Haneda T, Okamoto K, Hiroshima T, Kashiwagi Y, Miyata S, Ohi S, Nakamura Y, Osaki J, Hirayama T, Ogawa Y
First Department of Internal Medicine, Asahikawa Medical College, Japan.
Hypertens Res. 1995 Jun;18 Suppl 1:S215-9. doi: 10.1291/hypres.18.supplementi_s215.
The present experiments were undertaken to clarify the difference of renal dopamine production from beta 1-selective beta-blocker with and without intrinsic sympathomimetic activity (ISA). Either beta-blocker with ISA, celiprolol (100 or 300 mg/kg/day; CEL-100 or CEL-300) or beta-blocker without ISA, atenolol (50 mg/kg/day; ATE-50) was administered to the SHR from 19 to 26 weeks. Degrees of lowering blood pressure in CEL-300 SHR and in ATE-50 SHR were similar, but decrease in heart rate was significantly less in CEL-300 SHR than in ATE-50 SHR. Urine output, which was significantly less in control SHR than in control WKY, was significantly greater in CEL-100 SHR and CEL-300 SHR, but not in ATE-50 SHR. Urinary excretions of noradrenaline (u-NA) and dopamine (u-DA) were significantly higher in control SHR than in control WKY and a comparable u-DA/u-NA ratio was found in these two groups. U-DA and the ratio of u-DA/u-NA were significantly elevated in CEL-100 SHR and CEL-300 SHR, but not in ATE-50 SHR. There was a significant positive correlation between u-DA/u-NA ratio and urine output and a significant negative correlation between the ratio of u-DA/u-NA and change of blood pressure in control SHR, CEL-100 SHR and CEL-300 SHR. These results suggest that an enhancement of renal dopamine production by ISA (beta 2 stimulation) of beta 1-selective beta-blocker may contribute, at least in part, to the antihypertensive effect of this drug.
本实验旨在阐明具有和不具有内在拟交感活性(ISA)的β1选择性β受体阻滞剂对肾脏多巴胺生成的影响差异。从19周龄至26周龄,给自发性高血压大鼠(SHR)分别给予具有ISA的β受体阻滞剂塞利洛尔(100或300mg/kg/天;CEL - 100或CEL - 300)或不具有ISA的β受体阻滞剂阿替洛尔(50mg/kg/天;ATE - 50)。CEL - 300组SHR和ATE - 50组SHR的降压程度相似,但CEL - 300组SHR心率的降低明显少于ATE - 50组SHR。对照组SHR的尿量明显少于对照WKY大鼠,CEL - 100组SHR和CEL - 300组SHR的尿量明显增多,但ATE - 50组SHR无此现象。对照组SHR的去甲肾上腺素(u - NA)和多巴胺(u - DA)尿排泄量明显高于对照WKY大鼠,且两组的u - DA/u - NA比值相当。CEL - 100组SHR和CEL - 300组SHR的u - DA及u - DA/u - NA比值明显升高,但ATE - 50组SHR无此现象。在对照组SHR、CEL - 100组SHR和CEL - 300组SHR中,u - DA/u - NA比值与尿量之间存在显著正相关,u - DA/u - NA比值与血压变化之间存在显著负相关。这些结果表明,β1选择性β受体阻滞剂的ISA(β2刺激)增强肾脏多巴胺生成可能至少部分地促成了该药物的降压作用。