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PHARMACOLOGY
1975
THE
by
EXPERIMENTAL
AND
The
Williams
&
THERAPEUTICS
Wilkins
ACTIONS
EFFECTS
OF
OF
CENTRAL
CATECHOLAMINERGIC
E.
SETLER,
and
Division
of
U.S.A.
PERIPHERAL
G.
DRUGS
PENDLETON
AND
FINLAY
Development,
Smith
SmithKline
Kline
Corporation,
Accepted
No.
in
AND
BLOCKING
ROBERT
ELIZABETH
Research
DOPAMINE
AND
RECEPTOR
PAULETTE
192,
Printed
CARDIOVASCULAR
THE
\c1.
Co.
and
French
Laboratories,
Phikidelphia,
for publication
Pennsylvania
September
28, 1974
ABSTRACT
SETLER,
PAULETTE
vascular
actions
minergic
receptor
The cardiovascular
special
attention
receptor
cardiac
of
low
the
dogs.
studies,
Cardiac
pimozide,
blood
mediated
effect.
In
by
DA
Therefore,
cologically
Dopamine
the
total
renal
effects
studied
in
to inhibition
iv.
from
force.
9 to 81
Propranolol
injection
of DA
in the
central
and
increased.
pressure,
Send
a number
and
and
present
of dose-dependent
system
hemodynamic
vascular
re-
but
resistance
renal
(an
effect
bulbocapnine
may
not
and
emesis
receptors
and
effects
dilation
and
requests
Ph.D.,
Smith
Kline
sion of SmithKline
den St., Philadelphia,
June
had
no
be pharma-
to:
& French
Corporation,
Pa. 19101.
are
not
of.,
documented
establish
receptor
The
1965
detailed
one
effect
to be
dopamine,
and
of
on a
vaso-
IcNay
of various
antagonists
of
a
only
a direct
appears
effects
receptor
actions
well
require(l
to
cateeholamine
702
et
The
as
1964).
mediated
by
receptor
1966).
cardiovascular
Paulette
E. Settler,
Laboratories,
Divi1500 Spring
Gar-
undertaken
Eble,
(McNay,
catecholaminergic
12, 1974.
was
1966;
these
effects
dopamine-specific
on
vasodilation
1963 ; McNay
study
Goldberg,
including
chronotropic
Goldberg,
for publication
reprint
In
renal
Bulbocapnine,
whereas
dopamine
effect
Bulbocapnine
propranolol-treated
vascular
system)
pressor
increases
depressor
apomorphine-induced
central
3 tg/kg
doses.
resistance
Goldberg,
Received
the
high
and
blood
and
pro-
1 and
to DA.
nervous
vascular
at
response
abolished
1975.
j.tg/kg
produced
inhibited
the
depressor
were
702-712.
with
phenoxybenzamine
flow
on
of
cardio-
cateehola-
anesthetized
dogs
by catecholarninergic
potentiated
effect
peripheral
blood
pimozide
peripheral
vasoconstriction
heart,
and
dogs,
cardiovascular
inotropic
(McDonald
on the
192:
Ther.
rapid
pressor
in both
pressure,
receptors
the
DA
peripheral
distinct.
exerts
upon
the
conscious
by
the
no effect
blood
output
were
effects
The
FINLAY:
and
Exp.
phenoxybenzamine
of
had
ELIZABETH
of central
Pharmacol.
(DA)
of these
reversed
effect
abolished
flow.
J.
given
whereas
reduced
AND
effects
whereas
doses
cardiac
contractile
and
however,
the
durgs.
Dopamine
DA
depressor
DA
sistance.
the
of
PENDLETON
effects
of dopamine
the susceptibility
drugs.
Pimozide,
G.
and
blocking
contractility
doses
blocked
effects
ROBERT
depressor
responses
and increases
in
in
positive
to
blocking
duced
resposes
E.,
of dopamine
and
types
on
of
the
however,
such
evidence
the
existence
type
(Ariens,
of a
1964).
is
new
The
DOPAMINE
1975
prese1t
evaluation
tudv
was
undertaken
of the cardiovascular
pamine,
particularly
tibility
of
these
with
as a
actions
regard
effects
to
to
RECEPTORS
detailed
of do-
the
receptor
blocking
Methods
Mongrel
dogs of either
sex weighing
between
10
and 19 kg were anesthetized
either
with 25 mg/kg
(iv.)
of thiopental
sodium
(Abbott
Laboratories,
North
Chicago,
Ill.) followed
by 125 mg/kg
(i.v.)
of a-chloralose
(Fisher
Scientific
Company,
Pittsburgh,
Pa.) or with 25 to 30 mg/kg
of pentobarbital sodium
(Lentz)
.
Supplemental
doses
of a..
chloralose
or pentobarbital
sodium
were given
as
required
to maintain
surgical
anesthesia.
Statistical
analysis
of the data indicated
that there
were no
significant
differences
in the
responses
to dopamine
between
animals
anesthetized
with thiopentat plus chloralose
and the animals
anesthetized
ith
pentobarbital.
Therefore,
the animals
are discussd
as a single
population
throughout
this
paper.
Each
dog was artificially
ventilated
with room
air at a rate of 14 strokes/mm
and a tidal volume
of 10 to 12 ml/kg.
Blood
pressure
was recorded
from
a cannulated
femoral
artery
via
a Sanborn
transducer
(model
267 BC)
and a Sanborn
preamplifier
(model
350-1100B)
; the
blood
pressure
signal
was also fed into a cardiotachometer
(Sanborn modcl
350-3400A)
to monitor
heart
rate. The
chest
was opened
at the 3rd or 4th intercostal
space.
In the experiments
in which contractile
force
was measured,
a Walton-Brodie
strain
gauge
arch
was sutured
to the outer
wall of the right ventricle.
The response
of the gauge
was linear
and
care was
taken
to demonstrate
diastolic
tension
prior
to
the
experimental
recording.
For
hemodynamic
studies,
a blood
flow
transducer
(Statham
SP
7515 ; 12-15
mm
inside
diameter)
was
placed
on
the ascending
aorta
before
the first arterial
branch
exclusive
of the coronary
arteries.
The left renal
artery
was exposed
by a flank
incision
and
a
blood
flow transducer
(Statham
model
SP 7515;
2-3
mm inside
diameter)
placed
on the artery
at
a point
between
the aorta
and the bifurcation
of
the renal
vessel.
The blood
flow transducers
were
precalibrated
and
provided
with
an automatic
nonocelusive
zero ; this
zero-flow
reading
was
checked
at
regular
intervals
throughout
The
aortic
equivalent
ances
of
were
blood
flow
the
cardiac
calculated
the
experi-
blood
flow transducer
on a flowmeter
(Sta-
was
considered
output.
according
to
Vascular
to the
mean
Resistance
units)
(resistance
blood
formula:
be
the
resist-
Mean
arterial
blood
pressure
diastolic
pressure
plus one-third
sure. All blood
pressure
values
to mean
levels.
After
surgical
animal,
a 30-minute
equilibration
lowed
before
the experiment
was
Two
general
blood
(mm
suscep-
agents.
meat.
The signal from each
was monitored
individually
tham model
SP 2202).
703
series
of
pressure
Hg)
flow
(ml/min)
was calculated
as
of the pulse presin this report
refer
preparation
of the
period
was albegun.
experiments
were
per-
In
minutes
the
after
the
end
of
the
infusion,
the
se-
was given
as before.
Bulbocapnine
(1-3 mg/kg)
or pimozide
(1 mg/kg)
was infused
intravenously
for 10 minutes
at the
end of this sequence
and 10 minutes
later a third
series
of dopamine
injections
was given.
In some
experiments
with phenoxybenzamine-treated
dogs,
the initial
series of dopamine
injections
was omitted. The total elapsed
time for the experiments
in
this study was approximately
3% to 5 hours.
The
effects
of bulbocapnine
on blood
pressure
responses
to epinephrine
and isoproterenol
were
also
measured
in four
additional
dogs.
The
two
adrenergic
agonists
were
given
alternately
at 10minute
intervals,
each
at least
twice,
before
and
after
a dose
of 3 mg/kg
of bulbocapnine
administered
as described
above.
In the second
series
of (xlwriments,
the effects
of dopamine,
given
by rapid
injection
or slow infusion,
on blood
pressure,
blood
flow and vascular
resistance
were studied.
Doses
of dopamine
were
given
in
ascending
order
by rapid
injection
at
10-minute
intervals
or by
10-minute
infusion
(1
mt/mm)
at 40-minute
intervals.
In some
experiments,
only
one
dose
of dopamine
was given,
before or after
infusion
of bulbocapnine
or pimozide. Each
of these
experiments
required
6 to 8
hours for completion.
It should
be noted
that
although
the duration
of each
of the above
experimental
series
with dopamine
was long, no significant
changes
in the dopamine
responses
were noted
during
a similar
interval
in control
dogs
in which
vehicle
was
infused
in place of drug.
Bulbocapnine
and pimozide
were also tested
for
the ability
to prevent
apomorphine-induced
emesis. Apomorphine
was given
to conscious
mongrel
quence
d5
of
at
dopamine
a dose
of
doses
0.1
mg/kg
s.c.,
and
the
animals
SETLER
704
were
riod
ET
observed
for
of 40 minutes.
incidence
of emesis
for a peThe dogs responding
to apomorphine
(>90%
of the dogs screened)
were then
divided
into groups
of four each and on a subsequent
test day one group
was given bulbocapnine,
3 mg/kg
i.v., followed
10 minutes
later
by apomorphine.
Two other
groups
were given pimozide,
0.025 mg/kg
iv., followed
in either
10 or 60 mmutes by apomorphine.
Control
groups
of dogs were
given
the vehicle
for the iv. test drugs
followed
by apomorphine
at the
times
indicated
above.
All animals
were
observed
for 40 minutes
after
injection
of the emetic.
In the
studies
described
above,
all drugs
were
given
into
a cephalic
vein.
Infusions
were
given
at the rate of 1 ml/min
using a Harvard
infusion
pump
(model
940).
Pimozide
was dissolved
in
12%
tartaric
acid ; all other
drugs
were
given
as
solutions
in
0.9%
NaCl.
Ascorbic
acid
(0.2
mg/ml)
was added
as a preservative
to the solutions
of dopamine,
isoproterenol
and epinephrine.
The drugs used were : bulbocapnine
hydrochloride
(Smith
Kline
and French
Laboratories,
Philadelphia,
Pa.),
dopamine
hydrochloride
(Sigma
Effects
of
caused
a biphasic
shown
a slight
while
doses
immediate
doses
tractile
in
pressIlre.
in
only
that
blood
are
at
these
pressure
not
by
changes
slight
alterations
force.
The
effects
dogs
are
blood
1 1 mm
tions
were
to
illustrated
of
with
the
The
dose
plateau
34.1%
reduction
at
the
the
of
with
results
1 mg/kg
blood
mine
were
slightly
Bulbocapnine
pletelv
abolished
3 mg/kg
of hulbocapuine
given
responses
to
and
at
pres-
potentiation
high
of
the
of
dopaheart
dose
that
the
effects
(132
peak
were
effect
In
of
separate
single
at
of
the
pressor
of
did
6
reduced
in ani3 mg/kg,
depressor
and
a slight
effect
of the
experiments
of
1 mg/kg
of
and that
in the
4 the high doses
administered
after
of bulhocapnine
experiments,
.ses
blood
as
152
and,
effect
close
com-
to dopa-
1 mg/kg.
response
probably
of this
iv.
uhsequent
inhibitorv
Hg)
Hg)
of dopamine
residual
re-
4 mm
resting
9 mm
was short-lasting
illustrated
in figure
dopamine
passed.
doses
the
propranolol.
dogs.
I mg/kg
raised
at
depressor
of dopamine.
bulbocapnine
experiments
by
all
with
inc
after
inhibition
of the
showed
with
4.
in
pressure
mg/kg
phenoxybenzamine
caused
response
109
Hg) . Bulbocapnine,
dopamine-induced
mals
indicating
significantly
(88
the
126
-*
depressor
pressure
phenoxy-
pretreated
blood
or
lrsin clogs
10 minutes
at
the
blend
the
:it
the
5
Phe-
studied
dogs
:
was
shown
in figure
iv..
caused
a rise
begun
(120
a marked
blood
in
infusion,
produced
changes
are
dopamineforce.
propranolol
pressure
injections
elevated.
effect
were
1 to
reached
pressure.
of l)rol)r:nolol
bulbocapnine
mained
from
blood
on
These
at
i.v.
doses
bulbocapnine
either
magnidirectly
depressor
to dopamine
was
the
response
mean
benzamine.
Bulbocapnine.
2 n/kcz
of
as
response
varied
the
pretreated
resting
of the
and,
also
reduced
the
in cardiac
contractile
responses
injec-
component
range
in
7 to
eliminated
conditions,
maximum
effects
140
response
9 .tg/kg
2.
the
dopamine
depressor
these
noxvbenzamine
induced
increase
sure
3, the
in
and
in pro-
reduced
from
time
pressor
depressor
pg/kg,
the
in figure
iv.,
was
Under
the
of dopamine
the
dopamine
potentiated.
tude
at
in figure
pres-
or on
diagrammed
pressure
Hg
begun.
response
Hg)
5 mg/kg
mean
1 10
i.v.,
blood
to dopamine
but greatly
all doses
of dopamine
on
Phenoxybenzamine,
resting
resting
5 mm
192
2 mg/kg
on
120
responses
effects
of
in
rate
produced
to
a fall
cardiac
con1. Included
of peak
are
contractile
the
an
propranolol,
effect
pranolol-treated
mm
pressure
pressure,
heart
time
pro-
produced
increased
in figure
changes
secondary
blood
at 81 pg/kg,
blood
as
3 tg/kg
j.g/kg
those
the
(122
of bulbocapnine
pressure
followed
Dopamine,
occurred
change;
rate.
27
response
1 are
blood
in mean
and
pressure.
injection,
of 1 and
from
9 to 81 jig/kg,
force,
also shown
sure
mine
elevation
figure
which
in
reduction
of
blood
intravenous
1 . Doses
pressor
marked
on
rapid
change
in figure
duced
blood
by
sure
with
significant
blood
pressure
reduced
the
mine
In
dopamine
given
no
The
Results
Dopamine,
Pretreatment
had
Chemi-
cal Company,
St. Louis,
Mo.),
epinephrine
hydorchloride
(Sigma),
isoproterenol
hydrochloride
(Alles
Collection)
, phenoxybenzamine
hydrochloride (Smith
Kline
and
French),
propranolol
bydrochioride
(Aldrich
Chemical
Company,
Inc.,
Cedar
Knotts,
N.J.)
and pimozide
(McNeil
Laboratories,
Inc.,
Fort
Washington,
Pa.) . Statistical
analysis
was by methods
described
by Snedecor
(1956)
.
Each
variability
term refers
to the standard error
of the mean.
Significance
of difference
between
groups
was calculated
using a paired
Students t test.
Vol.
AL.
dopamine
the
had
depressor
were
corn-
1975
DOPAMINE
#{149}80
RECEPTORS
705
#{149}60
.40
-r
.20
#{149}20
2:
-20
CONTROL
144
CONTROL
7 mmHg
132
: 10
heatsmin.
____________________
-40
1 0
3.0
DOSE
9.0
OF
27.0
81
1.0
DOSE
#{149}
DOPAMINE
3.0
90
OF
270
DOPAMINE
810
pg/kg
I V.
a
0
z
4
I
CONTROL
10
30
DOSE
90
OF
DOPAMINE
270
810
g/kq
I V
Fia. 1. Effects
of
represents
the mean
dopamine
on blood
pressure,
heart
rate and cardiac
contractile
force.
Each
point
of 12 observations
; standard
error
of
the
mean
is indicated.
The
control
value
shown
for
each
parameter
is its absolute
level
immediately
before
the
first
dopamine
injection.
a. Maximum
changes
in mean
blood
preure.
Where
biphasic
responses
occurred,
values
are shown
for both
pressor
(#{149}---#{149}) and depressor
(
#{149})
effects.
b. Change
in heart
rate
occurnng
at
the time of maximum
change
in blood
pressure.
c. Maximum
change
in cardiac
contractile
force. Contractilc
force expressed
in arbitrary
units equal
to the
amplitude
millimeters
of the recorded
signal.
pared
immediately
1 mg/kg
treated
dogs.
nine
the
under
nine
81 .cg/kg
illustrated
circumstances,
progressively
of low
petitive
closes which
antagonist
mg/kg
the
the
time
At
(1
the
tg/kg
whichever
test
the
conditions,
experiments
effect
of high
of
in
were
did
not
experiments.
of
experiment,
each
or isoproterenol
was
adequacy
appropriate,
of
4.
the
by
blockade
was
than
due
specific
than
of a comThe
effects
long-lasting
diminish
to
was
adrenergic
complete
adrenergic
are
was
and
shown
in figure
study
pressor
nificantly
altered
beg/kg)
of the
in each
case it was submaximal,
and short-lasting.
Bulbocapnine
significantly
reduced,
but
&g/kg
to
dose
response
was
to
3 mg/kg
to
epiand
agonists
selected
be-
reprodugiven
at 3
did not
re-
epinephrine.
to isoproterenol
after
non-
of bul-
measured
in this
response
receptor
5. The
(1
or
responses
were
cause
cible
depressor
given
pressure
depreswas
effects
used
the
propranolol;
effects
The
isoproterenol
epinephrine
i.v.),
blocking
explored.
blood
on
nephrine
or
in all cases.
that
inhibition
of the
dopamine
by bulbocapnine
actions
verse
(1
beta
bocapnine
mg/kg
during
phenoxybenzamine
The possibility
response
to
Even
of dol)amine
of these
iv.)
figure
however,
bulbocapless inhibition
of the
doses
blockade
sor
depressor
of dopamine
would
be expected
(Ariens,
1964)
effect
course
after
bulbocap-
of the
bulbocapnine
inhibitory
end
10 minutes
inhibition
of 9, 27 and
these
produced
and
these
greater
depressor
of
and
in phenoxybenzamine-
Under
produced
effects
in
before
of bulbocapnine
was
of
The
not
sig-
bulbocap-
nine.
Because
antagonism
by
bulbocapnine
of
do-
706
SETLER
ET
Vot
AL.
192
+100
81
81
I::
I-
+20
--I-
zo
CONTROL
-20
CONTROL-120Sm.n
#{163}
117 10
bssts/min.
1.0
1.0
3.0
9.0
27.0
81.0
DOSE OF DOPAMINE:
agk IV.
3.0
9.0
27.0
DOSE OF DOPAMINE:
81.0
gig/kg
IV.
<81
20
CONTROL
12 0.5mm
Hg
1.0
3.0
9.0
27
DOSE OF DOPAMINE: pg/kg IV.
Fia. 2. Effects
of dopamine
pretreated
with 2 mg/kg
(iv.)
the standard
error
of the mean
level immediately
prior
to the
pamine-induced
clopamine
receptor
dopamine
OU
blocker
(Janssen
had
a slight,
the
depressor
but
response
beuzamine-treated
This
slight
inhibition
effect
effect
but
not
significant
sor
resl)onse
also
seen
not
pg/kg
zamine-pretreated
of
effect
(2
dogs
mg/kg
of the
of dopainine
in five
(R.
G.
ing
on
in phenoxy4.
a non-
( -22%)
factor
was
these
iv.)
response
did
to
phenoxyben-
depressor
.tg/kg)
each
force in dogs
observations;
is its absolute
parameter
thereby
of pimozide
above
studies
doses
reduced
vascular
dose.
of
total
of
were
mine
values
table
were
I . When
given
by
dopamine
peripheral
minutes,
the
3 g/kg/min
tive
in figure
differences,
responses
transient.
for
elevated
The
were
9
and
cardiac
effects
effects
frequent
shown
of each
and
base-line,
parameter
6,
and
all
predopaare
listed
in
same
doses
of dopamine
intravenous
infusion
for 10
steady-state
were
In
in figure
(1,
3
resistance
and
The
each
the
slow
dopamine.
illustrated
resistance
Biphasic
ruling
out
as a contribut-
results.
effects
output
and renal
blood
flow.
in figure
6 are the predominant
shown
un-
to the
hemodynamic
changes
vasodepres-
Pendleton,
for
Hemodynamic
renal
figure
vasode-
probably
slight
shown
cardiac
contractile
the mean
of five
published
observation)
beta blocking
effect
ex-
1 mg/kg
in
of the
antagonism
value
the
of isoproterenol
of pimozide
in
Propranolol
any
be
dopamine
inhibition
0.5 jig/kg
1 mg/kg
after
produce
1 to Sl
the
nerv-
would
shown
by pimozide
was
because
a similar
to
experiments.
of
control
due
to
a potent
significant,
as
heart
rate and
point
represents
injection.
central
,
to dopamine
dogs
iressor
specific
is
effect.
at a dose
not
The
pimozide,
1968)
a].,
pressure,
Each
dopamine
in the
et
l)ected
to have a similar
Pimozide
when
given
i.v.
is indicated.
first
vasodepression
blockade,
receptor
system
on mean
blood
of propranolol.
responses
qualitatively
to
similar
6 although
there
especially
in
were
blood
1 and
to
to
those
quantitapressure.
1975
DOPAMINE
RECEPTORS
707
a
12
81
a
+20
:I__
a
a
4
I
I
+20
1
81
-40.
CONTROL-110llmmHg
__10
IONTROL
3.0
9.0
27.0
81.0
OF DOPAMINE: p9/kg IV.
DOSE
13 beats/mm
188
___________
1.0
3.0
9.0
27.0
31.0
IV.
b
81
U
a
0
a
U
U
+40
0
a
4
+20
C,
10
CONTROL
4
I
U
1.0
3.0
9.0
27.0
0.8 mm
18
Hg
81.0
Fir.. 3. Effects
of dopamine
on mean
blood
pressure,
heart
rate
pretreated
with 5 mg/kg
(i.v.)
of phenoxybenzamine.
Each
point
vations;
the standard
error of the mean
is indicated.
The control
its absolute
level immediately
prior to the first dopamine
injection.
When
given
for
dopamine
panied
and
an
resistance
dilation
was
in
renal
dynamic
are
the
presented
of
by
the
in figure
ended.
These
infusion
of dopamine
renal
vasodilation.
The
itive
response
dogs
are
was
not
least
included
a fall
renal
The
among
of
failed
criterion
in
10%.
termined
to profor
a pos-
vascular
nonresponding
those
the
dogs
of
with
(MoGiff
discussed
re-
in
of these
the
group
dopamine,
jg/kg/min),
et al.,
1969),
a beta
pamine
was
proterenol
in
two
an
caused
of
three
the
effective
dopanonre-
administered
vaso-
isoproterenol
agonist.
renal
Nei-
vasodilation
failed
to respond
to
animals
in which
do-
renal
significant
dogs
of
unde-
some
a renal
receptor
which
in
variability
and
and
produced
refailure
situation,
intravenously
of dogs
whereas
test
was
2.5%,
the
to
responding
(0.2
drugs
se or to
the
in
A1
due
per
compared
resistance
15.7
whether
was
variable
prostaglandin
ther
and
determine
response
was
dilator
2.5%
of dopamine
sponding
to
responses
(35%)
tested,
at
renal
peripheral
nonresponding
produced
periphto that
seen in re-
equivalent
(total
To
effect
mine
lasted
began
the
of
7. In
dopamine
16.0
the
contractile
force in dogs
the mean
of seven obsershown
for each parameter
is
in figure
shown
dogs
an
the
value
(0.05 tg/kg/min),
7.
proportion
dogs
of
and
sponding
spectively).
hemo-
dopamine
infusion
duce
sistance
to
The
and
at
vaso-
by
overriden
above
cardiac
represents
animals,
however,
eral vasodilation
decreased
vaso-
transiently,
response
infusion
significant
renal
pressure.
produced
changes
of
accom-
dopaminergic
was
perfusion
duration
when
In
the
vasoconstrictor
increased
abate
but
except
kidney
autoregulatory
the
reduced
observed,
the
jg/kg/min
response
increase
in cardiac
output
renal
blood
flow ; total
pewas
not
pressor
Conceivably,
dose.
dilation
for
minutes,
a
by a marked
increase
in
ripheral
this
10
produced
and
vasodilator,
renal
and
iso-
vasodilation
prostaglandin
AL
708
SETLER
ET
AL.
Vol.
19
8
+20
-I
--l-
CONTROL
-l264m.ni4
-I-----1
-20
CONTROL
l20+Smm
a
H,
0
5
1.0
3.0
9.0
DOSE OF DOPAMINE:
ps/k,
IV.
CONTROL
CONTROL125+4mmHg
13O
mm Hg
a
4
a
4
a
0
5
3.0
FIG.
Changes
of
in
(lOSelV
mean
blood
niimieked
three
dogs.
Thus,
SO(lilatiofl
front
caused
l)\
perhaps
effect
the
unreliability
animal
The
of
81.0
sg/kg
IV.
the
surgical
niust
be
system,
trauma
effects
of
bulbocapnine
responses
of 3 j.ig/kg/miii
of
8.
affect
rate
and
on
the
(lopamine-illduce(l
cardiac
mg/kg
iv.,
spouse
to
had
clopamine
output.
no
are
shown
reduced
but
increases
Pimozide,
on
10 or
70
10
did
in conscious
1
mm-
22
only
in
any
other
blood
pressure,
Hg).
Pimozide
mm
resting
22
administration,
change
mean
re-
137
heart
rate
(119
signifi-
(140
15
9 heats/ruin).
for
re-
significanfly
no significant
reduced
Bulbocapnine
and
antagonism
of
(151
of dopamine
including
116 11
106
close
itself
flow
time
was
there
in
the
at
the
blood
at the
cantlv
.-*
in heart
given
effect
either
on
infusions
vasculature
significant
giveti
pimozide
10-minute
dopamine
markedly
Bulbocapnine
of ciopamine
not
and
to
pretreated
Bulbocapnine
renal
mi/mm)
l)lIt.
changes
dogs
(---).
later.
parameter
the
to
pressure
in
duced
va-
test
blood
utes
in all
of renal
animal
the
dopamine
niic
effects
to
on
by
of dopamine
within
result
pimozide
produced
vessel.
hemoclvna
figure
and
pressure
the
variability
as
renal
bulbocapnine
27.0
produced
by dopamine.
with 2 mg/kg
of propaitolol
before
(S---)
and after
1 mg/kg
of bulbocapnine
Each
point
is the mean
of
five
observations
; standard
error
of the mean
is indicated.
b. Decrease
in mean
blood
pressure
produced
l)y (lopamine
in nine
(logs pretreated
with 5 mg/kg
of phenoxvhinzamine
1)efore
(-)
and
after
1 mg/kg
(S-#{149}; N
5) or 3 mg/kg
of bulbocapnine
(Q...._._Q : .V = 4) e. Decrease
in
nTseali blood
pressure
produced
by dopamine
in dogs
pretreated
with
5 mg/kg
of phenoxybenzamine
l)efore
(#{149}-#{149}) and after
1 mg/kg
of pimozide
(Q-#{149}-#{149}-O)
.
Each
point
is the mean
of four 01)servations.
The control
values
shown
refer to the absolute
mean
blood
pressure
immediately
before
the
first dopamine
injection.
a.
4. Effects
9.0
DOPAMINE:
OF
DOSE
of
dogs.
3 mg/kg
pimozide
were
also
tested
apomorphine-induced
Bulbocapnine
iv.
morphine
at
a dose
occurred
in all
four
minutes.
Pimozide,
10
of
was
minutes
0.1
animals
in contrast,
emesis
given
prior
mg/kg
s.c.
within
the
when
at
to
apo-
Emesis
next
given
40
at
DOPAMINE
1975
RECEPTORS
709
BULBOCAPNINE
3 mg/kg mv.
fl,50.
I F1
12
a
ISO.
a
a
C,
I
U
5
iv.,
by
1
jsg/kg
four
FIG.
on
the
i.v.
Each
observations.
bar
represents
<
*})
the
mean
of
.05.
20
dose
of 25 pg/kg,
pletely
abolished
in
the
three
emetic
of
four
response
later
and
dogs
cornto apo-
2s
30
morphine
given
dogs
abolished
phine
given
10 minutes
the
emetic
60 minutes
response
in all
to
four
apomor-
later.
,0
30
90
.q
DOSE OF OOPANINI
hq I V
Discussion
Fia.
The
results
of the
experiments
show
that
(1-3
&g/kg)
of dopamine
the
anesthetized
dog.
caused
small,
by
rapidly
fall
was
due
resistance;
creased.
Not
eral
of the
vasodilation
total
these
increases
When
in
renal
without
an
sponse
to
was
flow
in
pe-
was
of
fall
dopamine
the
fall
increased
heart
pressure,
by
BP
(O-O),
(0-0),
total
(L-),
renal
vascular
represents
change
produced
i.v. injection)
on
rapid
cardiac
peripheral
blood
flow,
resistance,
the mean
output,
resistance,
RBF
RVR
(U-U).
of six observations.
by
mean
CO
TPR
and
Each
in
measured.
renal
produced
blood
pressure.
a pressor
rate
blood
renal
point
maximum
in
and
infusion,
in
The
(given
in-
were
caused
6.
dopamine
of periph-
were
by
given
appreciable
and
fall
sites
vasodilation
doses
pressure
output
regional
blood
peripheral
High
to
in
resistance
were
identified
but
renal
vasodilation
dopamine
and
in blood
contributing
peripheral
experiments,
doses
hypotension
cardiac
all
here
administered
cause
The
dopamine
ripheral
described
and
TABLE
Predopainine
basal valuesfor
heinodynarnic
paranm eters
The value for each parameter
was obtained
immediately
before
the first
injection
or infusion
of
dopamine.
re-
contractile
Basal
\TaIlIe
.V = 20
Parameter
force.
The
effects
of
dopamine
attenuated
by propranolol
mine
causes
stimulation
nergic
receptors.
amine
of
suggests
rect
action
uptake
berg,
of
the
that
nephrine
thetic
The
of
is, at
dopamine,
displaced
nerve
reduction
inotropic
this
on
from
terminals
into
heart
were
that.
beta
dopaadre-
by phenoxybenzeffect
least
of
in
dopamine
part,
mediated
an
by
postganglionic
within
of dopamine
into these
1972) . Phenoxybenzamine
catecholamines
the
indicating
of cardiac
synaptic
the
mdi-
norepisympa-
heart
terminals
reduces
vesicles
after
Mean
blood
(mm
pressure
136
48
3.77
121.35
0.01
16.40
0. 18
Hg)
Cardiacoutput
1637.08
(mt/mm)
Total
peripheral
resistance
0. 09
(units)
Renal
blood
flow
167.96
(ml/min)
Renal
vascular
(Golduptake
(units)
(Iver-
a Value
for
resistance
left
renal
1 . 15
artery
only.
710
SETLER
ET
AL.
that
Vol.
bulbocapnine
attenuation
does
of
nergic
blocking
activity.
pamine-induced
therefore,
is
Goldberg
bulboca
re-
of
specific
observations
those
and
pnine
vasodepressor
These
(1963)
of do-
activation
with
adre-
attenuation
this
by
receptors.
beta
by
that
agreement
nonspecific
nor
The
mediated
dopamine
general
produce
vasodepression
indicates,
sponse
not
vasodepression
.192
are
in
McDonald
of
Tseng
and
and
Walaszek
(1970).
In
the
hemodynamic
abolished
had
no
significant
increases
in
contrast
to
on
rate
ide,
In . 12)
In . 33)
In . 10)
DOSE OF DOPAMINE
,/k/m.n.
mm .
In, 10
1965)
and
sure
may
inotropic
sor
also
by
of
doparnine
the
to
the
1967).
The
the dog are
was
to
by
reversed
in
of
The
shown
an
induced
treatment
phenoxybenzamine.
The
fected
benzamine
and
bocapnine
receptor
of dopamine
potentiated
inhibited
by
has been
shown
antagonist
because
central
nervous
capnine
also
activity
(van
effectively
sion
1971)
depressor
effect
by propranolol,
system
of the
by
mg/kg
an
intact
alpha
1965)
pressor
of
response
study
response
bulbocapnine.
to
isoproterenol
Bulbo-
doses
by
a partial
vasodepresto
in-
indicated
and
of
of
discrepancy
served
in
dopamine
ture
are
the
floor
and
Kai-
of phenothiazines
Yeh
made
markedly
reported
receptors
pharmacologically
here
in
order
of activas inhibitors
of
from
in
blocking
marked
specificity
suggest
peripheral
distinct
in
1965).
bulbocapnine
strongly
the
the
most
activity
(Janssen,
of
to
of the dopamine
nervous
system
system
comparison
Yeh,
attempt
observed
receptor
the
and
no
different
effectiveness
and
dopamine-
(Goldberg
nervous
the
at.,
receptors
attenuate
dopamine
This
in
(Zirkle
potencies
for central
was
of
pimozide
epinephrine
Preservation
Goldberg
central
acti-
et
dopamine
to
vasodilation
the
postrema
a number
renal
order
in
dopa-
direct
(Anden
system
shown
effects
in the dog,
ity of the dopamine
tests
which
and
vasodilation
central
a
block
the relative
antagonists
rank
adrenolytic
at
dopamine-induced
in our
Bul-
1965)
used
blocked
is gen-
1974).
been
evaluate
receptor
to be a dopamine
of its effects
on the
some
Rossum,
evidenced
hibition
bulbocapnine.
(Ernst,
possesses
inhibit
as
which
Koe,
also
of the
area
nervous
Haloperidol
have
dose
ventricle
and
by antipsychotic
and
Wang,
1953 ; Peng,
1963;
central
1974;
the
pimoz-
effects
of apomorphine
in
by l-dopa
and are abolished
of the
1965)
the
ser,
prebe
destruction
of the
fourth
drugs
(Borison
at
while
completely
dog. Emesis
receptors
emetic
shared
for
nervous
Bulbocapnine,
of
one
by-
tested
central
apomorphine,
dopamine
Janssen,
such
pres-
reduction
phenoxybenzamine.
effect,
mo-
indirect
Other
factors
artery
perfusion
contribute
adrenergic
with
reduces
effects
effect
alpha
thus
of dopamine.
of coronary
be
of
In
on dopaof pimozand
effect
1/40
to
effects
of
true.
studies,
in the
but
output.
when
in the
significant
mg/kg,
accepted
vator
Yet
was
no
0.025
minergic
by
tropic
action
as reduction
at
erally
sen,
opposite
had
the
cardiovascular
apomorphine
emesis
I V.
cardiac
vasodilation
negligible.
activity
the
3 mg/kg,
9.0
or
of bulbocapnine
vasodilation,
the effect
was
system,
tion
dopamine-induced
effect
antidopaminergic
3.0
on
dopamine-induced
potension
10
bulbocapnine
vasadila
effect
heart
the
mine-induced
ide
study,
dopamine-induced
oband
that
vasculafrom
dopa-
DOPAMINE
1975
RECEPTORS
+40
+20
C,
a
4
+10
I
U
5
-10
CONTROL
-20
10 POST-BULBOCAPNINE
N=7
C,
4
I
U
CONTROL
10
POST-PIMOZIDE
70
POST-PIMOZIDE
N=4
RRF
RVR
CO
TPR
BP
HR
mine
receptors
in
the
central
nervous
intravenously
have
in the
easier
central
access
reason
and
to suspect
expert
and
than
the
There
Sheldon
dis-
pimozide
receptors
to receptors
is the
authors
assistance
Mr.
193-230,
EBLE.
J.
reverse
could
be
is, however,
no a
this
The
technical
Woodward
drug
dopamine
that
Acknowledgment.
the
to
system
in the
vasculature
true
of bulbocapnine.
priori
(henoreeel)-
administered
nervous
BonisoN.
H.
pharmacology
system,
case.
acknowledge
of
Mr.
Paul
W.
S. Sherman.
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ANDEN,
N.
H#{212}KFELT,
E.,
RUBENSON,
T. : Evidence
for
A., FUXE,
dopamine
J. Pharm.
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by apomorphine.
cot. 19: 627-629,
1967.
ARIENS,
E. J. : Molecular
Pharmacology,
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K. AND
receptor
PharmaAcademic
L.
AND
WANG,
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S. C. Physiology
and
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N. : A proposed
mechanism
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145:
64-70,
1964.
ERNST,
A. M. : Relation
between
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of
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and apomorphine
and their O-methylated
derivatives
upon
the central
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7 : 391-399,
1965.
GOLDBERG,
L. I. : Cardiovascular
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GOLDBERG,
L. I. AND YEH,
B. K. : Attenuation
of
dopamine-induced
renal
vasodilation
in
the dog
by
phenothiazines.
Eur.
J.
Pharmacol.
15:
36-40, 1971.
IVERSEN,
L. L. : The uptake
of catecholamines
at
high perfusion
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A novel
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uptake
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Brit. J. Pharmacol.
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P. A. T. : The
pharmacology
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In The
Action
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ed. by H. J. Haase
and P. Janssen,
Year
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1965.
JANSSEN,
P.
A. T., NIEMF.GEES,
C. J. E. AND
SCHELLEKENS,
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712
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the
clinical
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of neuroleptic
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(major
tranquilizers)
from
animal
data?
II.
Neuroleptic
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spectra
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Arzneimittel-Forachung
15: 1196-1206.
1965.
JANSSEN,
P., NIEMEGGERS,
C., SCHELLEKINS,
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DRESSE,
A.,
LENAERTS,
F.,
PINCHARD,
A.,
SCHAPER,
W., VAN
NEUTEN,
J. AND VERBRUGGEN,
F. : Pimozide,
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orally
long-lasting
neuroleptic
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Arzneimittel-Forschung
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on brain
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MCDONALD,
R. H. AND GOLDBERG,
L. I. : Analysis
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1963.
N., STRAND,
J., LEE, J.,
LONIGRO,
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1969.
MCGIFF,
TERRAGANO,
ET
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McN.cr,
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