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The Role of Catecholamines in Lung Liquid Absorption at Birth

 

作者: D. WALTERS,   R. OLVER,  

 

期刊: Pediatric Research  (OVID Available online 1978)
卷期: Volume 12, issue 3  

页码: 239-242

 

ISSN:0031-3998

 

年代: 1978

 

出版商: OVID

 

关键词: β-Adrenergic receptors;epinephrine;fetus;isoproterenol;lung;newborn;propranolol

 

数据来源: OVID

 

摘要:

SummaryWe have examined the effect on lung liquid secretion of catecholamines infused in chronically catheterized fetal lambsin utero.Isoproterenol and epinephrine inhibited secretion, an effect which increased with gestation and, in fetuses near delivery, caused absorption of lung liquid. In 7 out of 8 experiments nor-epinephrine had no effect on secretion. This pattern of response and the fact that the inhibitory effect could be blocked by propranolol indicate a mode of action involving β-adrenergic receptors.SpeculationThe observed effects on lung liquid secretion were achieved with infusion rates of epinephrine which are well within the range for endogenous production by the adrenals in response to splanchnic nerve stimulation or asphyxia. Thus the marked increase in the secretion of epinephrine which occurs during parturition may be an important factor in initiating lung liquid absorption. Permanent inhibition of lung liquid secretion postnatally may be due to greater sensitivity of the pulmonary epithelium to β-adrenergic stimulation and to the higher “resting” output of epinephrine from the adrenals of neonates compared with fetuses.

 

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