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Issue 881 coverIMIDAZOLINE RECEPTORS AND THEIR ENDOGENOUS LIGANDS: CURRENT CONCEPTS AND THERAPEUTIC POTENTIAL Copyright © 1999 by the New York Academy of Sciences
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Articles by HAXHIU, M. A.
Articles by ERNSBERGER, P.
Annals of the New York Academy of Sciences 881:372-382 (1999)
© 1999 New York Academy of Sciences

Moxonidine Acting Centrally Inhibits Airway Reflex Responsesa

MUSA A. HAXHIUb, ISMAIL A. DRESHAJ, CHRISTOPHER B. McFADDEN, BERNADETTE O. EROKWU AND PAUL ERNSBERGER

Department of Medicine, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA

aThis work was supported by United States Public Health Service Grants HL 50527-01 and HL 44514.
bAddress for correspondence: Musa A. Haxhiu, MD, PhD, Pulmonary Division and Critical Care Medicine, University Hospitals of Cleveland 11000 Euclid Avenue, Cleveland, OH 44106-5067. Phone, 216 368-8630; fax, 216 368-0034; e-mail, mah10{at}po.cwru.edu

We examined the role of I1-imidazoline (I1-IR) receptors in control of airway function, by testing the effects of systemic administration of the I1-IR agonist moxonidine on reflex responses of tracheal smooth muscle (TSM) tone to either lung deflation or mechanical stimulation of intrapulmonary rapidly adapting receptors. Experiments were performed in either {alpha}-chloralose anesthetized or decorticate, paralyzed, and mechanically ventilated beagle dogs. Moxonidine (10 - 100 µg/kg) administered via three different routes (femoral vein, muscular branch of superior thyroid artery, and vertebral artery) attenuated TSM responses to stimulation of airway sensory nerve fibers by two different ways and caused a decrease in arterial pressure and heart rate. These effects were dose dependent and were significantly reversed by efaroxan (an I1-IR and {alpha}2-adrenergic blocker) administered via the vertebral artery. Intravertebral efaroxan abolished the hemodynamic effects of moxonidine. Intravenous moxonidine (10 - 100 µg/ kg) did not alter airway smooth muscle responses to electrical stimulation of the peripheral vagus nerve. In addition, in vitro moxonidine (1 - 100 µg/ml) had no effect on contractile responses to increasing doses of acetylcholine. These findings indicate that moxonidine may act at a central site to suppress reflex airway constriction, even when given into the systemic circulation. Given the presence of I1-IR sites and {alpha}2-adrenergic receptors in brain regions participating in airway reflexes, these receptor classes may be involved in brainstem control of the cholinergic outflow to the airways.






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