Puerro Vicente M, Aleixandre de Artiñano M A
Departamento de Farmacología, Facultad de Medicina, Universidad Complutense, Madrid, España.
J Vasc Res. 1993 Sep-Oct;30(5):303-8. doi: 10.1159/000159009.
The mechanism by which calcium administration causes hypotension still remains to be explained. In this paper we have studied the alteration of the pressor effect caused by alpha 1- and alpha 2-adrenoceptor stimulation in the pithed rat after increasing the calcium plasma levels of the rats with an intraperitoneal administration of CaCl2. We compared the vasoconstrictor effect of the selective alpha 1-adrenoceptor agonist methoxamine (10-3,000 micrograms/kg) and the pressor effect of the selective alpha 2-adrenoceptor agonist B-HT 920 (1-1,000 micrograms/kg) in control rats (1.24 +/- 0.01 mmol/l ionic plasma calcium) and rats treated intraperitoneally with CaCl2 that had 1.89 +/- 0.04 or 3.03 +/- 0.11 mmol/l ionic plasma calcium. The pressor effect of methoxamine was noticeably less after both of the increases in ionic plasma calcium, and the pressor effect of B-HT 920 was also significantly reduced when the increase in calcium levels was more marked. We have also shown that administration of CaCl2 (8.8 mg Ca/100 g b.w. i.p.) did not alter the basal arterial blood pressure in the pitched rat; however, it caused an important decrease in blood pressure when administered 20 min after beginning an infusion of methoxamine (50 micrograms/min i.v.). The results indicated that the blood-pressure-lowering effect of acute calcium administration is at least in part due to peripheral mechanisms which include a reduction in the pressor responses caused by the alpha 1 and alpha 2 vascular receptor stimulation.
钙给药导致低血压的机制仍有待解释。在本文中,我们通过腹腔注射氯化钙提高大鼠血浆钙水平后,研究了去脑大鼠中α1 - 和α2 - 肾上腺素能受体刺激引起的升压效应的变化。我们比较了选择性α1 - 肾上腺素能受体激动剂甲氧明(10 - 3000微克/千克)的血管收缩效应和选择性α2 - 肾上腺素能受体激动剂B - HT 920(1 - 1000微克/千克)在对照大鼠(离子血浆钙1.24±0.01毫摩尔/升)和腹腔注射氯化钙且离子血浆钙为1.89±0.04或3.03±0.11毫摩尔/升的大鼠中的升压效应。离子血浆钙两次升高后,甲氧明的升压效应均明显降低,且当钙水平升高更显著时,B - HT 920的升压效应也显著降低。我们还表明,腹腔注射氯化钙(8.8毫克钙/100克体重)不会改变去脑大鼠的基础动脉血压;然而,在开始静脉输注甲氧明(50微克/分钟)20分钟后给药时,它会导致血压显著下降。结果表明,急性钙给药的降压作用至少部分归因于外周机制,其中包括α1和α2血管受体刺激引起的升压反应降低。