突触后α2-肾上腺素能受体亚型在儿茶酚胺诱导的血管收缩中的作用

Irena Duka, Irene Gavras, Conrado Johns, Diane E Handy, Haralambos Gavras
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引用次数: 54

摘要

儿茶酚胺可诱导α1和α2型突触后α-肾上腺素能受体(α-ARs)介导的血管直接收缩。为了评估每个α2-AR亚型(α2A, α2B和α2C)对该功能的贡献,我们使用了缺乏这些亚型基因的基因工程小鼠组,并将其血压(BP)反应与野生型小鼠进行比较。分别用哌唑嗪和育亨宾序次阻断α1-ARs和α2-ARs后,观察大剂量去甲肾上腺素(NE)对血压的影响。第一个NE丸引起短暂的32 ~ 44 mm Hg BP升高(p <与基线相比为0.001)。哌唑嗪在所有组中降低血压23 ~ 33 mm Hg,建立了一个新的较低基线。在该点重复NE引起较少但仍然显著(p <0.001),六组中有五组的血压短暂反应在先前血压升高的32%至45%之间。只有α2A-AR基因敲除不同,相反,反应是血压下降20毫米汞柱,与基线相比有显著变化(p <0.001),不同于野生型小鼠的升压反应(p <0.001)。育亨宾的加入对五组患者的血压没有进一步的影响,但确实使血压下降了7.5毫米汞柱(p <0.05), α2A-AR敲除。α1和α2-AR同时阻断时,去甲肾上腺素剂量产生显著的(p <0.001),所有亚组的降压反应,可能归因于β2血管壁ar的无对抗刺激。我们得出结论,儿茶酚胺诱导的α2- ar介导的血管收缩可归因于α2A-AR亚型,因为缺乏任何其他亚型的小鼠保留了正常血管收缩反应的能力。然而,α1- ar在儿茶酚胺引起的血管收缩中占了大部分(高达68%)。
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Role of the postsynaptic α2-adrenergic receptor subtypes in catecholamine-induced vasoconstriction

Catecholamines induce direct vasoconstriction mediated by postsynaptic α-adrenergic receptors (α-ARs) of both the α1 and α2 type. To evaluate the contribution of each α2-AR subtype (α2A, α2B, and α2C) to this function, we used groups of genetically engineered mice deficient for the gene to each one of these subtypes and compared their blood pressure (BP) responses to their wild-type counterparts. Blood pressure responses to a bolus of norepinephrine (NE) were assessed before and after sequential blockade of α1-ARs with prazosin and α2-ARs with yohimbine. The first NE bolus elicited a brief 32 to 44 mm Hg BP rise (p < 0.001 from baseline) in all six groups. Prazosin decreased BP by 23 to 33 mm Hg in all groups, establishing a new lower baseline. Repeat NE at that point elicited lesser but still significant (p < 0.001) brief pressor responses between 32% and 45% of the previous BP rise in five of the six groups. Only the α2A-AR gene knockouts differed, responding instead with a 20-mm Hg fall in BP, a significant change from baseline (p < 0.001) and different from the pressor response of their wild-type counterparts (p < 0.001). The addition of yohimbine produced no further BP change in the five groups, but it did produce a small 7.5-mm Hg fall (p < 0.05) in the α2A-AR knockouts. Norepinephrine bolus during concurrent α1 and α2-AR blockade produced significant (p < 0.001) hypotensive responses in all subgroups, presumably attributable to unopposed stimulation of β2-vascular wall ARs. We conclude that the α2-AR-mediated vasoconstriction induced by catecholamines is attributable to the α2A-AR subtype because mice deficient in any one of the other subtypes retained the capacity for normal vasoconstrictive responses. However, the α1-ARs account for the major part (as much as 68%) of catecholamine-induced vasoconstriction.

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