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β-肾上腺素能受体阻断药对人体的特异性和非特异性作用(作者译)

[Specific and non-specific effects of beta-adreno-receptor blocking drugs in man (author's transl)].

作者信息

Grobecker H, Planz G, Wiethold G, Simrock R, Becker H J, Lutz E, Petersen P

出版信息

Klin Wochenschr. 1976 Aug 15;54(16):783-8. doi: 10.1007/BF01614295.

Abstract

The effect of tyramine infusion or exercise on catecholamine concentration and dopamine-beta-hydroxylase activity in plasma of normal volunteers has been studied. Whereas the increase in plasma catecholamine concentrations by tyramine infusion was not changed 90 min after oral application of a single dose of beta-adrenoceptor blocking drugs (penbutolol, practolol, I.C.I. 66082), the increase in blood pressure was diminished. However, the increase in plasma catecholamine, concentration, i.e. the adrenergic response to exercise was significantly enhanced during beta-adrenoceptor blockade. On the other hand, dopamine-beta-hydroxylase activity was not further increased during beta-adrenoceptor blockade. - The non-specific membrane activity of the beta-adrenoceptor blocking drugs wass assessed by the degree of inhibition of serotonin uptake by human platelets in vitro. Their order of potency, according to IC 50 values estimated from the dose response curves was: propranolol less than penbutolol less than practolol less than I.C.I. 66082. The inhibitory activity of these drugs in vivo was also studied by measuring serotonin uptake by platelets isolated 90 min after oral administration. Due to the high dose only propranolol showed a marked membrane activity.

摘要

已经研究了酪胺输注或运动对正常志愿者血浆中儿茶酚胺浓度和多巴胺-β-羟化酶活性的影响。虽然单次口服β-肾上腺素受体阻断药物(喷布洛尔、普拉洛尔、ICI 66082)90分钟后,酪胺输注引起的血浆儿茶酚胺浓度升高未发生变化,但血压升高有所减弱。然而,在β-肾上腺素受体阻断期间,血浆儿茶酚胺浓度的升高,即对运动的肾上腺素能反应显著增强。另一方面,在β-肾上腺素受体阻断期间,多巴胺-β-羟化酶活性并未进一步升高。 - 通过体外人血小板对5-羟色胺摄取的抑制程度评估β-肾上腺素受体阻断药物的非特异性膜活性。根据从剂量反应曲线估计的IC50值,它们的效力顺序为:普萘洛尔<喷布洛尔<普拉洛尔<ICI 66082。还通过测量口服给药90分钟后分离的血小板对5-羟色胺的摄取来研究这些药物在体内的抑制活性。由于剂量高,只有普萘洛尔显示出明显的膜活性。

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