题名

Effects of Propofol Intravenous Injection Bolus on the Left Ventricular Function and the Myocardial β-Adrenoceptor in Rats

DOI

10.4077/CJP.2010.AMK089

作者

Zi-Qing Hei;Xiao-Liang Gan;Ning Shen;Hong-Yu Pang;Jian-Qiang Guan

关键词

propofol ; model ; rat ; myocardial β-adrenoceptor

期刊名称

The Chinese Journal of Physiology

卷期/出版年月

53卷2期(2010 / 04 / 01)

页次

99 - 104

内容语文

英文

英文摘要

Propofol bolus injection has been reported to influence cardiovascular functions. However, the detailed mechanism underlying this action has not been elucidated. This study was designed to investigate the effects of propofol i.v. bolus on the left ventricular function, the myocardial β-adrenoceptor (β-AR) binding-site density (Bmax) and Kd (apparent dissociation constant) in a 30-minute period. One hundred and four male Wistar rats were randomly divided into four groups: group C (control group), group I (intralipid group), group P1 (5mg/kg propofol) and group P2 (10 mg/kg propofol). The results showed a significant downregulation of HR, LVSP, +dp/dt(subscript max) and -dp/dt(subscript max) in both groups P1 and P2 (especially after bolus injection in 7 min) than those of group C (P<0.05), whereas no significant difference was found between the P1 and P2 groups (P>0.05). Likely, Bmax was remarkably upregulated in both groups P1 and P2 (P<0.05, vs. groups C and I), and there was no significant difference between these two groups (P>0.05). Of note, the Kd value in group P2 (10 mg/kg propofol) was found dramatically increased in 30 min than that in the low-dose propofol-treated group (group P1) as well as in groups C and I (P<0.05). In conclusion, these results indicate that intravenous injection of propofol bolus can inhibit the cardiac function partially via upregulation of Bmax and downregulation of the β-AR affinity at higher-dose injection of propofol bolus.

主题分类 醫藥衛生 > 基礎醫學
参考文献
  1. Bielen, S.J.,Lysko, G.S.,Gough, W.B.(1996).The effect of a cyclodextrin vehicle on the cardiovascular profile of propofol in rats.Anesth. Analg.,82,920-924.
  2. Cockshott, I.D.,Douglas, E.J.,Plummer, G.F.,Simons, P.J.(1992).The pharmacokinetics of propofol in laboratory animals.Xenobiotica,22,369-375.
  3. Feldman, R.D.,Limbird, L.E.,Nadeau, J.,Fitzgerald, G.A.,Robertson, D.,Wood, A.J.J.(1983).Dynamic regulation of leukocyte beta adrenergic receptor agonist interactions by physiological changes in circulating catecholamines.J. Clin. Invest.,72,164-170.
  4. Foex, P.,Diedericks, J.,Sear, J.W.(1991).Cardiovascular effects of propofol.J. Drug Dev.,4,3-9.
  5. Kurokawa, H.,Murray, P.A.,Damron, D.S.(2002).Propofol attenuates beta-adrenoreceptor-mediated signal transduction via a protein kinase C-dependent pathway in cardiomyocytes.Anesthesiology,96,688-698.
  6. Kuusela, E.,Vainio, O.,Short, C.E.,Leppaluoto, J.,Huttunen, P.,Strom, S.,Huju, V.,Valtonen, A.,Raekallio, M.(2003).A comparison of propofol infusion and propofol/isoflurane anaesthesia in dexmedetomidine premedicated dogs.J. Vet. Pharmacol. Ther.,26,199-204.
  7. Larsen, J.R.,Torp, P.,Norrild, K.,Sloth, E.(2007).Propofol reduces tissue-Doppler markers of left ventricle function: a transthoracic echocardiographic study.Br. J. Anaesth.,98,183-188.
  8. Lejay, M.,Hanouz, J.L.,Lecarpentier, Y.,Coriat, P.,Riou, B.(1998).Modifications of the inotropic responses to alpha- and betaadrenoceptor stimulation by propofol in rat myocardium.Anesth. Analg.,87,277-283.
  9. Lowry, O.H.,Rosebrough, N.J.,Farr, A.L.(1951).Protein measurement with folin phenol reagent.J. Biol. Chem.,193,265-275.
  10. Nimmo, G.R.,Mackenzie, S.J.,Grant, I.S.(1994).Hemodynamic and oxygen transport effects of propofol infusion in critically ill adults.Anaesthesia,4,485-489.
  11. Niwa, H.,Tanimoto, A.,Sugimura, M.,Morimoto, Y.,Hanamoto, H.(2006).Cardiovascular effects of epinephrine under sedation with nitrous oxide, propofol, or midazolam. Oral Surg.Oral Med. Oral Pathol. Oral Radiol. Endod.,102,1-9.
  12. Puttick, R.M.,Terrar, D.A.(1993).Differential effects of propofol and enflurane on contraction dependent on calcium derived from the sarcoplasmic reticulum of guinea pig isolated papillary muscles.Anesth. Analg.,77,55-60.
  13. Scatchard, G.(1972).The attractions of proteins for small molecules and ions.Ann. NY. Acad. Sci. USA.,51,660-672.
  14. Tang, C.,Liu, M.-S.(1996).Internal externalization followed by internalization of β-adrenergic receptors in rat heart during sepsis.Am. J. Physiol. Regul. Integr. Comp. Physiol.,270,254-263.
  15. Tang, C.,Yang, J.,Wu, L.L.,Dong, L.W.,Liu, M.S.(1998).Phosphorylation of β-adrenergic receptor leads to its redistribution in rat heart during sepsis.Am. J. Physiol. Regul. Integr. Comp. Physiol.,274,1078-1086.
  16. Upton, R.N.,Ludbrook, G.(2005).A physiologically based, recirculatory model of the kinetics and dynamics of propofol in man.Anesthesology,103,344-352.
  17. Zheng, D.,Upton, R.N.,Martinez, A.M.(2003).The contribution of the coronary concentrations of propofol to its cardiovascular effects in anesthetized sheep.Anesth. Analg.,96,1589-1597.
  18. Zhou, W.,Fontenot, H.J.,Wang, S.N.,Kennedy, R.H.(1999).Propofolinduced alterations in myocardial beta-adrenoceptor binding and responsiveness.Anesth. Analg.,89,604-608.