[Disturbances in catecholamine metabolism during formation and development of chronic alcoholism].

N K Kharchenko
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Abstract

There has been carried out an investigation dealing with catecholamines metabolism in the patients suffering from alcoholism in the first, second and third stage at the short-term remission. The first developed alcoholism stage was determined as a typical one for increasing the excretion with urine of DOPA, dopamine (DA), noradrenaline (NA) and adrenaline (A), as well as the blood levels of DA, NA and A. DA/NA rate evidences about an increased synthesis of NA with DA. The marked second alcoholism stage is characterized by an acute decrease of excreting with urine and blood levels of NA. Alongside with the latter. DA excretion with urine and its blood levels remained high. DA/NA rate indicates to the considerably low relative activity of NA with DA synthesis, both in relation to the control and to the developed first alcoholism stage. In the third alcoholism stage NA excretion with urine and its blood levels become lower relatively to the marked second stage. Simultaneously DA excretion with urine and its blood levels are lower than in the developed second stage, hower exceed the control values. DA/NA rate testifies the slight activation of NA and DA synthesis. The results obtained in the work indicate to the significant role of CA metabolism disturbances in the alcoholic dependence formation.

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慢性酒精中毒形成和发展过程中儿茶酚胺代谢的紊乱
对短期缓解期第一、二、三期酒精中毒患者的儿茶酚胺代谢进行了研究。首次出现的酒精中毒阶段是典型的随尿排出多巴、多巴胺(DA)、去甲肾上腺素(NA)和肾上腺素(a)以及血液中DA、NA和a水平增加的阶段。第二个明显的酒精中毒阶段的特征是随尿液和血液中NA水平的排泄急剧减少。与后者并列。尿和血中DA的排泄水平仍然很高。DA/NA比率表明NA与DA合成的相对活性相当低,无论是与对照还是与发达的第一酒精中毒阶段有关。在酒精中毒第三阶段,NA随尿液和血液的排泄水平相对于第二阶段明显降低。与此同时,尿和血中DA的排泄量低于发达第二阶段,但高于对照组。DA/NA速率证明NA和DA的合成被轻微激活。研究结果表明,CA代谢紊乱在酒精依赖形成中的重要作用。
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