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甲基多巴对参与心血管调节的脑胆碱能神经元的作用。一项对清醒自发性高血压大鼠的研究。

Effect of methyldopa on brain cholinergic neurons involved in cardiovascular regulation. A study in conscious spontaneously hypertensive rats.

作者信息

Buccafusco J J

出版信息

Hypertension. 1984 Sep-Oct;6(5):614-21. doi: 10.1161/01.hyp.6.5.614.

Abstract

Chemical stimulation of brain cholinergic neurons in many species can produce hypertension. Recent studies in this laboratory have demonstrated that clonidine inhibits this central cholinergic pressor response by inhibiting the biosynthesis of brain acetylcholine. This study was designed to determine whether methyldopa, like clonidine, could inhibit brain cholinergic neurons involved in cardiovascular regulation in freely-moving spontaneously hypertensive rats (SHR). Intravenous (i.v.) injection of methyldopa (50-200 mg/kg) produced a dose-related fall in blood pressure (29/15-54/33 mm Hg) in SHR. Intracerebroventricular (i.c.v.) injection of hemicholinium-3 (HC-3) in SHR evoked a fall in arterial pressure through inhibition of acetylcholine synthesis. Doses of HC-3 (10 micrograms, or 15 micrograms, i.c.v.) and methyldopa (50 mg/kg, i.v.) were administered to produce small reductions in arterial pressure in SHR (7-14 mm Hg diastolic, respectively). When the two agents were injected simultaneously, however, a greater than additive response was obtained (p less than 0.05). Central injection of echothiophate (a long-acting cholinesterase inhibitor) to potentiate brain cholinergic activity resulted in a sustained hypertensive response (greater than 40 mm Hg) in SHR for at least 150 minutes. Simultaneous injection of or pretreatment with methyldopa (100 mg/kg, i.v.) inhibited the pressor response to echothiophate over a time course similar to its antihypertensive response in untreated SHR. Methyldopa, however, was completely ineffective in altering the hypertensive response to central injection of carbachol (1 microgram, i.c.v.). This difference in methyldopa susceptibility between the indirect-acting (echothiophate) and direct-acting (carbachol) cholinergic agonists may be related to an inhibiting effect of methyldopa on brain acetylcholine release.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在许多物种中,对脑胆碱能神经元的化学刺激可导致高血压。本实验室最近的研究表明,可乐定通过抑制脑乙酰胆碱的生物合成来抑制这种中枢胆碱能升压反应。本研究旨在确定甲基多巴是否像可乐定一样,能抑制自由活动的自发性高血压大鼠(SHR)中参与心血管调节的脑胆碱能神经元。静脉注射(i.v.)甲基多巴(50 - 200 mg/kg)可使SHR的血压出现剂量相关的下降(29/15 - 54/33 mmHg)。脑室内(i.c.v.)注射半胱氨酸 - 3(HC - 3)可通过抑制乙酰胆碱合成使SHR的动脉压下降。给予不同剂量的HC - 3(10微克或15微克,i.c.v.)和甲基多巴(50 mg/kg,i.v.)可使SHR的动脉压出现小幅下降(舒张压分别下降7 - 14 mmHg)。然而,当同时注射这两种药物时,会出现大于相加的反应(p < 0.05)。中枢注射依可碘酯(一种长效胆碱酯酶抑制剂)以增强脑胆碱能活性,可使SHR产生持续至少150分钟的高血压反应(大于40 mmHg)。同时注射或预先给予甲基多巴(100 mg/kg,i.v.),在类似于其对未治疗SHR的降压反应的时间进程内,可抑制对依可碘酯的升压反应。然而,甲基多巴对中枢注射卡巴胆碱(1微克,i.c.v.)引起的高血压反应完全无效。间接作用(依可碘酯)和直接作用(卡巴胆碱)胆碱能激动剂之间甲基多巴敏感性的这种差异可能与甲基多巴对脑乙酰胆碱释放的抑制作用有关。(摘要截选至250字)

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