Evidence for the Direct Effect of Adrenergic Drugs on the Cerebral Vascular Bed of the Unanesthetized Goat• Despite considerable research, the question of whether adrenergic drugs exert direct effects on the cerebral circulation has remained unresolved. With the development of a method for monitoring continuously the entire blood flow to one hemisphere in the unanesthetized goat, we have been able to study this problem directly. The effects of epinephrine, norepinephrine, and isoproterenol administered by close intra-arterial injection were investigated in 15 goats in which an electromagnetic flowmeter had been implanted previously on the internal maxillary artery, which, in this animal, provides the sole blood supply to a hemisphere. Both epinephrine and norepinephrine (0.1 to 5.0 fig) produced dose-dependent reductions in cerebral blood flow, a decrease of 55 ± 3% (SEM) occurring with the highest dose. Alpha receptor blockade of the ipsilateral hemisphere with phenoxybenzamine totally or partially abolished this cerebral vasoconstriction. Isoproterenol (0.01 to 1.0 fig) produced dose-dependent increases in cerebral blood flow, an increment of 75 ± 6% occurring with the highest dose. Beta blockade with propranolol totally or partially abolished the cerebral vasodilation induced by isoproterenol. Thus, epinephrine, norepinephrine, and isoproterenol exert powerful direct effects on the cerebral circulation of the unanesthetized goat, and these effects appear to be mediated by alpha and beta receptors.Additional Key Words cerebral blood flow epinephrine cerebral vascular resistance alpha adrenergic receptors norepinephrine beta adrenergic receptors isoproterenol 5-hydroxytryptamine papaverine phenoxybenzamine propranolol electromagnetic flowmeter• The cerebral circulation, encased as it is within the bony cranium and generally furnished by a dual blood supply from the carotid and vertebral arterial systems, has been slow to reveal the regulatory mechanisms that control it. Thus, previous reports concerning the effects of vasoactive substances on cerebral blood flow have been inconclusive and conflicting. 1 " 0 Recent reviews point out the difficulties of differentiating between the direct effects of drugs on cerebral vessels and the secondary effects resulting from changes in heart rate, systemic arterial pressure, and cardiac output.7 " 10 Definitive delineation of the pharmacological mechanisms that control cerebral blood flow has not been possible because of the lack of an experimental model that permits the effects of various interventions to be assessed on a Supported in part by Grant HE-06375 from the National Heart Institute and by a General Research Support Grant.
50beat-to-beat basis in an unanesthetized animal in which the effects of extracerebral blood flow have been eliminated. We have recently developed in our laboratory an experimental preparation, utilizing the goat, that obviates these difficulties.11 In this animal, each internal maxillary artery, a branch of the external carotid artery,...