Elisha E E, Hutson D, Scratcherd T
J Physiol. 1984 Jun;351:77-85. doi: 10.1113/jphysiol.1984.sp015233.
The continuous infusion of noradrenaline into the arterial supply of the isolated saline-perfused pancreas caused a dose-dependent rise in perfusion pressure, a reduction in perfusion rate and an inhibition of pancreatic secretion. With increasing dose there was always a greater reduction in secretion rate than there was of perfusate flow rate. Manual reduction of the perfusion rate resulted in a reduction in secretion rate. When noradrenaline reduced the perfusate flow by 44.2 +/- 6.0% the secretion rate fell by 76.6 +/- 14.1%. Manual reduction of the perfusion flow rate by a similar amount (43.0 +/- 5.7%) only reduced the secretion rate by 41.4 +/- 7.0%. The infusion of noradrenaline, when all calcium had been removed from the perfusate, caused only a small increase in perfusion pressure with little change in the perfusion flow whilst at the same time the inhibition of electrolyte secretion was relatively unaffected. The vasomotor and secretory effects of noradrenaline were abolished by phentolamine. It is concluded that noradrenaline inhibits pancreatic electrolyte secretion by a direct action on the secretory cell and indirectly by vasoconstriction and that both these effects are mediated through the alpha-receptor.
向离体盐水灌注胰腺的动脉供应中持续输注去甲肾上腺素,会导致灌注压呈剂量依赖性升高、灌注速率降低以及胰腺分泌受到抑制。随着剂量增加,分泌速率的降低总是比灌注液流速的降低幅度更大。手动降低灌注速率会导致分泌速率降低。当去甲肾上腺素使灌注液流速降低44.2±6.0%时,分泌速率下降76.6±14.1%。手动将灌注流速降低相似幅度(43.0±5.7%)时,仅使分泌速率降低41.4±7.0%。当灌注液中的所有钙都被去除后输注去甲肾上腺素,仅引起灌注压小幅升高,灌注流速变化不大,与此同时,电解质分泌的抑制相对未受影响。酚妥拉明可消除去甲肾上腺素的血管运动和分泌作用。得出的结论是,去甲肾上腺素通过直接作用于分泌细胞以及通过血管收缩间接抑制胰腺电解质分泌,并且这两种作用均通过α受体介导。