Li Y W, Dampney R A
Department of Physiology, University of Sydney, NSW, Australia.
Neuroscience. 1995 May;66(2):391-402. doi: 10.1016/0306-4522(94)00583-q.
Our current knowledge of the sites of action of the centrally-acting antihypertensive drug clonidine is based almost entirely on experiments in anesthetized animals. The aim of this study was to determine, in conscious rabbits, the sites of action in the brainstem of systemically administered clonidine, as well as its oxazoline analog rilmenidine. Three groups of experiments were carried out. In the first group, hypotension was produced by continuous intravenous infusion of sodium nitroprusside, at a rate sufficient to decrease arterial pressure by 20-30 mmHg, maintained for a period of 60 min. In the second and third groups of experiments, sustained hypotension was also produced by nitroprusside infusion as in the first group, but this was preceded by intravenous injection of clonidine (7-30 micrograms/kg i.v.) or rilmenidine (150-300 micrograms/kg i.v.), respectively. In confirmation of our previous study [Li Y.-W. and Dampney R. A. L. (1994) Neuroscience 61, 613-634], hypotension produced by nitroprusside alone induced a large increase (compared to sham control experiments) in the neuronal expression of Fos (a marker of neuronal activation) in the nucleus of the solitary tract, area postrema, the rostral, intermediate and caudal parts of the ventrolateral medulla, A5 area, locus coeruleus and subcoeruleus, and parabrachial nucleus. In comparison with this group, in rabbits pretreated with clonidine the numbers of Fos-positive cells were greatly reduced (by 76-94%) in the rostral, intermediate and caudal parts of the ventrolateral medulla, area postrema, A5 area, locus coeruleus and subcoeruleus. Clonidine pretreatment also caused a more moderate reduction (by 45%) in the number of Fos-positive cells in the nucleus of the solitary tract, but had no effect on Fos expression in the parabrachial nucleus. Double-labeling for tyrosine hydroxylase and Fos immunoreactivity showed that clonidine pretreatment greatly reduced the numbers of both catecholamine and non-catecholamine Fos-positive neurons. Rilmenidine pretreatment also greatly reduced Fos expression in the lower brainstem, with a very similar pattern to that observed after clonidine pretreatment. The results indicate that in conscious animals both clonidine and rilmenidine cause a widespread but selective inhibition of neurons in the pons and medulla that are normally activated by a hypotensive stimulus. In contrast to previous observations in anesthetized animals, the results suggest that (i) systemic administration of both drugs inhibits non-catecholamine as well as catecholamine neurons in the ventrolateral medulla, and (ii) the regional pattern of neuronal inhibition following administration of equipotent hypotensive doses of both drugs is very similar.
我们目前对中枢性抗高血压药物可乐定作用部位的了解几乎完全基于对麻醉动物的实验。本研究的目的是在清醒兔中确定全身给药的可乐定及其恶唑啉类似物利美尼定在脑干中的作用部位。进行了三组实验。在第一组中,通过持续静脉输注硝普钠产生低血压,输注速率足以使动脉压降低20 - 30 mmHg,并维持60分钟。在第二组和第三组实验中,也如第一组那样通过硝普钠输注产生持续性低血压,但在此之前分别静脉注射可乐定(7 - 30微克/千克静脉注射)或利美尼定(150 - 300微克/千克静脉注射)。正如我们之前的研究[Li Y.-W.和Dampney R. A. L.(1994年)《神经科学》61卷,613 - 634页]所证实的,单独由硝普钠产生的低血压诱导孤束核、最后区、延髓腹外侧头端、中间和尾端部分、A5区、蓝斑和蓝斑下核以及臂旁核中Fos(神经元激活的标志物)的神经元表达大幅增加(与假对照实验相比)。与该组相比,用可乐定预处理的兔中,延髓腹外侧头端、中间和尾端部分、最后区、A5区、蓝斑和蓝斑下核中Fos阳性细胞数量大幅减少(减少76 - 94%)。可乐定预处理还使孤束核中Fos阳性细胞数量适度减少(减少45%),但对臂旁核中的Fos表达无影响。酪氨酸羟化酶和Fos免疫反应性的双重标记显示,可乐定预处理大大减少了儿茶酚胺和非儿茶酚胺Fos阳性神经元的数量。利美尼定预处理也大大降低了低位脑干中的Fos表达,其模式与可乐定预处理后观察到的非常相似。结果表明,在清醒动物中,可乐定和利美尼定都能广泛但选择性地抑制脑桥和延髓中通常因低血压刺激而被激活的神经元。与之前在麻醉动物中的观察结果相反,这些结果表明:(i)两种药物的全身给药均抑制延髓腹外侧的非儿茶酚胺以及儿茶酚胺神经元;(ii)给予等效降压剂量的两种药物后,神经元抑制的区域模式非常相似。