Swan K G, Kerr J C, Wright C B, Reynolds D G
Surgery. 1977 Mar;81(3):326-34.
The effects of intra-arterial injections and infusions of three adrenergic amines upon hepatic arterial blood flow were measured in anesthetized baboons before and after alpha and beta adrenergic blockade with intravenous phenoxybenzamine and propranolol. Injections of norepinephrine or epinephrine caused dose-dependent decreases in hepatic arterial blood flow. These responses were attenuated by alpha adrenergic blockade and were unchanged by beta adrenergic blockade. Injections of isoproterenol caused dose-dependent increases in hepatic arterial flow. These increases were relatively small and were reversed to constriction at low doses and attenuated at high doses of the agonist by beta adrenergic blockade. Intrahepatic arterial infusions of constrictors were unaccompanied by autoregulatory excape. The degree of constriction was attenuated by alpha adrenergic blockade but was not potentiated by beta adrenergic blockade. Intrahepatic arterial infusion of a relatively large dose of isoproterenol was required to evoke a relatively modest, but sustained, increase in hepatic arterial blood flow. This response was not potentiated by alpha adrenergic antagonism, but was attenuated by beta adrenergic blockade. These observations suggest an apparent and relative decrease in beta adrenergic receptor activity in the hepatic arterial bed of the baboon when compared to other regional circulations such as the mesenteric and femoral beds. These beta receptors are relatively resistant to both stimulation and blockade.
在用静脉注射酚苄明和普萘洛尔进行α和β肾上腺素能阻断前后,对麻醉的狒狒测量了三种肾上腺素能胺的动脉内注射和输注对肝动脉血流的影响。注射去甲肾上腺素或肾上腺素会导致肝动脉血流呈剂量依赖性减少。这些反应因α肾上腺素能阻断而减弱,因β肾上腺素能阻断而无变化。注射异丙肾上腺素会导致肝动脉血流呈剂量依赖性增加。这些增加相对较小,在低剂量激动剂时转为收缩,在高剂量激动剂时因β肾上腺素能阻断而减弱。肝内动脉输注缩血管剂未伴有自动调节逃逸。收缩程度因α肾上腺素能阻断而减弱,但未因β肾上腺素能阻断而增强。需要肝内动脉输注相对大剂量的异丙肾上腺素才能引起肝动脉血流相对适度但持续的增加。这种反应未因α肾上腺素能拮抗作用而增强,但因β肾上腺素能阻断而减弱。这些观察结果表明,与肠系膜和股床等其他区域循环相比,狒狒肝动脉床中β肾上腺素能受体活性明显且相对降低。这些β受体对刺激和阻断都相对有抗性。