Lake K D, Martin B R, Kunos G, Varga K
Department of Pharmacology and Toxicology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298, USA.
Hypertension. 1997 May;29(5):1204-10. doi: 10.1161/01.hyp.29.5.1204.
We previously showed that in anesthetized rats anandamide elicits bradycardia and a triphasic blood pressure response: transient hypotension secondary to a vagally mediated bradycardia, followed by a brief pressor and prolonged depressor response, the latter two effects being similar to those of delta 9-tetrahydrocannabinol (THC). The prolonged depressor but not the pressor response was reduced after alpha-adrenergic receptor blockade or cervical spinal cord transection and was inhibited by the cannabinoid type 1 (CB1) receptor antagonist SR141716A, suggesting CB1 receptor-mediated sympathoinhibition as the underlying mechanism. Here we examined the relationship between sympathetic tone and the cardiovascular effects of anandamide by testing these effects in both conscious and anesthetized, normotensive and spontaneously hypertensive rats. In urethane-anesthetized normotensive rats, SR141716A inhibited the prolonged depressor and bradycardic effects of anandamide and THC with similar potency, whereas it did not affect the pressor response to either agent. Anadamide caused similar hypotension in spontaneously breathing and in paralyzed, mechanically ventilated rats, suggesting that the hypotension is not secondary to respiratory effects. In conscious normotensive rats, anandamide elicited transient vagal activation and a brief pressor response, but the prolonged hypotensive component was absent. SR141716A potentiated and prolonged the brief pressor response to anandamide, suggesting that the depressor response may have been masked by an increased pressor response. All three phases of the anadamide response were present in both anesthetized and conscious spontaneously hypertensive rats, and the hypotensive component, inhibited by SR141716A in both, was more prolonged in the absence (> 50 minutes) than the presence (10 to 15 minutes) of anesthesia. We conclude that anandamide causes a non-CB1 receptor-mediated pressor and a CB1 receptor-mediated prolonged depressor response. The depressor response can be elicited in both conscious and anesthetized animals, but its magnitude depends on preexisting sympathetic tone.
我们之前发现,在麻醉大鼠中,花生四烯乙醇胺可引发心动过缓和三相血压反应:先是由于迷走神经介导的心动过缓导致短暂性低血压,随后是短暂的升压反应和持续的降压反应,后两种效应与δ9-四氢大麻酚(THC)的效应相似。在α-肾上腺素能受体阻断或颈髓横断后,持续的降压反应而非升压反应减弱,且大麻素1型(CB1)受体拮抗剂SR141716A可抑制该反应,提示CB1受体介导的交感神经抑制是其潜在机制。在此,我们通过在清醒和麻醉的正常血压及自发性高血压大鼠中测试这些效应,研究了交感神经张力与花生四烯乙醇胺心血管效应之间的关系。在氨基甲酸乙酯麻醉的正常血压大鼠中,SR141716A以相似的效力抑制了花生四烯乙醇胺和THC的持续降压及心动过缓效应,而对二者的升压反应均无影响。花生四烯乙醇胺在自主呼吸的大鼠和麻痹、机械通气的大鼠中均可引起相似的低血压,提示该低血压并非继发于呼吸效应。在清醒的正常血压大鼠中,花生四烯乙醇胺引发短暂的迷走神经激活和短暂的升压反应,但不存在持续的降压成分。SR141716A增强并延长了对花生四烯乙醇胺的短暂升压反应,提示降压反应可能被增强的升压反应所掩盖。花生四烯乙醇胺反应的所有三个阶段在麻醉和清醒的自发性高血压大鼠中均存在,且在无麻醉(>50分钟)时比有麻醉(10至15分钟)时,SR141716A抑制的降压成分持续时间更长。我们得出结论,花生四烯乙醇胺可引起非CB1受体介导的升压反应和CB1受体介导的持续降压反应。降压反应在清醒和麻醉动物中均可诱发,但其程度取决于预先存在的交感神经张力。