Kunos G, Mucci L, O'Regan S
Br J Pharmacol. 1980;71(2):371-86. doi: 10.1111/j.1476-5381.1980.tb10950.x.
1 The influence of hormonal and neuronal factors on adrenoceptors mediating increased cardiac force and rate of contraction were studied in rat isolated atria. The pharmacological properties of these receptors were deduced from the relative potencies of agonists and from the effects of selective alpha- and beta-adrenoceptor antagonists. The numbers and affinities of alpha- and beta-adrenoceptors were also determined by radioligand binding to ventricular membrane fragments.2 Hypophysectomy reduced the inotropic potency of isoprenaline and increased the potency of phenylephrine and methoxamine in left atria. The effect of phenylephrine was inhibited by propranolol less effectively and by phentolamine or phenoxybenzamine more effectively in hypophysectomized than in control rats. The difference in block was smaller at low than at high antagonist concentrations. Similar but smaller changes were observed for chronotropic responses of right atria.3 The decreased beta- and increased alpha-receptor response after hypophysectomy was similar to that observed earlier in thyroidectomized rats (Kunos, 1977). These changes developed slowly after hypophysectomy (>2 weeks), they were both reversed within 2 days of thyroxine treatment (0.2 mg/kg daily), but were not affected by cortisone treatment (50 mg/kg every 12 h for 4 days).4 Treatment of hypophysectomized rats for 2 days with thyroxine increased the density of [(3)H]-dihydroalprenolol ([(3)H]-DHA) binding sites from 27.5 +/- 2.7 to 45.5 +/- 5.7 fmol/mg protein and decreased the density of [(3)H]-WB-4101 binding sites from 38.7 +/- 3.1 to 18.7 +/- 2.5 fmol/mg protein. The affinity of either type of binding site for agonists or antagonist was not significantly altered by thyroxine treatment and the sum total of alpha(1)- and beta-receptors remained the same.5 Sympathetic denervation of thyroidectomized rats by 6-hydroxydopamine increased the inotropic potency of isoprenaline and noradrenaline and the blocking effect of propranolol, and decreased the potency of phenylephrine and the blocking effect of phenoxybenzamine to or beyond values observed in euthyroid controls. The density of [(3)H]-DHA binding sites was higher and that of [(3)H]-WB-4101 binding sites was lower in the denervated than in the innervated hypothyroid myocardium. Depletion of endogenous noradrenaline stores by reserpine did not significantly alter the adrenoceptor response pattern of the hypothyroid preparations and did not influence the density or affinity of [(3)H]-DHA and [(3)H]-WB-4101 binding sites.6 These results indicate that thyrotropin or steroids do not contribute to the reciprocal changes in the sensitivity of cardiac alpha(1)- and beta-adrenoceptors in altered thyroid states. These thyroid hormone-dependent changes are probably due to a parallel, reciprocal change in the numbers but not the affinities of alpha(1)- and beta-adrenoceptors. Reciprocal regulation of cardiac alpha(1)- and beta-adrenoceptors by thyroid hormones requires intact sympathetic innervation but not the presence of normal stores of the neurotransmitter.
在大鼠离体心房中研究了激素和神经因素对介导心肌收缩力增强及收缩速率加快的肾上腺素能受体的影响。这些受体的药理学特性是根据激动剂的相对效价以及选择性α和β肾上腺素能拮抗剂的作用推导出来的。α和β肾上腺素能受体的数量及亲和力也通过放射性配体与心室膜碎片的结合来确定。
垂体切除降低了异丙肾上腺素在左心房的变力作用效价,并增加了去氧肾上腺素和甲氧明的效价。与对照大鼠相比,垂体切除大鼠中,普萘洛尔对去氧肾上腺素作用的抑制效果较差,而酚妥拉明或酚苄明的抑制效果较好。在低拮抗剂浓度下,阻断作用的差异比高浓度时小。右心房变时反应也观察到类似但较小的变化。
垂体切除后β受体反应降低和α受体反应增强,与早期在甲状腺切除大鼠中观察到的情况相似(库诺斯,1977年)。这些变化在垂体切除后发展缓慢(>2周),在甲状腺素治疗(每日0.2mg/kg)2天内均可逆转,但可的松治疗(每12小时50mg/kg,共4天)对其无影响。
用甲状腺素治疗垂体切除大鼠2天,可使[³H] - 二氢阿普洛尔([³H] - DHA)结合位点的密度从27.5±2.7增加到45.5±5.7fmol/mg蛋白质,并使[³H] - WB - 4101结合位点的密度从38.7±3.1降低到18.7±2.5fmol/mg蛋白质。甲状腺素治疗对任何一种结合位点对激动剂或拮抗剂的亲和力均无显著改变,α1和β受体的总数保持不变。
通过6 - 羟基多巴胺对甲状腺切除大鼠进行交感神经去支配,可增加异丙肾上腺素和去甲肾上腺素的变力作用效价以及普萘洛尔的阻断作用,并降低去氧肾上腺素的效价和酚苄明的阻断作用,使其达到或超过正常甲状腺对照中观察到的值。去神经支配的甲状腺功能减退心肌中,[³H] - DHA结合位点的密度高于有神经支配的,而[³H] - WB - 4101结合位点的密度则较低。利血平耗尽内源性去甲肾上腺素储备,并未显著改变甲状腺功能减退制剂的肾上腺素能受体反应模式,也未影响[³H] - DHA和[³H] - WB - 4101结合位点的密度或亲和力。
这些结果表明,促甲状腺素或类固醇对甲状腺状态改变时心脏α1和β肾上腺素能受体敏感性的相互变化没有作用。这些甲状腺激素依赖性变化可能是由于α1和β肾上腺素能受体数量的平行、相互变化,而不是亲和力的变化。甲状腺激素对心脏α1和β肾上腺素能受体的相互调节需要完整的交感神经支配,但不需要神经递质的正常储备。