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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 |
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container_title | Hypertension (Dallas, Tex. 1979) |
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creator | Mannelli, Massimo Ianni, Lucia Lazzeri, Chiara Castellani, Walter Pupilli, Cinzia Villa, Giorgio La Barletta, Giuseppe Serio, Mario Franchi, Franco |
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 |
doi_str_mv | 10.1161/01.HYP.34.3.398 |
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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<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. When compared with placebo, domperidone caused a significant increase in the low/high frequency ratio (P<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.</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/01.HYP.34.3.398</identifier><identifier>PMID: 10489384</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Philadelphia, PA: American Heart Association, Inc</publisher><subject>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</subject><ispartof>Hypertension (Dallas, Tex. 1979), 1999-09, Vol.34 (3), p.398-402</ispartof><rights>1999 American Heart Association, Inc.</rights><rights>1999 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. 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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<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. When compared with placebo, domperidone caused a significant increase in the low/high frequency ratio (P<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.</description><subject>Adrenal Gland Diseases - metabolism</subject><subject>Adrenal Gland Diseases - physiopathology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cross-Over Studies</subject><subject>Domperidone - pharmacology</subject><subject>Dopamine - blood</subject><subject>Dopamine - physiology</subject><subject>Dopamine Antagonists - pharmacology</subject><subject>Dopamine D2 Receptor Antagonists</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Norepinephrine - blood</subject><subject>Peripheral nervous system. Autonomic nervous system. Neuromuscular transmission. Ganglionic transmission. Electric organ</subject><subject>Physical Exertion - physiology</subject><subject>Receptors, Dopamine D2 - metabolism</subject><subject>Reference Values</subject><subject>Sympathetic Nervous System - physiology</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNpd0N9rFDEQB_Agir1Wn32TINK33eb3Jo-lnrbQUsEq-hTSvVkvdTc5k-yV--9NuQPFvAwZPjMMX4TeUNJSqugZoe3lj88tFy1vudHP0IJKJhohFX-OFoQa0RhKvx-h45wfCKFCiO4lOqJEaMO1WKDbq4C_-W3Ey61fQegB361dwcuwij8hxDnjD3HjJh8A38TVPLoCGX_ZTRtX1lB8j8_74re-7LAP-MaFV-jF4MYMrw_1BH39uLy7uGyubz9dXZxfN73olG60cFIOUlO456RTwBlX3BjGFO87bajUREnuOikEDDA4bkAaPQBjg5OOOH6CTvd7Nyn-niEXO_ncwzi6APVq2xEilGGywnf_wYc4p1Bvs4xIZhTloqKzPepTzDnBYDfJTy7tLCX2KWhLqK1BWy4stzXoOvH2sHa-n2D1j98nW8H7A3C5d-OQXOh9_uuMJox2lYk9e4xjgZR_jfMjJLsGN5a1JfUJVvOixhhi6q95amn-BxvHkxo</recordid><startdate>199909</startdate><enddate>199909</enddate><creator>Mannelli, Massimo</creator><creator>Ianni, Lucia</creator><creator>Lazzeri, Chiara</creator><creator>Castellani, Walter</creator><creator>Pupilli, Cinzia</creator><creator>Villa, Giorgio La</creator><creator>Barletta, Giuseppe</creator><creator>Serio, Mario</creator><creator>Franchi, Franco</creator><general>American Heart Association, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>199909</creationdate><title>In Vivo Evidence That Endogenous Dopamine Modulates Sympathetic Activity in Man</title><author>Mannelli, Massimo ; Ianni, Lucia ; Lazzeri, Chiara ; Castellani, Walter ; Pupilli, Cinzia ; Villa, Giorgio La ; Barletta, Giuseppe ; Serio, Mario ; Franchi, Franco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4768-84a55f581eb3076e32363992263c7891580653a7544efefa39e598fe22fa5a0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adrenal Gland Diseases - metabolism</topic><topic>Adrenal Gland Diseases - physiopathology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cross-Over Studies</topic><topic>Domperidone - pharmacology</topic><topic>Dopamine - blood</topic><topic>Dopamine - physiology</topic><topic>Dopamine Antagonists - pharmacology</topic><topic>Dopamine D2 Receptor Antagonists</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Norepinephrine - blood</topic><topic>Peripheral nervous system. Autonomic nervous system. Neuromuscular transmission. Ganglionic transmission. Electric organ</topic><topic>Physical Exertion - physiology</topic><topic>Receptors, Dopamine D2 - metabolism</topic><topic>Reference Values</topic><topic>Sympathetic Nervous System - physiology</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mannelli, Massimo</creatorcontrib><creatorcontrib>Ianni, Lucia</creatorcontrib><creatorcontrib>Lazzeri, Chiara</creatorcontrib><creatorcontrib>Castellani, Walter</creatorcontrib><creatorcontrib>Pupilli, Cinzia</creatorcontrib><creatorcontrib>Villa, Giorgio La</creatorcontrib><creatorcontrib>Barletta, Giuseppe</creatorcontrib><creatorcontrib>Serio, Mario</creatorcontrib><creatorcontrib>Franchi, Franco</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mannelli, Massimo</au><au>Ianni, Lucia</au><au>Lazzeri, Chiara</au><au>Castellani, Walter</au><au>Pupilli, Cinzia</au><au>Villa, Giorgio La</au><au>Barletta, Giuseppe</au><au>Serio, Mario</au><au>Franchi, Franco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In Vivo Evidence That Endogenous Dopamine Modulates Sympathetic Activity in Man</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>1999-09</date><risdate>1999</risdate><volume>34</volume><issue>3</issue><spage>398</spage><epage>402</epage><pages>398-402</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>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<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. When compared with placebo, domperidone caused a significant increase in the low/high frequency ratio (P<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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