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哌唑嗪和酚苄明对肠道阻力血管和容量血管中α及β受体介导反应的影响。

Effects of prazosin and phenoxybenzamine on alpha- and beta-receptor-mediated responses in intestinal resistance and capacitance vessels.

作者信息

Patel P, Bose D, Greenway C

出版信息

J Cardiovasc Pharmacol. 1981 Sep-Oct;3(5):1050-9. doi: 10.1097/00005344-198109000-00015.

Abstract

Previous studies have suggested that prazosin is a selective post-synaptic alpha-receptor blocker. It has also been suggested that it may have greater blocking actions on arterioles than on venous beds. These aspects have been investigated in cats anesthetized with pentobarbital. Prazosin had no effect on conductance in the acutely denervated hindlimb bed but caused a slowly developing vasoconstriction in the acutely denervated intestinal bed. The vasoconstrictor responses to sympathetic nerve stimulation were reduced to a similar extent in both vascular beds. Since maximal doses of prazosin produce only partial block of the alpha-receptor responses, there may be more than one type of postsynaptic alpha-receptor, and it is suggested that the postsynaptic receptors are of both alpha 1- and alpha 2-types. In the intestinal bed, prazosin produced similar reductions in both resistance and capacitance responses to sympathetic nerve stimulation. In isolated guinea pig aorta and portal vein, prazosin blocked the responses to noradrenaline competitively, and the pA3 values for the aorta and portal vein were similar. Thus, no selectivity for resistance vessels compared to capacitance vessels could be demonstrated in the intestine, and this result is compared to our previous observations in the liver. Although prazosin only reduced the vasoconstrictor responses to sympathetic nerve stimulation in the intestine, phenoxybenzamine reversed the response to a beta-receptor-mediated vasodilatation, as reported some years ago. These observations support our earlier hypothesis that nerve stimulation does not normally activate beta-receptors, but after phenoxybenzamine, the increased release of noradrenaline combined with alpha-receptor blockade results in a beta-receptor-mediated vasodilatation in the intestinal bed.

摘要

先前的研究表明,哌唑嗪是一种选择性突触后α受体阻滞剂。也有人提出,它对小动脉的阻断作用可能比对静脉床的作用更大。这些方面已在戊巴比妥麻醉的猫身上进行了研究。哌唑嗪对急性去神经支配的后肢血管床的电导没有影响,但在急性去神经支配的肠血管床中引起缓慢发展的血管收缩。在两个血管床中,对交感神经刺激的血管收缩反应都有类似程度的降低。由于最大剂量的哌唑嗪仅能部分阻断α受体反应,可能存在不止一种类型的突触后α受体,有人提出突触后受体既有α1型也有α2型。在肠血管床中,哌唑嗪对交感神经刺激引起的阻力和容量反应的降低程度相似。在离体豚鼠主动脉和门静脉中,哌唑嗪竞争性地阻断了对去甲肾上腺素的反应,主动脉和门静脉的pA3值相似。因此,在肠道中无法证明对阻力血管与容量血管有选择性,该结果与我们之前在肝脏中的观察结果进行了比较。尽管哌唑嗪仅降低了肠道中对交感神经刺激的血管收缩反应,但如几年前所报道的,酚苄明可逆转对β受体介导的血管舒张反应。这些观察结果支持了我们早期的假设,即神经刺激通常不会激活β受体,但在使用酚苄明后,去甲肾上腺素释放增加并与α受体阻断相结合,导致肠血管床中出现β受体介导的血管舒张。

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