Summary
Plasma noradrenaline content may be a biochemical marker of sympathetic nerve function in man and of value in determining the pathophysiology and therapy of primary hypertension. This paper describes our findings of the concentrations of the circulatory neurohormones, adrenaline (A), noradrenaline (NA) and its metabolite normetanephrine (NMN) in normotensive volunteers and patients with primary hypertension. A and NA were measured in blood from both arterial and venous sites and NMN was determined in venous blood. Venous plasma NA and NMN, but not A, appear to be reliable markers of net sympathetic tone in man and are increased in young patients with primary hypertension. These findings may indicate an enhanced central sympathetic noradrenergic tone which is especially amenable to therapy with centrally acting alpha agonist antihypertensive drugs.
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References
DeQuattro V, Nagatsu T, Maronde R, Alexander L (1969) Catecholamine synthesis in rabbits with neurogenic hypertension. Circ Res 24:545–555
Popper CW, Chiueh CC, Kopin IJ (1977) Plasma catecholamine concentrations in unanesthetized rats during sleep, wakefulness, immobilization and after decapitation. J Pharmacol Exp Ther 202:144–148
Peuler JD, Johnson GA (1978) Simultaneous single isotope radioenzymatic assay of plasma norepinephrine, epinephrine and dopamine. Life Sciences 21:625–636
Miura Y, Campese V, DeQuattro V, Meijer D (1977) Plasma catecholamines via an improved fluorimetric assay; comparison with an enzymatic method. J Lab Clin Med 89:421–427
Kobayashi K, Kolloch R, DeQuattro V, Miano L (1979) Increased plasma and urinary normetanephrine in young patients with primary hypertension. Clin Sci Mol Med, in press
Brecht HM, Ernst W, Koch KM (1975) Plasma noradrenaline levels in regular hemodialysis patients. Proc Eur Dial Transpl Assoc 12:281–289
Kopin IJ, Breese GR, Krauss KR, Weise VK (1968) Selective release of newly synthesized norepinephrine from the cat spleen during sympathetic nerve stimulation. J Pharmacol Exp Ther 161:271–278
DeQuattro V, Chan S (1972) Raised plasma-catecholamines in some patients with primary hypertension. Lancet 1:806–809
Cohen G, Holland B, Sha J, Goldenberg M (1959) Plasma concentrations of epinephrine and norepinephrine during intravenous infusions in man. J Clin Invest 38:1935–1941
Vendsalu A (1960) Studies on adrenaline and noradrenaline in human plasma. Acta Physiol Seand (Suppl. 173) 49:1
Miura Y, Haneda T, Sato T, Miyazawa K, Sakuma H, Kobayashi K, Minai K, Shirato K, Honna T, Takishima T, Yoshinaga K (1976) Plasma catecholamine levels in the coronary sinus, aorta and femoral vein of subjects undergoing cardiac catheterization at rest and during exercise. Japanese Cire J 40:929–934
Miura Y, Kobayashi K, Sakuma H, Tomioka H, Adachi J, Yoshinaga K (1978) Plasma noradrenaline concentrations and hemodynamics in the early stage of essential hypertension. Clin Sci Mol Med 55:69s–71s
Eide I, Kolloch R, DeQuattro V, Miano L, Dugger R, Van der Meulen J (1979) Raised cerebrospinal fluid norepinephrine in some patients with primary hypertension. Hypertension 1:255–260
Louis WJ, Doyle AE, Anavekar S (1973) Plasma norepinephrine levels in essential hypertension. N Engl J Med 288:599
Louis WJ, Doyle AE, Anavekar SN, Johnston CI, Geffen LB, Rush R (1974) Plasma catecholamine, dopamine-beta-hydroxylase, and renin levels in essential hypertension. Circ Res Suppl I: 57–61
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© 1980 Springer-Verlag Berlin Heidelberg
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DeQuattro, V., Kolloch, R., Kobayashi, K., Johnston, W., Miano, L. (1980). Circulatory Neurohormones in Primary Hypertension: Probes in Etiology and Treatment. In: Philipp, T., Distler, A. (eds) Hypertension: Mechanisms and Management. International Boehringer Mannheim Symposia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67712-0_1
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DOI: https://doi.org/10.1007/978-3-642-67712-0_1
Publisher Name: Springer, Berlin, Heidelberg
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