Duncker D J, van Meegen J R, Verdouw P D
Laboratory for Experimental Cardiology, Erasmus University Rotterdam, The Netherlands.
Cardiovasc Drugs Ther. 1997 Sep;11(4):537-45. doi: 10.1023/a:1007767216867.
Dopamine receptor agonists can be useful in the treatment of hypertension or heart failure. Consequently, the present study investigated the hemodynamic profile of the novel dopamine D1/D2 receptor agonist Z1046 in open-chest, pentobarbital-anesthetized swine. Z1046 was administered in a dose of 10 micrograms/kg (n = 9) or 100 micrograms/kg (n = 8), which was injected over 1 minute; hemodynamic responses were studied for 90 minutes after administration. Both doses of Z1046 produced sustained decreases in mean aortic blood pressure (15-20%). The hypotension produced by the lower dose was principally due to a decrease in cardiac output, as the trend toward a lower systemic vascular resistance failed to reach levels of statistical significance. Conversely, the decrease in mean arterial blood pressure produced by the higher dose of Z1046 was mainly due to a decrease in systemic vascular resistance (up to 17%), as the trend toward a decrease in cardiac output at 60 and 90 minutes after administration was not different from the changes in the saline-treated group. Heart rate decreased slightly with both doses of Z1046. Z1046 decreased left ventricular myocardial blood flow (up to 28 +/- 9%, p < 0.05) in parallel with the decrease in myocardial oxygen consumption (up to 24 +/- 7%, p < 0.05), with no change in the transmural distribution of myocardial blood. Z1046 in a dose of 10 micrograms/kg did not produce significant vasodilation of regional vascular beds, but in a dose of 100 micrograms/kg produced vasodilator responses in the small intestine (34 +/- 2% decrease in vascular resistance), spleen (43 +/- 7%), and kidneys (22 +/- 3% all p < 0.05 vs. baseline). In conclusion, Z1046 produced systemic hypotension with negligible reflex activation of sympathetic tone.
多巴胺受体激动剂可用于治疗高血压或心力衰竭。因此,本研究在开胸、戊巴比妥麻醉的猪身上研究了新型多巴胺D1/D2受体激动剂Z1046的血流动力学特征。Z1046以10微克/千克(n = 9)或100微克/千克(n = 8)的剂量给药,在1分钟内注射完毕;给药后90分钟研究血流动力学反应。两种剂量的Z1046均使平均主动脉血压持续下降(15 - 20%)。较低剂量引起的低血压主要是由于心输出量减少,因为全身血管阻力降低的趋势未达到统计学显著水平。相反,较高剂量的Z1046引起的平均动脉血压下降主要是由于全身血管阻力降低(高达17%),因为给药后60分钟和90分钟时心输出量下降的趋势与生理盐水处理组的变化无差异。两种剂量的Z1046均使心率略有下降。Z1046使左心室心肌血流量下降(高达28±9%,p < 0.05),同时心肌耗氧量下降(高达24±7%,p < 0.05),心肌血流的透壁分布无变化。10微克/千克剂量的Z1046未引起局部血管床的显著血管舒张,但100微克/千克剂量在小肠(血管阻力下降34±2%)、脾脏(43±7%)和肾脏(22±3%,与基线相比p均< 0.05)产生血管舒张反应。总之,Z1046引起全身低血压,交感神经张力的反射性激活可忽略不计。