Blum J W, Fischer J A, Binswanger U
Acta Endocrinol (Copenh). 1982 Aug;100(4):539-42. doi: 10.1530/acta.0.1000539.
Experiments were designed to investigate the effect of alpha-adrenergic stimulation on parathyroid hormone (PTH) responses to isoproterenol (ISO). In addition, PTH responses to adrenaline (A) and hypocalcaemia were studied with and without alpha-adrenergic blockade by phentolamine. Infusions of phenylephrine (a 'pure' alpha-adrenergic agonist) did not modify basal PTH levels and PTH responses to ISO infusions, whereas the heart rate response to ISO was reduced (P less than 0.05). The results demonstrate that alpha-adrenergic stimulation by phenylephrine does not reduce PTH responses to beta-adrenergic agonists. In response to phentolamine the heart rate increased and plasma levels of Ca and Ca++ decreased. Plasma PTH concentrations were slightly but not significantly raised and PTH responses to adrenaline (P less than 0.05), but not to hypocalcaemia, were enhanced. The potentiation of PTH responses to A in the presence of phentolamine may have ben due to inhibiton of alpha-adrenergic properties of A. It may have been also, in part, the consequence of the hypocalcaemia, which is known to augment PTH responses to A.
设计实验以研究α-肾上腺素能刺激对甲状旁腺激素(PTH)对异丙肾上腺素(ISO)反应的影响。此外,在有或没有酚妥拉明进行α-肾上腺素能阻断的情况下,研究了PTH对肾上腺素(A)和低钙血症的反应。静脉输注去氧肾上腺素(一种“纯”α-肾上腺素能激动剂)不会改变基础PTH水平以及PTH对ISO输注的反应,而对ISO的心率反应降低(P<0.05)。结果表明,去氧肾上腺素引起的α-肾上腺素能刺激不会降低PTH对β-肾上腺素能激动剂的反应。对酚妥拉明的反应是心率增加,血浆钙和钙离子水平降低。血浆PTH浓度略有升高但无统计学意义,PTH对肾上腺素的反应增强(P<0.05),但对低钙血症的反应未增强。在酚妥拉明存在的情况下PTH对A的反应增强可能是由于抑制了A的α-肾上腺素能特性。这也可能部分是低钙血症的结果,已知低钙血症会增强PTH对A的反应。