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In Vivo Evidence That Endogenous Dopamine Modulates Sympathetic Activity in Man

Dopamine receptors type 2 (D2)-like receptor blockers cause an increase in the norepinephrine response to intense physical exercise. However, during intense physical exercise, D2-like antagonists also cause an increase in the epinephrine response, which itself might cause an increase in plasma norep...

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Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 1999-09, Vol.34 (3), p.398-402
Main Authors: Mannelli, Massimo, Ianni, Lucia, Lazzeri, Chiara, Castellani, Walter, Pupilli, Cinzia, Villa, Giorgio La, Barletta, Giuseppe, Serio, Mario, Franchi, Franco
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description Dopamine receptors type 2 (D2)-like receptor blockers cause an increase in the norepinephrine response to intense physical exercise. However, during intense physical exercise, D2-like antagonists also cause an increase in the epinephrine response, which itself might cause an increase in plasma norepinephrine through the activation of β2 presynaptic receptors. Therefore, we evaluated the effect of domperidone, a D2-like antagonist, on the norepinephrine response to physical exercise in 6 Addison patients (3 were adrenalectomized and 3 had adrenal tuberculosis). In these patients, the norepinephrine increase observed during exercise was significantly higher after the administration of domperidone than a placebo (F=4,328; P
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However, during intense physical exercise, D2-like antagonists also cause an increase in the epinephrine response, which itself might cause an increase in plasma norepinephrine through the activation of β2 presynaptic receptors. Therefore, we evaluated the effect of domperidone, a D2-like antagonist, on the norepinephrine response to physical exercise in 6 Addison patients (3 were adrenalectomized and 3 had adrenal tuberculosis). In these patients, the norepinephrine increase observed during exercise was significantly higher after the administration of domperidone than a placebo (F=4,328; P&lt;0.001). Because peripheral plasma norepinephrine does not reflect the sympathetic tone to the heart accurately, we evaluated the effect of domperidone administration (20 mg orally) on the sympathovagal balance, which was measured by the ratio between the high- and low-frequency components of heart rate variability, in 9 normal volunteers in the supine and sitting positions. 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When compared with placebo, domperidone caused a significant increase in the low/high frequency ratio (P&lt;0.05) in the sitting position without modifying basal and stimulated norepinephrine plasma levels or blood pressure. These data support a role for endogenous dopamine in modulating norepinephrine release by human sympathetic nerves in vivo.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>10489384</pmid><doi>10.1161/01.HYP.34.3.398</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adrenal Gland Diseases - metabolism
Adrenal Gland Diseases - physiopathology
Adult
Biological and medical sciences
Cross-Over Studies
Domperidone - pharmacology
Dopamine - blood
Dopamine - physiology
Dopamine Antagonists - pharmacology
Dopamine D2 Receptor Antagonists
Double-Blind Method
Female
Fundamental and applied biological sciences. Psychology
Heart Rate
Humans
Male
Middle Aged
Norepinephrine - blood
Peripheral nervous system. Autonomic nervous system. Neuromuscular transmission. Ganglionic transmission. Electric organ
Physical Exertion - physiology
Receptors, Dopamine D2 - metabolism
Reference Values
Sympathetic Nervous System - physiology
Vertebrates: nervous system and sense organs
title In Vivo Evidence That Endogenous Dopamine Modulates Sympathetic Activity in Man
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