Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/123308
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Type: Journal article
Title: Activation of spinal opioid receptors contributes to hypotension after hemorrhage in conscious rats
Author: Ang, K.K.
McRitchie, R.J.
Minson, J.B.
Llewellyn-Smith, I.J.
Pilowsky, P.M.
Chalmers, J.P.
Arnolda, L.F.
Citation: American Journal of Physiology: Heart and Circulatory Physiology, 1999; 276(5):H1552-H1558
Publisher: American Physiological Society
Issue Date: 1999
ISSN: 0363-6135
2163-5773
Statement of
Responsibility: 
Kooi K. Ang, Robert J. Mcritchie, Jane B. Minson, Ida J. Llewellyn-Smith, Paul M. Pilowsky, John P. Chalmers, and Leonard F. Arnolda
Abstract: Opioid receptors are activated during severe hemorrhage, resulting in sympathoinhibition and a profound fall in blood pressure. This study examined the location and subtypes of opioid receptors that might contribute to hypotension after hemorrhage. Intrathecal naloxone methiodide (100 nmol) abolished the fall in blood pressure after hemorrhage (1.5% of body wt; mean arterial pressure 122 +/- 8 mmHg after naloxone methiodide vs. 46 +/- 5 mmHg in controls, P < 0. 001). Intracisternal naloxone methiodide was less effective than intrathecal naloxone methiodide, whereas intravenous naloxone methiodide, which does not cross the blood-brain barrier, did not alter the fall in blood pressure after hemorrhage. These results demonstrate that spinal opioid receptors contribute to hypotension after hemorrhage but do not exclude supraspinal effects. In separate experiments, the subtype-specific opioid antagonists ICI-174864 (delta-antagonist), norbinaltorphimine (nor-BNI; kappa-antagonist), and H-D-Phe-Cys-Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2 (CTOP; mu-antagonist) were each administered intrathecally to determine the minimum dose that would attenuate hypotension during severe hemorrhage. These antagonists were effective at similar doses (3 nmol for CTOP, 6 nmol for ICI-174864, and 10 nmol for nor-BNI), although the binding affinities of these three different agents for their target receptors varied >1600-fold. Comparisons of the minimum effective doses of these antagonists in relation to their binding affinities provides strong evidence for the participation of delta-receptors in mediating hypotension after hemorrhage. In contrast, the dose at which nor-BNI was effective suggests an effect at delta-receptors but not kappa-receptors. The efficacy of CTOP, albeit at a high dose, also suggests an effect at mu-receptors.
Keywords: Sympathoinhibition; sympathetic nervous system; naloxone; enkephalin
Rights: © 1999 the American Physiological Society
DOI: 10.1152/ajpheart.1999.276.5.h1552
Published version: http://dx.doi.org/10.1152/ajpheart.1999.276.5.h1552
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