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麻醉犬长期使用β-肾上腺素能拮抗剂和激动剂治疗后,心血管系统对多培沙明及β1和β2肾上腺素能受体功能的变化。

Changes in cardiovascular responsiveness to dopexamine and beta 1- and beta 2-adrenoceptor function after the chronic treatment of beta-adrenoceptor antagonists and agonists in anaesthetized dogs.

作者信息

Chang D H, Einstein R

机构信息

Department of Pharmacology, University of Sydney, N.S.W., Australia.

出版信息

J Auton Pharmacol. 1996 Oct;16(5):269-79. doi: 10.1111/j.1474-8673.1996.tb00361.x.

Abstract
  1. The studies were designed to investigate the changes in responsiveness to beta-adrenoceptor agonists induced by chronic administration of beta-adrenoceptor antagonists and agonists. 2. Dose-response curves for dopexamine, isoprenaline, noradrenaline and impromidine on heart rate, blood pressure and myocardial contractility (dP/dt:integrated isometric tension) were obtained in untreated dogs and compared to those measured in dogs which had been pretreated with propranolol (8 mg kg-1 day-1), atenolol (6 mg kg-1 day-1), isoprenaline (0.5 microgram kg-1 min-1) or noradrenaline (0.5 microgram kg-1 min-1) for 14 days. 3. Propranolol pretreatment significantly enhanced the inotropic and chronotropic responses to isoprenaline. There were noticeable, but non-significant increases in inotropic sensitivity to noradrenaline and dopexamine, especially at higher dose levels. In the atenolol treatment group, there were significant increases in inotropic responses to dopexamine and isoprenaline and in depressor responses to isoprenaline. 4. Thus, chronic administration of propranolol increased responses mediated by both beta 1- and beta 2-adrenoceptors, whereas, atenolol selectively enhanced the inotropic responsiveness to dopexamine, which is mediated mainly by beta 2-adrenoceptors. 5. Isoprenaline pretreatment caused a significant decrease in inotropic sensitivity to dopexamine, isoprenaline and noradrenaline and a significant reduction in chronotropic responses to dopexamine. The tendency to reduced depressor responses to isoprenaline and dopexamine failed to reach significance. Pretreatment with noradrenaline decreased only the inotropic response to noradrenaline. 6. Thus, chronic isoprenaline treatment reduced the responsiveness of both beta 1- and beta 2-adrenoceptors, while chronic noradrenaline infusion only reduced beta 1-adrenoceptor-mediated responses. 7. There was no significant change in any of the dose-response curves to impromidine after any beta-adrenoceptor antagonist or agonist treatment. This indicates that there was no non-specific alteration in responsiveness and that the observed changes were likely to be associated with specific alterations in beta-adrenoceptor number or function.
摘要
  1. 这些研究旨在调查长期给予β-肾上腺素能拮抗剂和激动剂后对β-肾上腺素能激动剂反应性的变化。2. 在未经治疗的犬中获得了多培沙明、异丙肾上腺素、去甲肾上腺素和英普咪定对心率、血压和心肌收缩力(dP/dt:等长张力积分)的剂量-反应曲线,并与用普萘洛尔(8毫克/千克/天)、阿替洛尔(6毫克/千克/天)、异丙肾上腺素(0.5微克/千克/分钟)或去甲肾上腺素(0.5微克/千克/分钟)预处理14天的犬所测得的曲线进行比较。3. 普萘洛尔预处理显著增强了对异丙肾上腺素的变力性和变时性反应。对去甲肾上腺素和多培沙明的变力性敏感性有明显但不显著的增加,尤其是在较高剂量水平时。在阿替洛尔治疗组中,对多培沙明和异丙肾上腺素的变力性反应以及对异丙肾上腺素的降压反应有显著增加。4. 因此,长期给予普萘洛尔增加了由β1-和β2-肾上腺素能受体介导的反应,而阿替洛尔选择性地增强了对主要由β2-肾上腺素能受体介导的多培沙明的变力性反应。5. 异丙肾上腺素预处理导致对多培沙明、异丙肾上腺素和去甲肾上腺素的变力性敏感性显著降低,以及对多培沙明的变时性反应显著降低。对异丙肾上腺素和多培沙明降压反应降低的趋势未达到显著水平。去甲肾上腺素预处理仅降低了对去甲肾上腺素的变力性反应。6. 因此,长期异丙肾上腺素治疗降低了β1-和β2-肾上腺素能受体的反应性,而长期输注去甲肾上腺素仅降低了β1-肾上腺素能受体介导的反应。7. 在任何β-肾上腺素能拮抗剂或激动剂治疗后,对英普咪定的任何剂量-反应曲线均无显著变化。这表明反应性没有非特异性改变,且观察到的变化可能与β-肾上腺素能受体数量或功能的特异性改变有关。

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