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Effect of alcohol on norepinephrine-induced vasoconstriction

알코올이 노르에피네프린에 의한 혈관 수축에 미치는 영향

  • Kang, Myeongsin (Department of Emergency Medical Services, Eulji University) ;
  • Jeon, Min-A (Department of Physiology, KU Open Innovation Center, Research Institute of Medical Science, Konkuk University School of Medicine) ;
  • Eun, Seo Hyeon (Department of Physiology, KU Open Innovation Center, Research Institute of Medical Science, Konkuk University School of Medicine) ;
  • Choi, Hea Kyung (Department of Emergency Medical Services, Eulji University) ;
  • Park, Sang Woong (Department of Emergency Medical Services, Eulji University)
  • 강명신 (을지대학교 응급구조학과) ;
  • 전민아 (건국대학교 의과대학 생리학교실) ;
  • 은서현 (건국대학교 의과대학 생리학교실) ;
  • 최혜경 (을지대학교 응급구조학과) ;
  • 박상웅 (을지대학교 응급구조학과)
  • Received : 2019.11.08
  • Accepted : 2019.12.13
  • Published : 2019.12.31

Abstract

Purpose: Norepinephrine (NE) is a neurotransmitter of the sympathetic nervous system. It is used for treating hypotension on distributive shock, central nervous system injury, or sepsis. There are several reports that state that alcohol suppresses vasoconstriction by NE. Thus, our hypothesis is that the effect of NE is reduced in alcohol-drinking patients with distributive shock. We investigated whether alcohol suppresses NE-induced contraction and aimed at finding a solution to this problem. Methods: For this study, we used the aorta from male Sprague-Dawley rats (9-11 weeks) and an isometric contraction system. Results: Our results showed that alcohol suppresses NE contraction and does not affect epinephrine induced a contraction. Moreover, in the presence of alcohol, a 7:3 mixture of NE and epinephrine induced a contractile force similar to that induced by NE under normal conditions. Conclusion: We found that the vasoconstrictive force of NE decreased in the blood vessels in which alcohol was present, which was not because endothelial cells. The reduced contractile force was most similar to that induced by a 7:3 mixture of NE and epinephrine.

Keywords

References

  1. Ahn SM. South Korea leads Asia in alcohol consumption. The Korea Herald. May 2014.
  2. Park JY. Road Traffic Authority Aug 2018.
  3. Kim GT, Hong SY. Epidemiology of traumatic accident deaths. J Korean Soc Emerg Med 2002;12(1):39-48.
  4. Vincent JL, De Backer D. Circulatory shock. The New England J of Medicine 2013;369:1726-34. https://doi.org/10.1056/NEJMra1208943
  5. Angus DC, Van der Poll T. Severe sepsis and septic shock. The New England J of Medicine 2013;369:840-51. https://doi.org/10.1056/NEJMra1208623
  6. De Backer D, Biston P, Devrient J, Madl C, Chochrad D, Aldecoa C et al. Comparison of dopamine and norepinephrine in the treatment of shock. The New England J of Medicine 2010;362:779-89. https://doi.org/10.1056/NEJMoa0907118
  7. Davda RK, Chandler LJ, Crews FT, Guzman NJ. Ethanol enhances the endothelial nitric oxide synthase response to agonists. Hypertension 1993;21(6):939-43. https://doi.org/10.1161/01.HYP.21.6.939
  8. Venkov CD, Myers PR, Tanner MA, Su M, Vaughan DE. Ethanol increases endothelial nitric oxide sybthase expression. Thromb Haemost 1999;81(4):638-42. https://doi.org/10.1055/s-0037-1614538
  9. Girard C, Payen C, Tchenio X, Holzapfel L, Descotes J. Severe reaction to inadvertent intravenous administration of a large dose of norepinephrine. Am J Emerg Med 2010;28(1):113e5-7. https://doi.org/10.1016/j.ajem.2009.02.029
  10. Matoba T, Shimokawa H, Nakashima M, Hirakawa Y, Mukai Y, Hirano K et al. Hydrogen peroxide is an endothelium-derived hyperpolarizing factor in mice. J Clini Invest 2000;106(12):1521-30. https://doi.org/10.1172/JCI10506
  11. Rang HP, Ritter JM, Flower RJ, Henderson G. Rang and Dale's Pharmacology (8th ed.). United Kingdom: Elsevier. 2016. 179.
  12. Kou R, Michel T. Epinephrine regulation of the endothelial nitricoxide synthase. Roles of RAC1 and ${\beta}$3-adrenergic receptors in endothelial NO signaling. Journal of Biological Chemistry 2007;282: 32719-29. https://doi.org/10.1074/jbc.M706815200
  13. Malpas SC, Robinson BJ, Maling TJ. Mechanism of ethanol-induced vasodilation. J of Applied Physiology 1990;68(2):731-4. https://doi.org/10.1152/jappl.1990.68.2.731
  14. Perkin GD, Ji C, Deakin CD, Quinn T, Nolan JP. A randomized trial of epinephrine in out-of-hospital cardiac arrest. The New England J of Medicine 2018;379:711-21. https://doi.org/10.1056/NEJMoa1806842
  15. Dguzeh U, Haddad NC, Smith KT, Johnson JO, Doye AA, Gwathmey JK et al. Alcoholism: A multi-systemic cellular Insult to organs. Int J Environ Res Public Health 2018;15(6):1083. https://doi.org/10.3390/ijerph15061083