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中枢肾上腺素能受体在血管加压素释放和血压控制中的作用。

The role of central adrenoreceptors in the control of vasopressin release and blood pressure.

作者信息

Kimura T, Share L, Wang B C, Crofton J T

出版信息

Endocrinology. 1981 May;108(5):1829-36. doi: 10.1210/endo-108-5-1829.

DOI:10.1210/endo-108-5-1829
PMID:7215302
Abstract

In order to investigate the role of central noradrenergic neurons in the control of vasopressin (ADH) release and cardiovascular regulation, norepinephrine (1.4 microgram/kg), clonidine (0.1 microgram/kg), and isoproterenol (1.4 microgram/kg were infused into the lateral cerebral ventricle of the anesthetized dog. The drugs were given over a 20-min period, dissolved in 0.9% saline at a volume rate of 10 microliter/min. Both norepinephrine and clonidine markedly reduced ADH release and lowered arterial blood pressure and heart rate. Isoproterenol had no effect on ADH release and produced a slight reduction in arterial pressure and a large increase in heart rate. Pretreatment with phenoxybenzamine (100 microgram/kg, iv) completely blocked the effects of norepinephrine on blood pressure and heart rate but only partially (about 50%) inhibited the norepinephrine effect on ADH release. Intravenous isoproterenol lowered blood pressure and increased ADH release and heart rate. In none of the experiments could changes in ADH release be attributed to changes in plasma osmolality or plasma sodium and potassium concentrations. It is concluded that, in the anesthetized dog, intraventricular norepinephrine and clonidine decreased ADH release, blood pressure, and heart rate by stimulating alpha-adrenoreceptors. The increased release of ADH after peripheral administration of isoproterenol was presumably due to the reduction in blood pressure and decreased baroreceptor inhibition of ADH release.

摘要

为了研究中枢去甲肾上腺素能神经元在血管升压素(抗利尿激素,ADH)释放调控及心血管调节中的作用,将去甲肾上腺素(1.4微克/千克)、可乐定(0.1微克/千克)和异丙肾上腺素(1.4微克/千克)注入麻醉犬的侧脑室。药物在20分钟内给予,溶解于0.9%盐水中,输注速度为10微升/分钟。去甲肾上腺素和可乐定都显著减少ADH释放,并降低动脉血压和心率。异丙肾上腺素对ADH释放无影响,使动脉压略有降低,心率大幅增加。用酚苄明(100微克/千克,静脉注射)预处理可完全阻断去甲肾上腺素对血压和心率的作用,但仅部分(约50%)抑制去甲肾上腺素对ADH释放的作用。静脉注射异丙肾上腺素可降低血压,增加ADH释放和心率。在所有实验中,ADH释放的变化均不能归因于血浆渗透压或血浆钠、钾浓度的变化。得出结论,在麻醉犬中,脑室内注射去甲肾上腺素和可乐定通过刺激α-肾上腺素能受体降低ADH释放、血压和心率。外周给予异丙肾上腺素后ADH释放增加可能是由于血压降低以及压力感受器对ADH释放的抑制作用减弱。

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