Staib A H, Appel E, Starey F, Lindner E, Grötsch H, Palm D, Grobecker H
Arzneimittelforschung. 1980;30(9):1514-7.
Previous studies in man have shown that during beta-adrenoceptor blockade physical exercise caused a significantly greater elevation of plasma catecholamines than without blockade. After blockade of beta-adrenoceptors, increased levels of circulating catecholamines should have an unopposed effect on adrenergic alpha-receptors. In order to elucidate such an effect, experiments were performed with 7 trained dogs before and after acute beta-adrenoceptor blockade (0.1 mg/kg (-)-propranolol i. v.). Exercise was performed on a conveyor (10 min, 10 km/h, slope 10%). Besides catecholamine concentrations in plasma, as an index of alpha-receptor-stimulation potassium concentrations in plasma were determined. Immediately after exercise, plasma noradrenaline was increased from 310 to 579 pg/ml, plasma adrenaline from 136 to 222 pg/ml and plasma potassium from 4.23 to 4.6 mmol/l. After beta-adrenoceptor blockade exercise caused a significantly higher increase in plasma noradrenaline from 352 to 755 pg/ml and plasma adrenaline from 172 to 260 pg/ml. Also plasma potassium concentrations were significantly elevated from 4.03 to 5.05 mmol/l. The results indicate an enhanced reflex activation of sympatho-neuronal and sympatho-adrenal mechanisms during exercise after beta-adrenoceptor blockade; the increased concentrations of noradrenaline at the adrenoceptors might reduce the efficiency of beta-blockade. Concomitantly, increased stimulation of alpha-adrenoceptors is elicited, which becomes obvious by an increase of potassium concentration in plasma.
先前对人体的研究表明,在β-肾上腺素能受体阻断期间,体育锻炼引起的血浆儿茶酚胺升高幅度比未阻断时显著更大。在β-肾上腺素能受体被阻断后,循环儿茶酚胺水平的升高应对肾上腺素能α-受体产生无对抗的作用。为了阐明这种作用,在7只经过训练的犬身上进行了实验,分别在急性β-肾上腺素能受体阻断(静脉注射0.1mg/kg(-)-普萘洛尔)前后进行。在传送带上进行运动(10分钟,10公里/小时,坡度10%)。除了测定血浆儿茶酚胺浓度作为α-受体刺激的指标外,还测定了血浆钾浓度。运动后立即测定,血浆去甲肾上腺素从310pg/ml升至579pg/ml,血浆肾上腺素从136pg/ml升至222pg/ml,血浆钾从4.23mmol/L升至4.6mmol/L。β-肾上腺素能受体阻断后运动导致血浆去甲肾上腺素从352pg/ml显著升高至755pg/ml,血浆肾上腺素从172pg/ml升至260pg/ml。血浆钾浓度也从4.03mmol/L显著升高至5.05mmol/L。结果表明,β-肾上腺素能受体阻断后运动期间交感神经和交感-肾上腺机制的反射激活增强;肾上腺素能受体处去甲肾上腺素浓度的增加可能会降低β-阻断的效果。同时,引发了α-肾上腺素能受体刺激的增加,这通过血浆钾浓度的升高而变得明显。