Saxena P R, Koedam N A, Heiligers J, Hof R P
Cephalalgia. 1983 Jun;3(2):71-81. doi: 10.1046/j.1468-2982.1983.0302071.x.
Previous investigations from our laboratory have shown that ergotamine causes a selective vasoconstriction in the carotid vascular bed of the dog and that the drug constricts arteriovenous anastomoses (AVAs) in cats and pigs. Since ergotamine can act via alpha-adrenergic or D-serotonergic receptors in certain vascular and non-vascular tissues, we have attempted to ascertain here if these receptors mediate the constriction of AVAs. Using radioactive microspheres of 15 microns diameter we found in the dog that about 40% of the carotid arterial blood is shunted to the venous side via AVAs. Ergotamine (2-20 micrograms X kg-1, i.v.) reduced total carotid blood flow to a larger extent in the AVA part than in the extracerebral part (muscles, ears, skin and fat). The cerebral component of carotid blood did not change. These results, confirming that ergotamine decreases arteriovenous shunting, show that the drug has a more selective action on the AVAs than on the arterioles. Pretreatment with phentolamine (0.5 mg X kg-1), pizotifen (0.5 mg X kg-1) or their combination did not effectively modify the responses to ergotamine. It is concluded that the vasoconstriction of cranial AVAs (and arterioles) by ergotamine does not appear to be primarily mediated by either alpha-adrenergic or D-serotonergic receptors. However, the role of atypical serotonin receptors has yet to be determined.
我们实验室之前的研究表明,麦角胺可使犬的颈动脉血管床发生选择性血管收缩,且该药物可使猫和猪的动静脉吻合支(AVA)收缩。由于麦角胺可通过某些血管和非血管组织中的α-肾上腺素能受体或D-5-羟色胺能受体发挥作用,我们在此试图确定这些受体是否介导了AVA的收缩。使用直径为15微米的放射性微球,我们发现犬的颈动脉血液中约40%通过AVA分流至静脉侧。麦角胺(2 - 20微克/千克,静脉注射)使AVA部分的总颈动脉血流量减少的程度大于脑外部分(肌肉、耳朵、皮肤和脂肪)。颈动脉血液的脑部分量未发生变化。这些结果证实了麦角胺可减少动静脉分流,表明该药物对AVA的作用比对小动脉更具选择性。用酚妥拉明(0.5毫克/千克)、苯噻啶(0.5毫克/千克)或它们的组合进行预处理并不能有效改变对麦角胺的反应。得出的结论是,麦角胺引起的颅内AVA(和小动脉)血管收缩似乎并非主要由α-肾上腺素能受体或D-5-羟色胺能受体介导。然而,非典型5-羟色胺受体的作用尚未确定。