Ludbrook J, Ventura S
University of Melbourne Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Eur J Pharmacol. 1994 Jan 24;252(1):113-6. doi: 10.1016/0014-2999(94)90582-7.
Graded caval occlusion in conscious rabbits caused a biphasic response. Phase I was characterized by a fall in conductance so that arterial pressure was maintained. When cardiac output had fallen to 69 +/- 2% of its baseline level, phase II supervened. During phase II, conductance rose abruptly and arterial pressure fell to a life-threatening level (< 40 mmHg). Centrally administered delta-opioid receptor antagonists prevented the occurrence of phase II. The relative order of potency was 7-benzylidene-naltrexone (BNTX, delta 1-selective) > N,N-diallyl-Tyr-Aib-Phe-Leu-OH (ICI 174,864) > naltrindole (delta 2-selective). It is concluded that a central delta 1-opioid receptor is involved in the onset of the second decompensatory phase of the haemodynamic response to haemorrhage.
清醒兔的分级腔静脉闭塞引起双相反应。第一阶段的特征是电导下降,从而维持动脉血压。当心输出量降至其基线水平的69±2%时,第二阶段开始。在第二阶段,电导突然升高,动脉血压降至危及生命的水平(<40 mmHg)。中枢给予δ-阿片受体拮抗剂可防止第二阶段的发生。效力的相对顺序为7-亚苄基纳曲酮(BNTX,δ1选择性)>N,N-二烯丙基-Tyr-Aib-Phe-Leu-OH(ICI 174,864)>纳曲吲哚(δ2选择性)。结论是,中枢δ1-阿片受体参与了出血血流动力学反应的第二个失代偿阶段的起始。