Rengo F, Trimarco B, Chiariello M, Saccà L, Violini R, Rasetti G, Ferro G
Am J Physiol. 1978 Mar;234(3):H305-11. doi: 10.1152/ajpheart.1978.234.3.H305.
Previous studies have shown that phentolamine is able to reverse the reflex vasodilatation produced by transitory baroreceptor stimulation by blocking sympathetic, histaminergic, and cholinergic components. A direct anticholinergic action of phentolamine has never been described; however, since it is known that this drug is capable of inhibiting histamine release during the reflex vasodilatation, it is possible that its ability to block the cholinergic component of the reflex is related to the latter property. Therefore, this study was undertaken in an attempt to identify possible relationships between cholinergic and histaminergic components of the reflex vasodilatation. Accordingly, in mongrel dogs the gracilis muscle was isolated and perfused and then loaded with 14C-labeled histamine. A transitory systemic hypertension was induced by intravenous injection of norepinephrine; this produced a reflex vasodilatation, shown by the fall in perfusion pressure, which was accompanied by an increase of histamine release from the muscle. Vagal block induced by atropine pretreatment reduced the fall in perfusion pressure induced by the systemic hypertension and produced a reduction of histamine release during the vasodilatation. In another group of animals a vasodilatation in the perfused muscle was induced by injection of acetylcholine. This response was accompanied by an increase in histamine release from the gracilis muscle. Alpha-receptor blockade, which has been shown to inhibit histamine release, reduced this acetyl-choline-induced vasodilatation. These results, while confirming the participation of the cholinergic system in the reflex vasodilatation elicited by transitory stimulation of the arterial baroreceptors, seem to demonstrate that this component is mediated almost exclusively by histamine release.
先前的研究表明,酚妥拉明能够通过阻断交感神经、组胺能和胆碱能成分来逆转短暂压力感受器刺激所产生的反射性血管舒张。酚妥拉明的直接抗胆碱能作用从未被描述过;然而,由于已知该药物能够在反射性血管舒张期间抑制组胺释放,所以其阻断反射性胆碱能成分的能力可能与后者的特性有关。因此,开展本研究以试图确定反射性血管舒张的胆碱能和组胺能成分之间可能存在的关系。相应地,在杂种犬中分离并灌注股薄肌,然后用14C标记的组胺进行加载。通过静脉注射去甲肾上腺素诱导短暂性全身高血压;这会产生反射性血管舒张,表现为灌注压下降,同时伴有肌肉组胺释放增加。阿托品预处理诱导的迷走神经阻滞减少了全身高血压诱导的灌注压下降,并在血管舒张期间使组胺释放减少。在另一组动物中,通过注射乙酰胆碱诱导灌注肌肉血管舒张。该反应伴有股薄肌组胺释放增加。已证明α受体阻滞可抑制组胺释放,减少了这种乙酰胆碱诱导的血管舒张。这些结果在证实胆碱能系统参与动脉压力感受器短暂刺激所引发的反射性血管舒张的同时,似乎表明该成分几乎完全由组胺释放介导。