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肾上腺再生性高血压中的肾素-血管紧张素系统

The renin-angiotensin systems in adrenal-regeneration hypertension.

作者信息

Kiprov D, Orbetzova V, Dimitrov T

出版信息

Cor Vasa. 1976;18(4):287-93.

PMID:1022407
Abstract

Adrenal regeneration hypertension [ARH] was induced after Ingle and Higgins, and Skelton in 13 female Wistar rats one and a half months old with the purpose of studying the function of the renal and the brain renin-angiotensin systems in that model of hypertension, before and after treatment with antihypertensive prostaglandin EI [PGEI]. It was found that a 30 days' application of PGEI induced a regression of the regenerated adrenal cortex, accompanied by a significant decrease in arterial blood pressure to normotensive values. Plasma renin activity did not correlate with the level of the blood pressure nor with kidney renin activity and was not influenced by PGEI. However renal renin activity, which was found to be increased, corresponded to the elevated blood pressure, and decreased almost to normal values with normalization of the blood pressure. A correlation between the brain and kidney renin systems was established in that increased renal renin activity was accompanied by low brain stem and medulla renin activity. The balance was restored by PGEI, which not only lowered blood pressure and decreased renal rein acitivity, but induced an increase of brain stem and medulla renin activity. It is concluded that there exists a notable connection between adrenal cortex regeneration, renal antihypertensive prostaglandins and the kidney and brain renin-angiotensin systems, which pays a correlated role in the mechanism of adrenal regeneration hypertension.

摘要

按照英格尔、希金斯和斯凯尔顿的方法,对13只1个半月大的雌性Wistar大鼠进行处理,诱发肾上腺再生性高血压(ARH),目的是研究在该高血压模型中,以及在用降压前列腺素E1(PGE1)治疗前后,肾素 - 血管紧张素系统在肾脏和大脑中的功能。结果发现,连续30天应用PGE1可使再生的肾上腺皮质消退,同时动脉血压显著下降至正常血压值。血浆肾素活性与血压水平及肾脏肾素活性均无相关性,且不受PGE1影响。然而,肾脏肾素活性升高与血压升高相对应,血压恢复正常时,肾脏肾素活性几乎降至正常水平。在肾脏和大脑肾素系统之间建立了一种关联,即肾脏肾素活性增加伴随着脑干和延髓肾素活性降低。PGE1恢复了这种平衡,它不仅降低了血压,减少了肾脏肾素活性,还使脑干和延髓肾素活性增加。得出的结论是,肾上腺皮质再生、肾脏降压前列腺素以及肾脏和大脑肾素 - 血管紧张素系统之间存在显著联系,它们在肾上腺再生性高血压机制中发挥相关作用。

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