Immink W F, Ouwejan G H, Charbon G A
Arch Int Pharmacodyn Ther. 1984 Mar;268(1):75-87.
Little is known about the action adrenaline has on vascular areas of functionally different parts of the stomach and intestine. Therefore the vasoactivity of adrenaline (1-1024 ng/kg i.v.) was studied by electromagnetic flow measurements in 8 vascular beds covering the gastrointestinal tract. Adrenaline induced 1) a vasodilation in the lesser curvature and antrum of the stomach; 2) a vasoconstriction in the greater curvature of the stomach; 3) a vasoconstriction followed by a vasodilation in the duodenum and jejunum; 4) a vasoconstriction in the ileum, caecum/colon and colon/rectum. Phenoxybenzamine (750 micrograms/kg i.v.) blocked systematically the vasoconstriction in the duodenum and jejunum but not in the ileum and colon. Vasodilation could be blocked by propranolol (100 micrograms/kg i.v.). It is concluded that 1) adrenaline-effects are mediated predominantly by beta-receptors in the antrum and lesser curvature of the stomach; predominantly by alpha-receptors in the greater curvature of the stomach; by alpha- and beta-receptors in the duodenum and jejunum; 2) receptors in the large intestine are of another alpha-adrenergic type than those in the small intestines. Evidence was provided for a gradient of diminishing vasodilating effects of adrenaline from cranial to caudal of the gut.
关于肾上腺素对胃和肠道功能不同部位的血管区域的作用,人们了解甚少。因此,通过电磁血流测量法,对覆盖胃肠道的8个血管床中肾上腺素(静脉注射1 - 1024纳克/千克)的血管活性进行了研究。肾上腺素引起:1)胃小弯和胃窦血管舒张;2)胃大弯血管收缩;3)十二指肠和空肠血管先收缩后舒张;4)回肠、盲肠/结肠和结肠/直肠血管收缩。酚苄明(静脉注射750微克/千克)可系统性地阻断十二指肠和空肠的血管收缩,但不能阻断回肠和结肠的血管收缩。血管舒张可被普萘洛尔(静脉注射100微克/千克)阻断。得出以下结论:1)肾上腺素的作用主要由胃窦和胃小弯中的β受体介导;主要由胃大弯中的α受体介导;由十二指肠和空肠中的α和β受体介导;2)大肠中的受体与小肠中的受体属于不同类型的α肾上腺素能受体。有证据表明,从肠道的头端到尾端,肾上腺素的血管舒张作用呈递减梯度。