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肾上腺素对人肾动脉张力的影响。

Effect of epinine on tension of human renal arteries.

作者信息

Schwinger R H, Schulz C, Brixius K, Böhm M, Müller-Ehmsen J, Erdmann E

机构信息

Klinik III für Innere Medizin, Universität zu Köln, Germany.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1996 Aug-Sep;354(3):343-7. doi: 10.1007/BF00171066.

DOI:10.1007/BF00171066
PMID:8878065
Abstract

BACKGROUND

The present study aimed to characterize the effects of epinine, the active metabolite of ibopamine on tension development in human renal arteries.

METHODS AND RESULTS

Experiments were performed on isolated human renal arteries rings obtained during surgery due to kidney tumors (n = 12). Epinine concentration-dependently relaxed isolated precontracted (PGF2 alpha) human renal artery rings (P < 0.05) in the presence of phentolamine, as effectively (epinine -30 +/- 4 mN, dopamine -31 +/- 5 mN) and with the same potency as dopamine (epinine EC50 0.7 mumol/l (0.4-1.2 mumol/l), dopamine 0.5 mumol/l (0.2-1.7 mumol/l). This effect was antagonized by the specific D1-receptor-antagonist SCH 23390. Effective beta-adrenoceptor antagonistic concentrations of propranolol did not affect epinine-induced vasorelaxation. In the absence of alpha- and beta-adrenoceptor-antagonists the potency of epinine to contract renal artery rings was significantly higher compared to dopamine indicating a higher affinity of epinine to alpha-adrenoceptors.

CONCLUSION

The present study provides evidence for direct vasodilatory effects of epinine via activation of D1-receptors on human renal arteries.

摘要

背景

本研究旨在描述异波帕胺的活性代谢产物依匹宁对人肾动脉张力发展的影响。

方法与结果

对因肾肿瘤手术获取的离体人肾动脉环进行实验(n = 12)。在酚妥拉明存在的情况下,依匹宁浓度依赖性地舒张离体预收缩(前列腺素F2α)的人肾动脉环(P < 0.05),其效果(依匹宁 -30 ± 4 mN,多巴胺 -31 ± 5 mN)与多巴胺相同,且效力相当(依匹宁 EC50 为0.7 μmol/l(0.4 - 1.2 μmol/l),多巴胺为0.5 μmol/l(0.2 - 1.7 μmol/l))。这种效应被特异性D1受体拮抗剂SCH 23390拮抗。普萘洛尔的有效β肾上腺素能受体拮抗浓度不影响依匹宁诱导的血管舒张。在不存在α和β肾上腺素能受体拮抗剂的情况下,依匹宁收缩肾动脉环的效力显著高于多巴胺,表明依匹宁对α肾上腺素能受体的亲和力更高。

结论

本研究为依匹宁通过激活人肾动脉上的D1受体产生直接血管舒张作用提供了证据。

相似文献

1
Effect of epinine on tension of human renal arteries.肾上腺素对人肾动脉张力的影响。
Naunyn Schmiedebergs Arch Pharmacol. 1996 Aug-Sep;354(3):343-7. doi: 10.1007/BF00171066.
2
Cardiac inotropic as well as coronary and pulmonary artery actions of epinine in human isolated tissues.依匹宁在人体离体组织中的心脏正性肌力作用以及对冠状动脉和肺动脉的作用
J Pharmacol Exp Ther. 1993 Apr;265(1):346-57.
3
Dose-dependent separation of dopaminergic and adrenergic effects of epinine in healthy volunteers.健康志愿者中表儿茶素多巴胺能和肾上腺素能效应的剂量依赖性分离
Naunyn Schmiedebergs Arch Pharmacol. 1995 Oct;352(4):429-37. doi: 10.1007/BF00172781.
4
Effect of dopamine, ibopamine, and epinine on alpha- and beta-adrenoceptors in canine pulmonary circulation.多巴胺、异波帕胺和依匹宁对犬肺循环中α和β肾上腺素能受体的作用。
Fundam Clin Pharmacol. 1989;3(3):211-21. doi: 10.1111/j.1472-8206.1989.tb00452.x.
5
Comparison of the alpha adrenoceptor activity of dopamine, ibopamine and epinine in the pulmonary circulation of the dog.多巴胺、异波帕胺和依匹宁在犬肺循环中的α肾上腺素能受体活性比较。
J Pharmacol Exp Ther. 1987 Apr;241(1):6-12.
6
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Comparison of the effects of the novel inotropic agent, ibopamine, with epinine, dopamine and fenoldopam on renal vascular dopamine receptors in the anesthetized dog.新型强心剂异波帕胺与依匹宁、多巴胺和非诺多泮对麻醉犬肾血管多巴胺受体作用的比较。
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Evaluation of the alpha and beta adrenoceptor-mediated activities of the novel, orally active inotropic agent, ibopamine, in the cardiovascular system of the pithed rat: comparison with epinine and dopamine.新型口服活性强心剂异波帕胺在去大脑大鼠心血管系统中α和β肾上腺素能受体介导活性的评价:与去甲肾上腺素和多巴胺的比较
J Pharmacol Exp Ther. 1987 Aug;242(2):455-63.
9
Comparison of the cardiovascular actions of dopamine and epinine in the dog.多巴胺与去甲肾上腺素对犬心血管作用的比较。
J Pharmacol Exp Ther. 1985 Apr;233(1):87-93.
10
Dopamine induced relaxation of isolated canine renal, mesenteric, and femoral arteries contracted with prostaglandin F2-alpha.多巴胺可使因前列腺素F2-α收缩的离体犬肾动脉、肠系膜动脉和股动脉舒张。
Circ Res. 1975 Jun;36(6 Suppl 1):97-102. doi: 10.1161/01.res.36.6.97.

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本文引用的文献

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Cardiac inotropic as well as coronary and pulmonary artery actions of epinine in human isolated tissues.依匹宁在人体离体组织中的心脏正性肌力作用以及对冠状动脉和肺动脉的作用
J Pharmacol Exp Ther. 1993 Apr;265(1):346-57.
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The effects of oral ibopamine in patients with mild heart failure--a double blind placebo controlled comparison to furosemide. The Ibopamine Study Group.口服异波帕胺对轻度心力衰竭患者的影响——与速尿的双盲安慰剂对照比较。异波帕胺研究组。
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Lack of desensitization of alpha- and beta-adrenoceptor function during chronic treatment of healthy volunteers with ibopamine, an orally active dopamine receptor agonist.
在健康志愿者长期接受口服活性多巴胺受体激动剂异波帕胺治疗期间,α和β肾上腺素能受体功能未出现脱敏现象。
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Double-blind placebo-controlled study of ibopamine and digoxin in patients with mild to moderate heart failure: results of the Dutch Ibopamine Multicenter Trial (DIMT).伊波帕明与地高辛治疗轻至中度心力衰竭患者的双盲安慰剂对照研究:荷兰伊波帕明多中心试验(DIMT)结果
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Quantitative pharmacologic responses of normal and atherosclerotic isolated human epicardial coronary arteries.正常和动脉粥样硬化的离体人心脏冠状动脉的定量药理学反应。
Circulation. 1984 Feb;69(2):430-40. doi: 10.1161/01.cir.69.2.430.
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Decreased catecholamine sensitivity and beta-adrenergic-receptor density in failing human hearts.衰竭的人类心脏中儿茶酚胺敏感性和β-肾上腺素能受体密度降低。
N Engl J Med. 1982 Jul 22;307(4):205-11. doi: 10.1056/NEJM198207223070401.
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In vitro evidence for dopaminergic receptors in human renal artery.人肾动脉中多巴胺能受体的体外证据。
J Cardiovasc Pharmacol. 1982 Jan-Feb;4(1):76-81. doi: 10.1097/00005344-198201000-00013.
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Effects of long-term therapy with oral ibopamine on resting hemodynamics and exercise capacity in patients with heart failure: relationship to the generation of N-methyldopamine and to plasma norepinephrine levels.口服异波帕胺长期治疗对心力衰竭患者静息血流动力学和运动能力的影响:与N-甲基多巴胺生成及血浆去甲肾上腺素水平的关系。
Circulation. 1986 Apr;73(4):740-8. doi: 10.1161/01.cir.73.4.740.
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Evaluation of the alpha and beta adrenoceptor-mediated activities of the novel, orally active inotropic agent, ibopamine, in the cardiovascular system of the pithed rat: comparison with epinine and dopamine.新型口服活性强心剂异波帕胺在去大脑大鼠心血管系统中α和β肾上腺素能受体介导活性的评价:与去甲肾上腺素和多巴胺的比较
J Pharmacol Exp Ther. 1987 Aug;242(2):455-63.
10
Neuronal dopamine receptors on autonomic ganglia and sympathetic nerves and dopamine receptors in the gastrointestinal system.自主神经节和交感神经上的神经元多巴胺受体以及胃肠道系统中的多巴胺受体。
Pharmacol Rev. 1985 Jun;37(2):165-216.