El-Mas M M, Abdel-Rahman A A
Department of Pharmacology, School of Medicine, East Carolina University, Greenville, North Carolina 27858, USA.
J Cardiovasc Pharmacol. 1998 Sep;32(3):382-9. doi: 10.1097/00005344-199809000-00008.
Previous studies from our laboratory showed that ethanol counteracts hypotensive responses to clonidine in spontaneously hypertensive rats. This study investigated whether this effect of ethanol involves interaction with central alpha2-adrenoceptors or I(1)-imidazoline receptors or both. The effects of ethanol (0.5 or 1 g/kg, i.v.) or an equal volume of saline on hypotensive and bradycardic responses to clonidine (mixed alpha2-adrenoceptor/I(1)-imidazoline receptor agonist), rilmenidine (selective I(1)-imidazoline receptor agonist), or alpha-methylnorepinephrine (selective alpha2-adrenoceptor agonist) were studied in conscious spontaneously hypertensive rats. Intracisternal administration of clonidine (0.5 microg), rilmenidine (25 microg), or alpha-methylnorepinephrine (4 microg) elicited similar decreases in mean arterial pressure (MAP; 25-30 mm Hg) that lasted > or =60 min. Subsequent administration of ethanol (0.5 and 1 g/kg, i.v.) counteracted the hypotensive effect of clonidine in a dose-related manner. Ethanol (1 g/kg) increased the blood pressure to levels similar to baseline (preclonidine) levels, and blood pressure remained significantly (p < 0.05) higher compared with the corresponding values in saline-treated rats. Similarly, ethanol (0.5 and 1 g/kg, i.v.) dose-dependently counteracted the hypotensive effect of rilmenidine. The antagonizing effects of ethanol on hypotension evoked by clonidine and rilmenidine were comparable in terms of both magnitude and duration. In contrast, ethanol (0.5 or 1 g/kg) had no effect on hypotension evoked by alpha-methylnorepinephrine. Except for a brief increase in blood pressure by ethanol (1 g/kg) at 5 min, blood pressure values obtained in alpha-methylnorepinephrine-treated rats receiving any of the two doses of ethanol were similar to postsaline values. Ethanol had no effect on bradycardic responses to any of the three hypotensive agents. Blood ethanol concentrations were similar regardless of the antihypertensive drug used. We concluded that the adverse hemodynamic effect of ethanol on centrally mediated hypotensive responses depends on the types of receptors involved in the elicitation of this response. That ethanol counteracts decreases in blood pressure evoked by clonidine and rilmenidine but not by alpha-methylnorepinephrine suggests an interaction between ethanol and central pathways involved in I(1)-imidazoline receptor-mediated hypotension.
我们实验室之前的研究表明,乙醇可对抗自发性高血压大鼠对可乐定的降压反应。本研究调查了乙醇的这种作用是否涉及与中枢α2-肾上腺素能受体或I(1)-咪唑啉受体或两者相互作用。在清醒的自发性高血压大鼠中,研究了乙醇(0.5或1 g/kg,静脉注射)或等体积生理盐水对可乐定(α2-肾上腺素能受体/I(1)-咪唑啉受体混合激动剂)、利美尼定(选择性I(1)-咪唑啉受体激动剂)或去甲肾上腺素(选择性α2-肾上腺素能受体激动剂)降压和减慢心率反应的影响。脑池内注射可乐定(0.5 μg)、利美尼定(25 μg)或去甲肾上腺素(4 μg)可引起平均动脉压(MAP)类似程度的下降(25 - 30 mmHg),且持续≥60分钟。随后静脉注射乙醇(0.5和1 g/kg)以剂量相关的方式对抗可乐定的降压作用。乙醇(1 g/kg)可使血压升高至与基线(注射可乐定前)水平相似,且与生理盐水处理组大鼠的相应值相比,血压仍显著升高(p < 0.05)。同样,乙醇(0.5和1 g/kg,静脉注射)剂量依赖性地对抗利美尼定的降压作用。乙醇对可乐定和利美尼定引起的低血压的拮抗作用在幅度和持续时间方面相当。相比之下,乙醇(0.5或1 g/kg)对去甲肾上腺素引起的低血压无影响。除了在5分钟时乙醇(1 g/kg)使血压短暂升高外,接受两种剂量乙醇中任何一种的去甲肾上腺素处理组大鼠的血压值与注射生理盐水后的值相似。乙醇对三种降压药中任何一种引起的减慢心率反应均无影响。无论使用何种降压药,血液乙醇浓度相似。我们得出结论,乙醇对中枢介导的降压反应的不良血流动力学作用取决于引发该反应所涉及的受体类型。乙醇可对抗可乐定和利美尼定引起的血压下降,但不能对抗去甲肾上腺素引起的血压下降,这表明乙醇与I(1)-咪唑啉受体介导的低血压所涉及的中枢途径之间存在相互作用。