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向脊髓中间外侧柱注射肾上腺素的心脏效应

Cardiac effects of injections of epinephrine into the spinal intermediolateral column.

作者信息

Malhotra V K, Kachroo A, Sapru H N

机构信息

Section of Neurosurgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark 07103.

出版信息

Am J Physiol. 1993 Aug;265(2 Pt 2):H633-41. doi: 10.1152/ajpheart.1993.265.2.H633.

Abstract

Small doses of epinephrine (0.008, 0.05, and 0.1 pmol, i.e., 20-nl volumes of 0.40, 2.5, and 5 microM solutions) produced a dose-dependent increase in heart rate when micro-injected into the right intermediolateral column (IML) at T2 spinal level. These effects were mediated via alpha 1-adrenergic receptors because prazosin blocked them. The presence of alpha 1-adrenergic receptors at this site was confirmed by microinjections of phenylephrine (a specific agonist for these receptors); phenylephrine elicited tachycardia. Larger doses of epinephrine (320, 2,000, and 3,200 pmol, i.e., 20-nl volumes of 16, 100, and 160 mM solutions) caused bradycardia when microinjected into the IML. These effects were mediated via alpha 2-adrenergic receptors because idazoxan blocked them. The presence of alpha 2-adrenergic receptors at this site was confirmed by microinjections of clonidine (a specific agonist for these receptors); clonidine elicited bradycardia. Injections of the vehicle (20 nl of normal saline containing 0.3% ascorbic acid, pH 7.4) did not evoke a response. Epinephrine, prazosin, or idazoxan did not alter the responses to L-glutamate. None of the doses of epinephrine elicited any response when injected intravenously. The aforementioned results provide pharmacological evidence for the presence of alpha 1- and alpha 2-adrenergic receptors in the IML at T2. Thus a basis is provided for investigating the role, if any, of alpha-adrenergic receptors in the IML in mediating cardiovascular responses elicited by the stimulation of different brain stem areas.

摘要

当在T2脊髓水平微量注射到右侧中间外侧柱(IML)时,小剂量肾上腺素(0.008、0.05和0.1皮摩尔,即20纳升体积的0.40、2.5和5微摩尔溶液)可使心率呈剂量依赖性增加。这些效应是通过α1 - 肾上腺素能受体介导的,因为哌唑嗪可阻断它们。通过微量注射去氧肾上腺素(这些受体的特异性激动剂)证实了该部位存在α1 - 肾上腺素能受体;去氧肾上腺素引发心动过速。当较大剂量肾上腺素(320、2000和3200皮摩尔,即20纳升体积的16、100和160毫摩尔溶液)微量注射到IML时会导致心动过缓。这些效应是通过α2 - 肾上腺素能受体介导的,因为咪唑克生可阻断它们。通过微量注射可乐定(这些受体的特异性激动剂)证实了该部位存在α2 - 肾上腺素能受体;可乐定引发心动过缓。注射溶媒(20纳升含0.3%抗坏血酸的生理盐水,pH 7.4)未引起反应。肾上腺素、哌唑嗪或咪唑克生未改变对L - 谷氨酸的反应。静脉注射任何剂量的肾上腺素均未引起任何反应。上述结果为T2节段IML中存在α1和α2肾上腺素能受体提供了药理学证据。因此,为研究IML中α - 肾上腺素能受体在介导不同脑干区域刺激引起的心血管反应中(如果有)的作用提供了基础。

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