Horn P T, Kohli J D, Goldberg L I
J Pharmacol Exp Ther. 1982 Nov;223(2):462-8.
Effects of the (R) and (S) enantiomers of sulpiride, a potent dopamine (DA) antagonist, on ganglionic transmission were studied in anesthetized dogs. The pre- and postganglionic nerves of cardiac sympathetic ganglia were stimulated electrically, and heart rate was monitored as a measure of ganglionic transmission and sympathetic nerve activity. The heart rate was free from influence of the central nervous system. (R)- And (S)-sulpiride injected i.a. close to the blood supply of the ganglia did not alter basal heart rate, but facilitated ganglionic transmission as demonstrated by an increase in the tachycardia induced by preganglionic nerve stimulation. The (R) enantiomer was 4 times more active than the (S) enantiomer in this respect. Neither enantiomer affected the tachycardia induced by postganglionic nerve stimulation. Norepinephrine and DA injected i.a. caused inhibition of the tachycardia induced by preganglionic nerve stimulation. The inhibitory effect of both catecholamines was antagonized by the sulpiride enantiomers (R)-sulpiride was about 4-fold more potent than (S)-sulpiride in antagonizing DA, whereas (S)-sulpiride was more active against norepinephrine. The sulpiride enantiomers affected neither the tachycardia induced by i.a. administration of acetylcholine nor the bradycardia induced by vagal nerve stimulation. Thus, cholinesterase inhibition and ganglionic stimulation were excluded. These data are, therefore, consistent with the hypothesis that the facilitatory action of the sulpiride enantiomers is related to the antagonism of catecholamines. Positive correlation between the activity of the (R) enantiomer to facilitate ganglionic transmission and to antagonize DA suggests that DA is a physiologically released catecholamine modulating transmission in the cardiac sympathetic ganglia of the dog.
强效多巴胺(DA)拮抗剂舒必利的(R)和(S)对映体对麻醉犬神经节传递的影响进行了研究。电刺激心脏交感神经节的节前和节后神经,并监测心率作为神经节传递和交感神经活动的指标。心率不受中枢神经系统的影响。经动脉注射靠近神经节血液供应处的(R)-和(S)-舒必利不会改变基础心率,但如节前神经刺激诱发的心动过速增加所示,其促进了神经节传递。在这方面,(R)对映体的活性比(S)对映体高4倍。两种对映体均不影响节后神经刺激诱发的心动过速。经动脉注射去甲肾上腺素和多巴胺可抑制节前神经刺激诱发的心动过速。舒必利对映体可拮抗这两种儿茶酚胺的抑制作用——(R)-舒必利在拮抗多巴胺方面的效力比(S)-舒必利高约4倍,而(S)-舒必利对去甲肾上腺素的活性更强。舒必利对映体既不影响经动脉注射乙酰胆碱诱发的心动过速,也不影响迷走神经刺激诱发的心动过缓。因此,排除了胆碱酯酶抑制和神经节刺激的影响。因此,这些数据与舒必利对映体的促进作用与儿茶酚胺拮抗作用相关的假设一致。(R)对映体促进神经节传递和拮抗多巴胺的活性之间的正相关表明,多巴胺是一种生理释放的儿茶酚胺,可调节犬心脏交感神经节的传递。