Seaman K L, Greenway C V
Can J Physiol Pharmacol. 1984 Jun;62(6):665-72. doi: 10.1139/y84-109.
In cats anesthetized with pentobarbital, isoproterenol infused into a peripheral vein causes a reduction in hepatic blood volume measured by plethysmography. As this response is accompanied by increases in portal and hepatic lobar venous pressures, the decrease in hepatic volume cannot be a passive emptying secondary to reduced intrahepatic pressure. We conclude that intravenous isoproterenol causes an active hepatic venoconstriction. Nifedipine produced similar responses. From this and our previous data, we conclude that in anesthetized cats, arteriolar vasodilators which increase cardiac output cause hepatic venoconstriction (hydralazine, adrenaline, dopamine, isoproterenol, and nifedipine), while those which do not increase cardiac output have no effect on the hepatic venous bed (nitroprusside and diazoxide) or cause venodilatation (nitroglycerine). The mechanism of the hepatic venoconstrictor effect of isoproterenol was investigated further. Because previous work has shown that this response does not occur when isoproterenol is infused locally into the hepatic artery or portal vein, the venoconstrictor effect of peripheral intravenous infusions must be indirectly mediated. The response was still present after hepatic denervation, adrenalectomy, nephrectomy, and after indomethacin administration indicating it is not mediated by the hepatic nerves, adrenal catecholamines, the renal renin-angiotensin system, or prostaglandins. The mechanism remains unknown.
在戊巴比妥麻醉的猫中,经外周静脉输注异丙肾上腺素会导致通过体积描记法测量的肝血容量减少。由于这种反应伴随着门静脉和肝叶静脉压力的升高,肝血容量的减少不可能是肝内压力降低继发的被动排空。我们得出结论,静脉注射异丙肾上腺素会导致肝静脉主动收缩。硝苯地平产生了类似的反应。根据这些以及我们之前的数据,我们得出结论,在麻醉的猫中,增加心输出量的小动脉血管扩张剂会导致肝静脉收缩(肼屈嗪、肾上腺素、多巴胺、异丙肾上腺素和硝苯地平),而那些不增加心输出量的药物对肝静脉床没有影响(硝普钠和二氮嗪)或导致静脉扩张(硝酸甘油)。进一步研究了异丙肾上腺素肝静脉收缩作用的机制。因为之前的研究表明,当异丙肾上腺素局部注入肝动脉或门静脉时不会出现这种反应,所以外周静脉输注的静脉收缩作用一定是间接介导的。在肝去神经、肾上腺切除、肾切除后以及给予吲哚美辛后,这种反应仍然存在,表明它不是由肝神经、肾上腺儿茶酚胺、肾素 - 血管紧张素系统或前列腺素介导的。其机制仍然未知。