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可乐定对压力感受器通路及介导迷走神经性心动过缓的延髓部位的作用。

Action of clonidine on the baroreceptor pathway and medullary sites mediating vagal bradycardia.

作者信息

Laubie M, Schmitt H, Drouillat M

出版信息

Eur J Pharmacol. 1976 Aug;38(2):293-303. doi: 10.1016/0014-2999(76)90332-0.

Abstract

In anaesthetized dogs, clonidine (10 mug/kg i.v.) increased the spontaneous firing of the carotid sinus nerve and decreased blood pressure and heart rate. After transection of the spinal cord, clonidine decreased heart rate and this bradycardia was abolished by selective baroreceptor denervation. Clonidine (1 mug/kg) injected into the vertebral artery of anaesthetized dogs, pretreated with a beta-adrenoceptor blocking agent (S 2395: 50 mug/kg i.v.) potentiated the bradycardia induced by stimulation of the carotid sinus nerve but did not change the hypotension and bradycardia produced by stimulation of the nucleus tractus solitarius or of the nucleus ambiguus. In anaesthetized cats with bilateral destruction of nuclei tractus solitarii, clonidine (10 mug/kg i.v.) decreased blood pressure and heart rate. Clonidine (2 mug/kg), injected into the vertebral artery of anaesthetized dogs pretreated with a beta-adrenergic blocking agent (S 2395: 50 mug/kg i.v.) or guanethidine, induced a bradycardia but the discharges of the carotid sinus nerve were not increased. Selective baroreceptor denervation abolished this bradycardia. In conclusion, these experiments provide direct evidence that the central facilitory effect of clonidine on baroreceptor impulses play a role in the bradycardic effect of the drug. This facilitation is likely localized in the nucleus tractus solitarius at the first synapse of baroreceptor fibres. The vagally mediated bradycardia can be explained by an increase in baroreceptor discharges and by the central facilitation of baroreceptor impulses. The site of the hypotensive effect of clonidine did not seem to be localized in the nucleus tractus solitarius.

摘要

在麻醉犬中,可乐定(静脉注射10微克/千克)增加了颈动脉窦神经的自发放电,并降低了血压和心率。脊髓横断后,可乐定降低了心率,且这种心动过缓通过选择性压力感受器去神经支配而被消除。将可乐定(1微克/千克)注入经β肾上腺素能受体阻断剂(S 2395:静脉注射50微克/千克)预处理的麻醉犬的椎动脉中,可增强刺激颈动脉窦神经所诱发的心动过缓,但不改变刺激孤束核或疑核所产生的低血压和心动过缓。在双侧孤束核破坏的麻醉猫中,可乐定(静脉注射10微克/千克)降低了血压和心率。将可乐定(2微克/千克)注入经β肾上腺素能阻断剂(S 2395:静脉注射50微克/千克)或胍乙啶预处理的麻醉犬的椎动脉中,诱发了心动过缓,但颈动脉窦神经的放电并未增加。选择性压力感受器去神经支配消除了这种心动过缓。总之,这些实验提供了直接证据,表明可乐定对压力感受器冲动的中枢促进作用在该药物的心动过缓效应中起作用。这种促进作用可能定位于压力感受器纤维第一个突触处的孤束核。迷走神经介导的心动过缓可以通过压力感受器放电增加和压力感受器冲动的中枢促进作用来解释。可乐定降压作用的部位似乎并不定位于孤束核。

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