AJP - Regu Information on EB 2010
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Regul Integr Comp Physiol (April 20, 2006). doi:10.1152/ajpregu.00070.2006
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
291/4/R987    most recent
00070.2006v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Frithiof, R.
Right arrow Articles by Rundgren, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Frithiof, R.
Right arrow Articles by Rundgren, M.
Submitted on January 26, 2006
Accepted on April 13, 2006

Activation of central opioid receptors determines the timing of hypotension during acute hemorrhage-induced hypovolemia in conscious sheep

Robert Frithiof1* and Mats Rundgren1

1 Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

* To whom correspondence should be addressed. E-mail: robert.frithiof{at}ki.se.

After an initial compensatory phase hemorrhage reduces blood pressure due to a widespread reduction of sympathetic nerve activity (decompensatory phase). Here we investigate the influence of intracerebroventricular (ICV) naloxone (opioid-receptor antagonist) and morphine (opioid-receptor agonist) on the two phases of hemorrhage, central and peripheral hemodynamics and release of vasopressin and renin in chronically instrumented conscious sheep. Adult ewes were bled (0.7 ml/kg/min) from a jugular vein until mean arterial blood pressure (MAP) reached 50 mmHg. Starting 30 min before and continuing until 60 min after hemorrhage either artificial cerebrospinal fluid (aCSF), naloxone or morphine was infused ICV. Naloxone (200 µg/min but not 20 or 2.0 µg/min) significantly increased the hemorrhage volume compared to aCSF (19.5±3.2 vs 13.9±1.1 ml/kg). Naloxone also increased heart rate and cardiac index. Morphine (2.0 µg/min) increased femoral blood flow and decreased hemorrhage volume needed to reduce MAP to 50 mmHg (8.9±1.5 vs 13.9±1.1 ml/kg). The effects of morphine were abolished by naloxone at 20 µg/min. It is concluded that the commencement of the decompensatory phase of hemorrhage in conscious sheep involves endogenous activation of central opioid receptors. The effective dose of morphine most likely activated µ-opioid receptors but they appear not to have been responsible for initiating decompensation since a) naloxone only inhibited an endogenous mechanism at a dose much higher than the effective dose of morphine, b) the effects of morphine was blocked by a dose of naloxone which by itself did not delay the decompensatory phase.




This article has been cited by other articles:


Home page
Exp PhysiolHome page
M. Sawdon, M. Ohnishi, R. A. Little, and E. Kirkman
Naloxone does not inhibit the attenuation of the response to severe haemorrhage seen after simulated injury in the anaesthetized rat
Exp Physiol, June 1, 2009; 94(6): 641 - 647.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 2006 by the American Physiological Society.