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乙酰胆碱对清醒犬的中枢心血管效应。

Central cardiovascular effects of acetylcholine in the conscious dog.

作者信息

Brefel C, Lazartigues E, Tran M A, Gauquelin G, Geelen G, Gharib C, Montastruc J L, Montastruc P, Rascol O

机构信息

Laboratoire de Pharmacologie Médicale et Clinique, INSERM U 317, Faculté de Médecine de Toulouse, France.

出版信息

Br J Pharmacol. 1995 Oct;116(4):2175-82. doi: 10.1111/j.1476-5381.1995.tb15051.x.

Abstract
  1. The effects of central cholinomimetic drugs on cardiovascular and vasoactive hormonal responses (blood pressure, heart rate, catecholamines, vasopressin, atrial natriuretic factor, neuropeptide Y plasma levels and plasma renin activity) were investigated in conscious Beagle dogs. For this purpose a catheter was chronically implanted into each dog's cisterna magna to allow repeated central injections in the awake animals. 2. Intracisternal acetylcholine (20 micrograms kg-1) significantly increased systolic and diastolic blood pressure. These changes were accompanied by an initial short term tachycardia followed by a long lasting bradycardia. Intracisternal acetylcholine also increased noradrenaline, adrenaline and vasopressin plasma levels, decreased plasma renin activity but did not modify plasma levels of neuropeptide Y and atrial natriuretic factor. 3. The effects of acetylcholine were completely abolished by pretreatment with intracisternal injection of the muscarinic antagonist, atropine (5 micrograms kg-1) but not by the intracisternal injection of the nicotinic antagonist, mecamylamine (25 micrograms kg-1). 4. The present results demonstrate that there are qualitative and quantitative differences between the central cardiovascular effects of acetylcholine in conscious dogs compared to what we previously reported, using a comparable protocol, in anaesthetized dogs. Under both conditions, we observed a central cholinergically mediated increase in blood pressure secondary to an increase in sympathetic tone and vasopressin release but these responses were shorter (less than 10 min) in the conscious dogs than in anaesthetized dogs (more than 10 min). Moreover, we detected in the response to the central cholinergic stimulation in the conscious dogs a significant increase in plasma adrenaline levels and biphasic changes in heart rate which were not described previously in the anaesthetized dog.
摘要
  1. 在清醒的比格犬中研究了中枢拟胆碱药物对心血管和血管活性激素反应(血压、心率、儿茶酚胺、血管加压素、心房利钠因子、神经肽Y血浆水平和血浆肾素活性)的影响。为此,将一根导管长期植入每只犬的枕大池,以便在清醒动物中进行重复的中枢注射。2. 脑池内注射乙酰胆碱(20微克/千克)可显著升高收缩压和舒张压。这些变化伴随着最初的短期心动过速,随后是持久的心动过缓。脑池内注射乙酰胆碱还可升高去甲肾上腺素、肾上腺素和血管加压素的血浆水平,降低血浆肾素活性,但不改变神经肽Y和心房利钠因子的血浆水平。3. 脑池内注射毒蕈碱拮抗剂阿托品(5微克/千克)预处理可完全消除乙酰胆碱的作用,但脑池内注射烟碱拮抗剂美加明(25微克/千克)则不能。4. 目前的结果表明,与我们之前使用类似方案在麻醉犬中所报道的相比,清醒犬中乙酰胆碱的中枢心血管作用在性质和数量上存在差异。在两种情况下,我们都观察到中枢胆碱能介导的血压升高继发于交感神经张力增加和血管加压素释放增加,但这些反应在清醒犬中持续时间较短(不到10分钟),而在麻醉犬中持续时间较长(超过10分钟)。此外,我们发现在清醒犬对中枢胆碱能刺激的反应中,血浆肾上腺素水平显著升高,心率出现双相变化,而这在麻醉犬中之前并未描述过。

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