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使用溴隐亭测试中枢多巴胺能反应性。

The use of bromocriptine for testing central dopaminergic reactivity.

作者信息

Allain H, Reymann J M, Bentue-Ferrer D, Pape D, van den Driessche J, Sabouraud O

出版信息

Psychopharmacology (Berl). 1980;70(3):313-5. doi: 10.1007/BF00427893.

DOI:10.1007/BF00427893
PMID:6777808
Abstract

A single oral intake of 10 mg of Bromocriptine can modify both plasma renin activity (PRA) and arterial blood pressure (BP). The changes in both variables depend on the integrity of the central dopaminergic systems. The parkinsonians whose extrapyramidal symptoms are markedly improved by L-Dopa in association with a decarboxylase inhibitor (IDC) and the untreated parkinsonians are the only patients whose PRA and BP are lowered 1 h after Bromocriptine ingestion. The results obtained in the L-dopa-induced dyskinetic parkinsonians are similar to those obtained in the group of L-Dopa-resistant patients. This points to the paradoxical hypothesis of dopaminergic hyposensitivity in the dyskinetic patients. In spite of the absence of correlation between PRA and BP, it is possible that lowering of BP by Bromocriptine is linked to the parallel decrease of PRA. An increase of the BP may be obtained in the dyskinetic and L-Dopa-resistant groups. These data point to a possible involvement of central dopaminergic systems in some aspects of hypertension.

摘要

单次口服10毫克溴隐亭可改变血浆肾素活性(PRA)和动脉血压(BP)。这两个变量的变化取决于中枢多巴胺能系统的完整性。服用左旋多巴(L-Dopa)联合脱羧酶抑制剂(IDC)后锥体外系症状明显改善的帕金森病患者以及未经治疗的帕金森病患者是仅有的在摄入溴隐亭1小时后PRA和BP降低的患者。在左旋多巴诱发运动障碍的帕金森病患者中获得的结果与在左旋多巴抵抗患者组中获得的结果相似。这指向了运动障碍患者多巴胺能低敏的矛盾假说。尽管PRA和BP之间不存在相关性,但溴隐亭降低血压可能与PRA的平行降低有关。在运动障碍和左旋多巴抵抗组中可能会出现血压升高。这些数据表明中枢多巴胺能系统可能在高血压的某些方面发挥作用。

相似文献

1
The use of bromocriptine for testing central dopaminergic reactivity.使用溴隐亭测试中枢多巴胺能反应性。
Psychopharmacology (Berl). 1980;70(3):313-5. doi: 10.1007/BF00427893.
2
Plasmatic renin activity in patients treated with L-dopa and inhibitor of dopa decarboxylase (IDC).接受左旋多巴和多巴脱羧酶抑制剂(IDC)治疗的患者的血浆肾素活性。
Psychopharmacology (Berl). 1979 Mar 22;61(2):197-202. doi: 10.1007/BF00426736.
3
[Effect of sub-pressor doses of dopamine on renin secretion in the anesthetized dog].[亚升压剂量多巴胺对麻醉犬肾素分泌的影响]
Arch Inst Cardiol Mex. 1981 Jan-Feb;51(1):13-9.
4
Effects of levodopa and bromocriptine on blood pressure and plasma catecholamines in parkinsonians.左旋多巴和溴隐亭对帕金森病患者血压及血浆儿茶酚胺的影响。
Clin Neuropharmacol. 1991 Feb;14(1):84-90. doi: 10.1097/00002826-199102000-00007.
5
Effect of L-dopa on plasma renin activity with and without inhibition of extracerebral dopa decarboxylase in dogs.左旋多巴对犬血浆肾素活性的影响:有无脑外多巴脱羧酶抑制的情况
J Pharmacol Exp Ther. 1977 Jul;202(1):209-15.
6
Oscillations in performance in levodopa-treated parkinsonians: treatment with bromocriptine and L-deprenyl.
Clin Exp Neurol. 1979;16:197-203.
7
Dopamine receptors: effects of chronic L-dopa and bromocriptine treatment in an animal model of Parkinson's disease.多巴胺受体:左旋多巴和溴隐亭长期治疗对帕金森病动物模型的影响
Clin Neuropharmacol. 1984;7(3):247-57.
8
Brain dopamine receptor stimulation and the relief of Parkinsonism: relationship between bromocriptine and levodopa.脑多巴胺受体刺激与帕金森病症状缓解:溴隐亭与左旋多巴之间的关系。
Ann Neurol. 1978 Sep;4(3):263-7. doi: 10.1002/ana.410040313.
9
Neuroendocrine aspects in monitoring of dopaminergic drugs in man.人体中多巴胺能药物监测的神经内分泌方面
Methods Find Exp Clin Pharmacol. 1985 Aug;7(8):451-4.
10
[Patients with Parkinson disease: functional analysis of dopamine receptors by bromocriptine- thyrotropin-releasing hormone test].
Rev Med Chil. 1991 Mar;119(3):252-7.

本文引用的文献

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Cardiovascular effects of 2-(2,6-dichlorophenylamino)-2-imidazoline hydrochloride (ST 155). I. Peripheral sympathetic system.2-(2,6-二氯苯基氨基)-2-咪唑啉盐酸盐(ST 155)的心血管效应。I. 外周交感神经系统。
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Effect of stimulation of the medulla oblongata on renin secretion in dogs.延髓刺激对犬肾素分泌的影响。
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Increased renin release evoked by mesencephalic stimulation in the dog.犬中脑刺激引起肾素释放增加。
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Effects of dopamine and isoproterenol on renin secretion in the dog.多巴胺和异丙肾上腺素对犬肾素分泌的影响。
Proc Soc Exp Biol Med. 1972 May;140(1):54-7. doi: 10.3181/00379727-140-36394.
5
New evidence for an -andrenergic component in the sympathetic centres: centrally mediated decrease in sympathetic tone by L-dopa and its antagonism by piperoxane and yohimbine.交感神经中枢中α-肾上腺素能成分的新证据:左旋多巴对交感神经张力的中枢介导性降低及其被哌罗克生和育亨宾拮抗的作用
Eur J Pharmacol. 1972 Feb;17(2):293-6. doi: 10.1016/0014-2999(72)90173-2.
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Comparison of the renin response to dopamine and noradrenaline in normal subjects and patients with autonomic insufficiency.正常受试者与自主神经功能不全患者对多巴胺和去甲肾上腺素肾素反应的比较。
Clin Sci Mol Med. 1974 Apr;46(4):481-8. doi: 10.1042/cs0460481.
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Mechanisms of renal release of renin by electrical stimulation of the brainstem in the cat.猫脑干电刺激引起肾素释放的机制。
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8
Effect of L-DOPA on blood pressure and sympathetic nerve activity after decarboxylase inhibition in cats.左旋多巴对猫脱羧酶抑制后血压及交感神经活动的影响。
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Reduction of sympathetic outflow by central administration of L-DOPA, dopamine and norepinephrine.通过中枢给予左旋多巴、多巴胺和去甲肾上腺素来减少交感神经输出。
Neuropharmacology. 1973 Jan;12(1):49-56. doi: 10.1016/0028-3908(73)90131-7.
10
Role of renin in acute postural homeostasis.肾素在急性体位稳态中的作用。
Circulation. 1970 Jan;41(1):89-95. doi: 10.1161/01.cir.41.1.89.