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ST 91(可乐定类似物)心血管降压作用的研究。

Studies on the cardiovascular depressor actions of ST 91--an analogue of clonidine.

作者信息

McLennan P L, Bentley G A

出版信息

Eur J Pharmacol. 1978 Dec 1;52(3-4):251-7. doi: 10.1016/0014-2999(78)90277-7.

Abstract

St 91 is an analogue of the alpha-adrenoceptor agonist and antihypertensive agent clonidine. I.v. infusion of St 91 (8 microgram/kg/min, 2 min) produces an immediate but transient pressor response and a prolonged bradycardia but, unlike clonidine, it produces no hypotension, allegedly because this drug does not penetrate the C.N.S. It was found that, after pretreatment with phenoxybenzamine (1.5 mg/kg, i.v.) an infusion of St 91 (8 microgram/kg/min, 2 min) produced a much diminished pressor response and a later small hypotension, while still causing the same degree of bradycardia. Infusion of St 91 (4--16 microgram/kg over 2 min) into the vertebral artery (i.a. vert.) produced dose-dependent hypotension and bradycardia only, which were reversed by piperoxan (300 microgram/kg, intracisternal). There was no significant difference in the potency of St 91 when given i.a. vert. or i.c.m. (5--20 microgram/kg) and the dose-response curves for hypotension and bradycardia were parallel, although the onset of effects was more rapid via the vertebral route. It is suggested that St 91 can cross the blood-brain barrier although why no hypotension is observed after i.v. administration still remains obscure.

摘要

St 91是α-肾上腺素能受体激动剂及抗高血压药可乐定的类似物。静脉输注St 91(8微克/千克/分钟,共2分钟)会产生即刻但短暂的升压反应以及持久的心动过缓,不过与可乐定不同的是,它不会引起低血压,据称是因为这种药物不能穿透中枢神经系统。研究发现,用酚苄明(1.5毫克/千克,静脉注射)预处理后,输注St 91(8微克/千克/分钟,共2分钟)产生的升压反应明显减弱,随后出现轻微低血压,同时仍会引起相同程度的心动过缓。将St 91(2分钟内4 - 16微克/千克)注入椎动脉(椎动脉内注射)仅产生剂量依赖性低血压和心动过缓,哌罗克生(300微克/千克,脑池内注射)可使其逆转。椎动脉内注射或脑室内注射(5 - 20微克/千克)时,St 91的效力无显著差异,低血压和心动过缓的剂量 - 反应曲线平行,尽管通过椎动脉途径起效更快。提示St 91可以穿过血脑屏障,不过静脉给药后为何未观察到低血压仍不清楚。

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