Hypertension, Vol 8, 303-311, Copyright © 1986 by American Heart Association
FC Luft, R Veelken, H Becker, D Ganten, RE Lang and T Unger
To test the hypothesis that the hypotensive action of urapidil is in part
related to a direct action on the brain, the central
(intracerebroventricular) and peripheral (intravenous) effects of urapidil
were studied and compared with those obtained with clonidine and prazosin.
All studies were conducted in conscious, chronically instrumented
stroke-prone spontaneously hypertensive rats (SHRSP). Efferent sympathetic
nervous system activity was estimated by means of a bipolar electrode
implanted on the splanchnic nerve. Only clonidine, administered
intracerebroventricularly and intravenously, decreased sympathetic nerve
activity. Urapidil and prazosin either did not affect sympathetic nerve
activity after central administration or increased it after peripheral
administration at low and high doses, respectively. Centrally administered
urapidil and prazosin lowered blood pressure but also blocked the response
to intravenously administered phenylephrine; this result suggests a
peripheral effect. Centrally administered urapidil decreased heart rate.
Urapidil given either intracerebroventricularly or into the cisterna magna
had no influence on baroreceptor responses. Intravenous infusions of
urapidil and prazosin in sufficient doses to lower blood pressure in
spontaneously hypertensive rats by 50 mm Hg completely blocked the actions
of phenylephrine. These data suggest that in conscious SHRSP urapidil
lowers blood pressure through peripheral blockade of alpha 1-adrenergic
receptors rather than by means of central sympathetic suppression. In this
regard urapidil resembles prazosin rather than clonidine; however, the
effect of urapidil on heart rate is consistent with a central mode of
action.
ARTICLES
Effect of urapidil, clonidine, and prazosin on sympathetic tone in conscious rats
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