Armstrong J M, Lefèvre-Borg F, Scatton B, Cavero I
J Pharmacol Exp Ther. 1982 Nov;223(2):524-35.
Clonidine and oxymetazoline (4.0 microgram/kg i.v. or i.a.) evoked a marked bradycardia in either methylatropine-pretreated conscious or pentobarbital-anesthetized (55 mg/kg i.p.), vagotomized rats. Urethane (1.2 g/kg i.p.) inhibited by more than 50% this effect which is mediated through the stimulation of peripheral and/or central neuronal alpha-2 adrenoceptors. However, in adrenalectomized rats only the inhibition of oxymetazoline by urethane was significantly less pronounced. In pithed rats in which the adrenal glands were either left untouched or surgically removed, urethane significantly attenuated the clonidine or oxymetazoline-induced decreases in experimental neural sympathetic tachycardia although it neither changed the base-line nor the experimentally elevated heart rate. Urethane, in contrast to pentobarbital, increased plasma epinephrine concentrations in intact but not in adrenalectomized or in pithed rats. Elevation of plasma epinephrine did not result from the low arterial pressure level associated with urethane anesthesia since the increase of this parameter with vasopressin did not abolish the effect of urethane. Furthermore, guanethidine-pretreated rats, when anesthetized with urethane, exhibited a higher heart rate and plasma adrenaline value than those anesthetized with pentobarbital. The elevated heart rate was decreased by either propranolol or adrenalectomy. The bradycardia produced by injecting clonidine into the lateral cerebral ventricles of either intact or adrenalectomized rats was markedly less in urethane- than in pentobarbital-anesthetized animals. Whereas in pentobarbital-anesthetized rats the peak heart rate effects of i.v. or i.c.v. clonidine were similar, in urethane-anesthetized animals the effects of clonidine were more inhibited when it was given centrally than when it was given peripherally. In pithed rats, the cumulative dose-pressor response curves elicited by the relatively selective alpha-2 adrenoceptor agonists, B-HT 930 and M-7, were depressed by urethane significantly more than those produced by the relatively selective alpha-1 adrenoceptor agonists, phenylephrine and cirazoline, or by angiotensin II. Urethane also decreased the pressor responses evoked by clonidine, oxymetazoline and norepinephrine which stimulate both alpha-1 and alpha-2 adrenoceptors. However, the extent of this inhibition was less than that of B-HT 920 and M-7 but greater than that of cirazoline and phenylephrine. These results show that urethane inhibits cardiovascular responses that are mediated by peripheral and central alpha-2 adrenoceptors. Furthermore, urethane increases the central drive to the adrenal medulla and this leads to the secretion of epinephrine. This may be partly responsible for the inhibitory activity of urethane on oxymetazoline-induced bradycardia. Although the basic mechanism by which urethane impairs responses mediated by alpha-2 adrenoceptors remains to be determined, it is advised that urethane anesthesia should be avoided, particularly for cardiovascular studies.
可乐定和羟甲唑啉(静脉注射或腹腔注射4.0微克/千克)在预先用甲基阿托品处理的清醒大鼠或戊巴比妥麻醉(腹腔注射55毫克/千克)、迷走神经切断的大鼠中均可引起明显的心动过缓。氨基甲酸乙酯(腹腔注射1.2克/千克)可抑制这种通过刺激外周和/或中枢神经元α-2肾上腺素能受体介导的效应达50%以上。然而,在肾上腺切除的大鼠中,只有氨基甲酸乙酯对羟甲唑啉的抑制作用明显减弱。在去脑大鼠中,无论肾上腺是否保留或手术切除,氨基甲酸乙酯均可显著减弱可乐定或羟甲唑啉引起的实验性神经交感心动过速的降低,尽管它既不改变基线心率也不改变实验性升高的心率。与戊巴比妥不同,氨基甲酸乙酯可使完整大鼠的血浆肾上腺素浓度升高,但对肾上腺切除或去脑大鼠则无此作用。血浆肾上腺素浓度的升高并非由氨基甲酸乙酯麻醉相关的低动脉压水平所致,因为血管加压素使该参数升高并未消除氨基甲酸乙酯的作用。此外,用胍乙啶预处理的大鼠,在氨基甲酸乙酯麻醉时,其心率和血浆肾上腺素值高于戊巴比妥麻醉的大鼠。普萘洛尔或肾上腺切除均可降低升高的心率。向完整或肾上腺切除大鼠的侧脑室注射可乐定所产生的心动过缓,在氨基甲酸乙酯麻醉的动物中明显小于戊巴比妥麻醉的动物。在戊巴比妥麻醉的大鼠中,静脉注射或脑室内注射可乐定对心率的峰值效应相似,而在氨基甲酸乙酯麻醉的动物中,可乐定经中枢给药时的效应比经外周给药时更易受抑制。在去脑大鼠中,相对选择性α-2肾上腺素能受体激动剂B-HT 930和M-7所引发的累积剂量-升压反应曲线,被氨基甲酸乙酯抑制的程度明显大于相对选择性α-1肾上腺素能受体激动剂去氧肾上腺素和西拉唑啉或血管紧张素II所产生的曲线。氨基甲酸乙酯还可降低可乐定、羟甲唑啉和去甲肾上腺素刺激α-1和α-2肾上腺素能受体所引发的升压反应。然而,这种抑制程度小于B-HT 920和M-7,但大于西拉唑啉和去氧肾上腺素。这些结果表明,氨基甲酸乙酯可抑制由外周和中枢α-2肾上腺素能受体介导的心血管反应。此外,氨基甲酸乙酯可增强对肾上腺髓质的中枢驱动,从而导致肾上腺素分泌。这可能部分解释了氨基甲酸乙酯对羟甲唑啉诱导的心动过缓的抑制作用。尽管氨基甲酸乙酯损害α-2肾上腺素能受体介导反应的基本机制尚待确定,但建议避免使用氨基甲酸乙酯麻醉,尤其是在心血管研究中。