A

POSSIBLE

MODE OF

Tatsuo

OF

CARDIOVASCULAR

DOPAMINE

FURUKAWA,*

IN

ACTIONS

DOGS

NobufUrni ONO, Yukihide

Tamio NAKAHARA

MAEDA,

and Kanji YOSHIHARA

Department of Pharmacology, School of Medicine* and Pharmaceutical Sciences, Fukuoka University, Fukuoka 814, Japan Accepted May 14, 1976

Abstract-A possible mode of cardiovascular actions of dopamine was studied using ephedrine. In the dog pretreated with repeated administrations of ephedrine (total dose, 40 or 80 mg/kg, i.v.) or with combined administrations of ephedrine (total dose, 90 mg/ kg, s.c. and i.v.) and reserpine (2 mg/kg, s.c., 24 hr previously), pressor responses to dopamine were eliminated and reversed to depressor responses whereas depressor responses to dopamine were potentiated. Positive chronotropic effects of dopamine were almost eliminated. Pressor and positive chronotropic effects of tyramine were almost abolished. Sympathomimetic effect of noradrenaline and adrenaline were potentiated while those of isoprenaline were inhibited. In the heart-lung preparation of ephedrine-treated dogs (total dose, 40 mg/kg, i.v.), cardiac stimulating effects of dopamine and tyrarnine were strongly depressed, and those of noradrenaline, adrenaline and isoprenaline were reduced to some extent. In the open-chest dogs, after pretreatment with cocaine (4 mg/kg, i.v.), pressor, positive inotropic and chronotropic effects of noradrenaline were potentiated whilst those of tyramine were inhibited. Those of dopamine were not visibly altered, but depressor, negative chronotropic and inotropic effects of dopamine appeared at small doses. In the ephedrine-pretreated dogs, these sympathomimetic effects of dopamine and tyramine after cocaine were strongly de pressed and those of noradrenaline were inhibited to a certain degree. The results obtained with ephedrine suggest that dopamine differs from other catecholamines and tyramine in the mode of cardiovascular actions.

Studies have shown that sympathomimetic as acting

directly on the receptors,

those with mixed action,

these classifications

in the effects after pretreatment

by chronic

dopamine,

other workers

or cocaine

led to classification

the reserpine-pretreated the concept actions,

reported

of dopamine

was slightly potentiated

was potentiated

in the cat.

and

based on the modifications

in responses

to dopamine

although

(5, 6). Farmer

while the positive

by denervation

amine (2-4).

to be of importance

in order

As results

in

to confirm

it has direct sympathomimetic

(7) reported chronotropic

We have already observed

24 hr after pretreatment

nerve terminals

cocaine or reserpine (1). Concerning

as a directly-acting

of direct and indirect effect, dopamine,

slightly 24 hr after reserpine to dopamine

being principally

are considered

does to some extent act indirectly

on the adrenergic

denervation,

modifications

of dopamine

animals

agents can be classified in their mode of action

acting indirectly

that the pressor effect effect was reduced

that the pressor response

with reserpine

(8), whereas

the re

This work was funded by grants from the Ministry of Education, Japan, and from the Kanae Foundation for Medical Research

sponse was eliminated and reversed to a depressor response (dopamine reversal) after ephedrine tachyphylaxis although responses to noradrenaline and adrenaline were poten tiated, thus suggesting the possibility that dopamine acts for the greater part indirectly (9). The influence of pretreatment with reserpine on responses to sympathomimetic amines has been well documented, however, the influence of pretreatment with ephedrine has been given little attention despite the fact that the influence is not the same. The possible mode of cardiovascular actions of dopamine using ephedrine in the dog was investigated herein. MATERIALS AND METHODS Animals:

Adult mongrel dogs of either sex, weighing between 6 and 18 kg, were

anesthetized with pentobarbital

sodium 35 mg/ kg given i.p. and, in the reserpine and

ephedrine treated animals, 20 mg/kg was given.

Supplemental doses of 3-5 mg/kg were

given i.v. as required to maintain a constant state of anesthesia. Experiments on intact animals: Systemic arterial blood pressure was measured with a pressure transducer (LPU-05-360-0-L11) from the cannulated left femoral artery.

The

ECG was obtained from standard limb leads and heart rate was integrated with a cardio tachometer (Nihon Kohden, RT-2) to give a continuous record. In the experiment on open chest dogs, the cardiac contractile force was obtained from a strain gauge arch (Nihon Kohden) attached to the left ventricle. These parameters were recorded on a multipurpose polygraph (Nihon Kohden, RM-85). The vagus nerves were cut bilaterally at the cervical region 15 min before observation of dose-responses to amines. Intravenous drug injections were given through a polyethylene tube which had been previously inserted into the left femoral vein. Experiments on heart-lung preparations:

The preparation was made principally accord

ing to the method described by Paasonen and Krayer (10). Mean arterial pressure was kept at approx. 100 mmHg using a Starling resistance and the pressure was measured using a pressure transducer.

Cardiac output was measured with an extracorporeal flowmeter probe

(Nihon Kohden, MF-2T) connected to an electromagnetic flowmeter (Nihon Kohden, MF-2), and the values were 100 to 230 ml/min in the normal preparation and 140 to 300 ml/min in the ephedrine-pretreated

preparation, respectively.

was measured with a force-displacement

Myocardial contractile force

transducer (Nihon Kohden, SB-1T) which was

connected with thread to the apex cordis and the resting tension was adjusted to approx. 50 g. Electrocardiogram

was obtained from the opened chest wall and heart rate was in

tegrated with a cardiotachometer to give a continuous record. All parameters were recorded synchronously on a multipurpose

polygraph (Nihon Kohden, RM-85).

The reservoir,

which contained the blood obtained from a donor dog, was positioned 154 2 cm above the right atrium.

Total blood volume was approx. 800 ml and the blood was rendered in

coagulable by administration of heparin in a dose of 250 unit/kg.

The temperature of the

preparation was kept at 36-37 °C by passing the blood through a glass coil in a thermos tatically controlled water bath. Drugs were injected into the tube leading to the superior

vena

cava.

Drugs:

Drugs used were dopamine hydrochloride (Nutritional Biochemicals), tyramine

hydrochloride (Nakarai Chemicals), (-)-adrenaline

hydrochloride (Daiichi Pharmaceutical),

(-)-noradrenaline hydrochloride (Sankyo), (i_)-isoprenaline hydrochloride (Sterling Win throp), (-)-ephedrine hydrochloride (Dainippon Pharmaceutical), reserpine (Inverni and Della Beffa), cocaine hydrochloride (Takeda Pharmaceutical), pentobarbital sodium (Abbott) and heparin sodium (Novo Industries).

The sympathomimetic amines except ephedrine

were dissolved as 1 °o solution in 1; 100 N hydrochloric acid and used within a week. All drugs were diluted with saline before injection.

Reserpine was dissolved according to the

method described by Orlans et al. (11), and ephedrine suspension was prepared as 50 mg/kg solution using salad oil. Dosages of all drugs are expressed in terms of their salt. Administration of drugs:

Pretreatments

with ephedrine included successive i.v. in

jections of the drug into the femoral vein at 30 min intervals in single doses of 1 mg,/kg, 2 x 2 mg/kg, 7 x 5 mg7kg for a total of 40 mg/kg, or I mg/kg, 3 mg/kg, 6 mg/kg and 10 x 7 mg/kg for a total of 80 nmg'kg, with the exception of the latter case of 80 mg;'kg in which ephedrine was administered at 15 min intervals for the last total dose of 35 mg/kg. Combined administrations of reserpine and ephedrine were given as follows; reserpine (2 mg/kg) and ephedrine (20 mg/kg) suspended in oil were simultaneously administered by a s.c. injection, and ephedrine suspended (20 mg' kg) was additionally injected 8 and 18 hr later. The animals were used for the experiment 24 hr later, and ephedrine dissolved in saline (5 mg/kg) was given i.v. 6 times at intervals of 15 min (finally reserpine, 2 mgjkg, s.c. and total ephedrine, 90 mg/kg, s.c. and i.v.). In experiments using the heart-lung preparation, ephedrine was injected repeatedly to both the experimental and donor dog in a total dose of 40 mg/kg. Cocaine (4 mg/kg) was given i.v. about 15 min before a dose-response run.

Dose-responses

to each sympathomimetic amine were obtained by i.v. dosing to separate animals 30 min after the last i.v. pretreatment with ephedrine and the amines were administered from smaller doses about 5 min after previous changes had been restored. Expression of data and statistical analyses:

Peak changes in blood pressure, heart rate,

cardiac output and contractile force were used for analysis, and the values refer to mean' standard error of the mean.

The results were statistically compared using Student's t test

(p

A possible mode of cardiovascular actions of dopamine in dogs.

A possible mode of cardiovascular actions of dopamine was studied using ephedrine. In the dog pretreated with repeated administrations of ephedrine (t...
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