陈修, 李曉玉, 丁光生. 单胺氧化酶抑制剂苯乙肼对离体心脏的作用J. 药学学报, 1963, 10(10): 587-593.
引用本文: 陈修, 李曉玉, 丁光生. 单胺氧化酶抑制剂苯乙肼对离体心脏的作用J. 药学学报, 1963, 10(10): 587-593.
CHEN HSIU, LI HSIAO-YU AND TING KUANG-SHENG, . EFFECTS OF PHENELZINE ON ISOLATED MAMMALIAN HEARTSJ. Acta Pharmaceutica Sinica, 1963, 10(10): 587-593.
Citation: CHEN HSIU, LI HSIAO-YU AND TING KUANG-SHENG, . EFFECTS OF PHENELZINE ON ISOLATED MAMMALIAN HEARTSJ. Acta Pharmaceutica Sinica, 1963, 10(10): 587-593.

单胺氧化酶抑制剂苯乙肼对离体心脏的作用

EFFECTS OF PHENELZINE ON ISOLATED MAMMALIAN HEARTS

  • 摘要: 用Langendorff离体心脏灌流法研究了苯乙阱对59只豚鼠和16只猫的冠脉流量、心搏率和心縮力的作用,并探討它与儿茶酚胺和5-羟基色胺(5-HT)的关系.(1)苯乙肼10-6M对豚鼠搏动心脏有明显抑制,同时增加冠脉流量(+36%),其增加程度比在顫动心脏(+8%)更为明显,說明对搏动心脏增加冠脉流量的3/4是由于抑制心縮力而降低冠脉外阻力,另1/4是直接扩张冠脉的結果.对离体猫心的心搏率和心縮力无明显影响,因此在搏动和顫动心脏增加冠脉流量的程度近似(分別为+8%和+9%).(2)苯乙肼10-6M灌流正常豚鼠心脏不但能消除脑垂体后叶素(0.5单位/升)減少冠脉流量(-23%)的作用,且使冠脉流量增加(+18%).預先腹腔注射苯乙肼(15毫克/公斤/天)連續6天的“苯乙肼化”豚鼠心脏使脑垂体后叶素收縮冠脉的反应基本消失.(3)苯乙肼对“利血平化”(經酪胺証实心脏內儿茶酚胺已被耗竭)的豚鼠和猫心的作用与对正常心脏的作用无明显差別,提示它的作用与释放儿茶酚胺关系較小.(4)“利血平化”的豚鼠心脏对5-HT的反应比正常者敏感.“苯乙肼化”和苯乙阱一次灌流后的豚鼠心脏对5-HT的反应均无显著加强,表明苯乙肼大概不是通过增加5-HT而扩张冠脉的.

     

    Abstract: Langendorff's hearts of 59 guinea pigs and 16 cats were used to study the actions of phenelzine sulphate (Nardil) on coronary flow, heart rate, and contractile force, together with its mechanism in relation to catecholamines and 5-HT. 1. For guinea pigs, phenelzine in concentration of 10-6M exerted a significant inhibition on beating hearts with a concomitant increase of coronary flow (+36%), which was remarkably more than that on fibrillating hearts (+8%). It was thus demonstrated that about 3/4 of the augmentation of coronary flow on beating hearts were attributed to a diminution of the extra-coronary resistance from a reduction of the contractile force, whilst the rest (1/4) was due to a direct coronary dilatation. For cats, phenelzine (10-6M) caused no significant alterations in heart rate and contractile force, and, consequently, the increments of coronary flow in beating and fibrillating hearts (+8% and +9% respectively) approximated to each other. 2. The decrease of coronary flow (-23%) induced by pituitrin (0.5 unit/1) on beating hearts of guinea pigs was converted to an increase (+18%) by perfusion of phenelzine (10-6M). If the guinea pigs were pretreated with phenelzine 15mg/kg/day for 6 days, the pituitrin became practically ineffective. 3. The lack of significant difference between normal hearts and reserpinized hearts in response to phenelzine, as well as the absence of sympathomimetic action of phenelzine on the hearts, indicated that the cardiac effects of phenelzine in guinea pigs could hardly be ascribed to the release of catecholamines. 4. The hearts of reserpinized guinea pigs were more sensitive to 5-HT than those of normal ones. The hearts after perfusion of phenelzine or the hearts of phenelzinized guinea pigs, however, showed no marked augmentation in reactivity toward 5-HT. These results suggested that cardiovascular effects of phenelzine are probably not mediated by accumulation of 5-HT.

     

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