RESUMO
En el presente trabajo realizamos una revisión y actualización de las acciones, indicaciones, reacciones adversas y sus tratamientos, interacciones y contraindicaciones de los distintos medios de contrastes.(AU)
In this review, we revised and updated the actions, indications, interactions and contraindications of the different contrast media, as well as their adverse reactions and how to treat them.(AU)
RESUMO
En el presente trabajo realizamos una revisión y actualización de las acciones, indicaciones, reacciones adversas y sus tratamientos, interacciones y contraindicaciones de los distintos medios de contrastes.
In this review, we revised and updated the actions, indications, interactions and contraindications of the different contrast media, as well as their adverse reactions and how to treat them.
RESUMO
The effects of activating dopaminergic D(2/3) and D(4) receptors during activation of the subthalamic projection to the globus pallidus (GP) were explored in rat brain slices using the whole cell patch-clamp technique. Byocitin labeling and both orthodromic and antidromic activation demonstrated the integrity of some subthalamopallidal connections in in vitro parasagittal brain slices. Excitatory postsynaptic currents (EPSCs) that could be blocked by CNQX and AP5 were evoked onto pallidal neurons by local field stimulation of the subthalamopallidal pathway in the presence of bicuculline. Bath application of dopamine and quinpirole, a dopaminergic D(2)-class receptor agonist, reduced evoked EPSCs by about 35%. This effect was only partially blocked by sulpiride, a D(2/3) receptor antagonist. The sulpiride-sensitive reduction of the subthalamopallidal EPSC was associated with an increase in the paired-pulse ratio (PPR) and a reduction in the frequency but not the mean amplitude of spontaneous EPSCs (sEPSCs), indicative of a presynaptic site of action, which was confirmed by variance-mean analysis. The sulpiride-resistant EPSC reduction was mimicked by PD 168,077 and blocked by L-745,870, selective D(4) receptor agonist and antagonist, respectively, suggesting the involvement of D(4) receptors. The reduction of EPSCs produced by PD 168,077 was not accompanied by changes in PPR or the frequency of sEPSCs; however, it was accompanied by a reduction in mean sEPSC amplitude, indicative of a postsynaptic site of action. These results show that dopamine modulates subthalamopallidal excitation by presynaptic D(2/3) and postsynaptic D(4) receptors. The importance of this modulation is discussed.
