-depleted rats and was partially effective in normal rats. Phentolamine blocked the decrease in renin caused by clonidine in ganglion-blocked rats. Clozapine, a new neuroleptic agent with alpha-adrenergic blocking activity, or phenoxybenzamine blocked the effect of clonidine on renin release in both sodium-depleted and normal rats. After ganglionic blockade in sodium-depleted rats, clonidine caused a significantly greater suppression of renin release than did an equipressor dose of methoxamine. These data, combined with hemodynamic correlates, suggest that clonidine inhibits renin release by activation of an intrarenal alpha-adrenergic receptor.
在清醒大鼠中研究了可乐定抑制肾素释放的机制。通过选定的自主神经干预措施并结合钠平衡的变化来研究这种抑制作用。监测血清肾素活性和直接动脉压。给予可乐定可抑制基础状态(降低68 - 85%)、利尿诱导状态(降低89%)以及交感神经系统介导状态(降低75 - 100%)下的肾素释放。胆碱能、神经节和外周交感神经神经元阻滞并不能阻止可乐定的这种抑制作用。这些结果表明可乐定抑制肾素释放的作用位点在外周。α - 肾上腺素能阻断药酚妥拉明可阻止可乐定对钠缺乏大鼠肾素释放的抑制作用,在正常大鼠中部分有效。酚妥拉明可阻断神经节阻断大鼠中可乐定引起的肾素降低。氯氮平是一种具有α - 肾上腺素能阻断活性的新型抗精神病药物,或酚苄明可阻断可乐定对钠缺乏和正常大鼠肾素释放的影响。在钠缺乏大鼠进行神经节阻断后,与等剂量的甲氧明相比,可乐定对肾素释放的抑制作用显著更强。这些数据结合血流动力学相关性表明,可乐定通过激活肾内α - 肾上腺素能受体来抑制肾素释放。