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自发性高血压大鼠中,基础交感神经张力和α1肾上腺素能反应性受损与褪黑素的降压作用相关。

Impaired basal sympathetic tone and alpha1-adrenergic responsiveness in association with the hypotensive effect of melatonin in spontaneously hypertensive rats.

作者信息

K-Laflamme A, Wu L, Foucart S, de Champlain J

机构信息

Department of Pharmacology, Faculty of Medicine, Université de Montréal, Québec, Canada.

出版信息

Am J Hypertens. 1998 Feb;11(2):219-29. doi: 10.1016/s0895-7061(97)00401-9.

DOI:10.1016/s0895-7061(97)00401-9
PMID:9524052
Abstract

Early investigations have suggested a relationship between hypertension and melatonin, a pineal hormone. The aims of this study were to evaluate the implication of the sympathetic nervous system in the acute effect of melatonin on blood pressure in conscious 12-week-old spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY), and to determine whether the hypotensive effect of melatonin is associated with alterations in pre- or postsynaptic mechanisms. Melatonin, 10 mg/kg, produced a sustained time-dependent decrease of mean arterial pressure only in SHR without changes in heart rate in both groups. Until 20 min after melatonin administration, plasma epinephrine (EPI) levels were reduced by about 60% in both groups, but norepinephrine (NE) levels were decreased only in SHR by about 30%. The nitroprusside-induced hypotension responses and the associated increases in heart rate were similar in both groups before or after administration of melatonin. Unexpectedly, the sympathetic reactivity to nitroprusside, evaluated by the increases in NE and EPI, was markedly enhanced after melatonin treatment in both WKY and SHR. The stimulation induced [3H]-norepinephrine release from isolated atria was not altered by melatonin in SHR. In cultured aortic vascular smooth muscle cells, the basal and phenylephrine induced inositol phosphate formations were greater in SHR, and the melatonin pretreatment dose dependently attenuated the phenylephrine responses in cells from both WKY and SHR. Therefore the hypotensive action of melatonin appears to be associated with an inhibition of basal sympathoadrenal tone and could also be mediated partly by the blockade of postsynaptic alpha1-adrenergic receptor-induced inositol phosphate formation.

摘要

早期研究表明高血压与褪黑素(一种松果体激素)之间存在关联。本研究的目的是评估交感神经系统在褪黑素对清醒的12周龄自发性高血压大鼠(SHR)和Wistar-Kyoto大鼠(WKY)血压急性影响中的作用,并确定褪黑素的降压作用是否与突触前或突触后机制的改变有关。10mg/kg的褪黑素仅使SHR的平均动脉压出现持续的时间依赖性下降,两组的心率均无变化。在给予褪黑素后20分钟内,两组的血浆肾上腺素(EPI)水平均降低了约60%,但只有SHR的去甲肾上腺素(NE)水平降低了约30%。在给予褪黑素之前或之后,两组对硝普钠诱导的低血压反应及相关的心率增加相似。出乎意料的是,通过NE和EPI增加评估的对硝普钠的交感反应性在WKY和SHR中经褪黑素处理后均显著增强。在SHR中,褪黑素未改变刺激诱导的离体心房[3H]-去甲肾上腺素释放。在培养的主动脉血管平滑肌细胞中,SHR的基础和去氧肾上腺素诱导的肌醇磷酸形成更大,褪黑素预处理剂量依赖性地减弱了WKY和SHR细胞中的去氧肾上腺素反应。因此,褪黑素的降压作用似乎与基础交感肾上腺张力的抑制有关,也可能部分由突触后α1-肾上腺素能受体诱导的肌醇磷酸形成的阻断介导。

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