ORIGINAL ARTICLES
SHI Beibei, WANG Zhen, WANG Xiaoxuan, ZHOU Peilan, SU Ruibin
OBJECTIVE To investigate α1-adrenergic receptors (α1-AR) distribution in mouse tissues and its function on dexmetomidine (DMED) induced toxic effects. METHODS ① Real-time fluorescence quantitative PCR was used to detect the relative expression of α1A-AR, α1B-AR, α1D-AR, α2A-AR, α2B-AR and α2C-AR mRNAs in the heart, apical potion of heart, lungs, apical potion of lung, liver, kidneys, abdominal aorta, prefrontal cortex, hippocampus, striatum, brainstem, thalamus, olfactory bulb, and the rest of the brain tissues of the mouse. The relative expression of mRNA were analyzed. ② C57BL/6J mice were pretreated with α2 adrenergic receptor antagonist atipamezole ATI (0.005, 0.010, 0.020, 0.025, 0.040, 0.050 mg·kg-1, im), or α1-adrenoceptor antagonist prazosin (1 mg·kg-1, im) for 15 min, and then DMED (0.20 mg·kg-1, iv) was given to observe the rate of the loss of righting reflex and the immobilization time in mice. ③ C57BL/6J mice were treated with DMED (16.38, 20.48, 25.60, 32.00, 40.00, and 50.00 mg·kg-1, iv) to observe the lethality of the mice in 24 h. The dose-effect relationship curves of the lethality rate and the half lethal-dose (LD50) were detected. ATI (1, 2, 4, and 8 mg·kg-1, im) or prazosin (1 mg·kg-1, im) were pretreated 15 min followed by the administration of DMED (25.60 mg·kg-1, iv). The lethality of the mice were recorded for 24 h. HE staining to observe the lung tissue damage in the mice. RESULTS ① The mRNA expression levels of three α1-AR subtype were higher than those of α2-AR subtype. α2A-AR and α2C-AR were highly expressed in the central nervous system. α2B-AR was highly expressed in the brainstem and peripheral tissues. The mRNA expression levels of α1-AR subtypes were higher than those of α2-AR subtypes in heart, apical potion of heart or lung (P<0.05). ② ATI (0.005 to 0.05 mg·kg-1, im) dose dependently antagonized the loss of righting reflex and decreased the immobilization time induced by DMED (0.20 mg·kg-1, iv). In contrast, prazosin (1 mg·kg-1, im) had no effect on the loss of righting reflex induced by DMED (0.20 mg·kg-1, iv). ③ The LD50 of DMED in mice was 26.734 mg·kg-1 (iv) with a 95% CI of 23.606-30.000 mg·kg-1. DMED (25.6 mg·kg-1) was selected for subsequent toxicity. ATI (1, 2, 4, and 8 mg·kg-1, im) did not antagonize the lethality induced by DMED (25.6 mg·kg-1, iv). The high dose of ATI resulted in elevated death rate and accelerated mortality induced by DMED (25.6 mg·kg-1, iv) in the mice. However, prazosin (1 mg·kg-1, im) reduced the lethality of DMED (25.6 mg·kg-1, iv) (P<0.01). After administration of DMED (25.6 mg·kg-1), the mice lungs showed significant congestion. HE staining of lung tissues revealed obvious vascular hemorrhage, alveolar rupture, and erythrocyte spillage. Prazosin (1 mg·kg-1, im) effectively attenuated the tissue damage in the lungs, but ATI (1 mg·kg-1, im) aggravated the pulmonary hemorrhage. CONCLUSIONS In cardiopulmonary tissues, the high expression levels of α1 adrenoceptor overactivation, might related with the lethality induced by DMED.