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用氯吉兰和帕吉林治疗分别降低可乐定引起的低血压和心动过缓。

Treatment with clorgyline and pargyline differentially decreases clonidine-induced hypotension and bradycardia.

作者信息

Gutkind J S, Enero M A

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1984 Sep;327(3):189-92. doi: 10.1007/BF00502448.

Abstract

A study was made of the effects of acute and chronic treatment with monoamine-oxidase (MAO) inhibitors on the peripheral and central cardiovascular response induced by clonidine in anaesthetized normotensive rats. Clonidine (30 nmoles X kg-1 i.v.) produced a biphasic change in mean blood pressure; an initial transient increase was followed by a prolonged hypotensive effect, coinciding with the maximal bradycardia. Twenty-four hours after acute (single) or chronic (daily for 7 days) administration of MAO inhibitors (pargyline 10 mg X kg-1 SC or clorgyline 0.3 mg X kg-1 SC) there was no effect either on the basal cardiovascular parameters or on the initial pressor response induced by clonidine. Chronic but not acute treatment with clorgyline, an inhibitor of type A MAO, greatly decreased the hypotension and bradycardia induced by clonidine for as long as 5 days after its discontinuation. On the other hand, after chronic administration of pargyline (10 mg X kg-1), a preferential type B MAO inhibitor, the hypotension and bradycardia caused by clonidine were differently affected. There was a reduction in the bradycardia up to the third day following the discontinuation of pargyline, whereas the hypotensive response induced by clonidine was only attenuated for 24 h and unaffected with a lower dose of pargyline (0.3 mg X kg-1). It is concluded that chronic administration of the type A MAO inhibitor, clorgyline, attenuates the central responses to clonidine through the reduction in sensitivity of brain alpha-adrenoceptors. Pargyline, that preferentially inhibits type B MAO, reduces only the bradycardia induced by clonidine. This result may indicate a different modulation of the receptors involved in this response to clonidine.

摘要

研究了单胺氧化酶(MAO)抑制剂急性和慢性治疗对麻醉的正常血压大鼠中可乐定诱导的外周和中枢心血管反应的影响。可乐定(30纳摩尔×千克⁻¹静脉注射)使平均血压产生双相变化;最初短暂升高,随后是持续的降压作用,同时伴有最大程度的心动过缓。急性(单次)或慢性(每日一次,共7天)给予MAO抑制剂(帕吉林10毫克×千克⁻¹皮下注射或氯吉兰0.3毫克×千克⁻¹皮下注射)24小时后,对基础心血管参数或可乐定诱导的初始升压反应均无影响。A型MAO抑制剂氯吉兰的慢性而非急性治疗,在停药后长达5天内,极大地降低了可乐定诱导的低血压和心动过缓。另一方面,在慢性给予优先抑制B型MAO的帕吉林(10毫克×千克⁻¹)后,可乐定引起的低血压和心动过缓受到不同影响。帕吉林停药后直至第三天,心动过缓有所减轻,而可乐定诱导的降压反应仅在24小时内减弱,较低剂量的帕吉林(0.3毫克×千克⁻¹)对其无影响。结论是,慢性给予A型MAO抑制剂氯吉兰可通过降低脑α-肾上腺素能受体的敏感性来减弱对可乐定的中枢反应。优先抑制B型MAO的帕吉林仅降低可乐定诱导的心动过缓。这一结果可能表明参与对可乐定这一反应的受体存在不同的调节方式。

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