Recently, the β2-adrenoceptor agonist terbutaline was shown to have α1-adrenolytic activity in mouse isolated pulmonary arteries in vitro and to lower pulmonary artery pressure in anaesthetised mice. The aim of our study was to determine the α1-adrenoceptor antagonist activity of terbutaline and its structurally close resorcinol, orciprenaline, in rat isolated small mesenteric arteries set up for myography. Their α1-adrenoceptor antagonist potency was then compared with their potency as β2-adrenoceptor agonists. Concentration-response curves to methoxamine were competitively antagonised by terbutaline (30-300 μM) or orciprenaline (30-300 μM) with a pKB of 4.70 ± 0.09 or 4.79 ± 0.17, respectively. Both terbutaline and orciprenaline fulfilled the criteria for simple, silent competitive antagonism. Terbutaline (30-300 μM) had no effect on endothelin-1 concentration-contraction curves. Our findings suggest that after oral dosing of terbutaline, the maximum plasma levels would NOT reach levels to show α1-adrenoceptor antagonist activity. In conclusion, our work has provided additional quantitative evidence that terbutaline and orciprenaline are weak competitive α1-adrenoceptor antagonists, but this additional property is probably not therapeutically important in the clinical treatment of asthma or pulmonary artery hypertension with these more potent β2-adrenoceptor agonists.

译文

:最近,β2-肾上腺素受体激动剂特布他林在体外小鼠离体肺动脉中具有α1-肾上腺素分解活性,并在麻醉小鼠中降低了肺动脉压。我们的研究目的是确定在大鼠离体小肠系膜小动脉中建立的特布他林及其结构紧密的间苯二酚奥西肾上腺素的α1-肾上腺素受体拮抗剂活性。然后将它们的α1-肾上腺素受体拮抗剂效能与它们作为β2-肾上腺素受体激动剂的效能进行比较。特布他林(30-300μM)或甲肾上腺素(30-300μM)竞争性地拮抗甲氧明的浓度-响应曲线,pKB分别为4.70±0.09或4.79±0.17。特布他林和奥西那林均符合简单,无声的竞争拮抗作用的标准。特布他林(30-300μM)对内皮素1的浓度-收缩曲线没有影响。我们的研究结果表明,口服特布他林后,最大血浆水平将达不到显示α1-肾上腺素受体拮抗剂活性的水平。总之,我们的工作提供了其他定量证据,表明特布他林和奥西肾上腺素是竞争性弱的α1肾上腺素受体拮抗剂,但是在这些更有效的β2肾上腺素受体激动剂对哮喘或肺动脉高压的临床治疗中,这种附加性质可能对治疗没有重要意义。

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