Hoagland K M, Maddox D A, Martin D S
University of South Dakota, School of Medicine, Department of Physiology and Pharmacology, Vermillion 57069-2390, USA.
Can J Physiol Pharmacol. 1999 Aug;77(8):563-70.
Bradykinin (BK) is a peptide known to activate afferent nerve fibers from the kidney and elicit reflex changes in the cardiovascular system. The present study was specifically designed to test the hypothesis that bradykinin B2 receptors mediated the pressor responses elicited during intrarenal bradykinin administration. Pulsed Doppler flow probes were positioned around the left renal artery to measure renal blood flow (RBF). A catheter, to permit selective intrarenal administration of BK, was advanced into the proximal left renal artery. The femoral artery was cannulated to measure mean arterial pressure (MAP). MAP, heart rate (HR), and RBF were recorded from conscious unrestrained rats while five-point cumulative dose-response curves during an intrarenal infusion of BK (5-80 microg x kg(-1) x min(-1)) were constructed. Intrarenal infusion of BK elicited dose-dependent increases in MAP (maximum pressor response, 26+/-3 mmHg), accompanied by a significant tachycardia (130+/-18 beats/min) and a 28% increase in RBF. Ganglionic blockade abolished the BK-induced increases in MAP (maximum response, -6+/-5 mmHg), HR (maximum response 31+/-14 beats/min), and RBF (maximum response, 7+/-2%). Selective intrarenal B2-receptor blockade with HOE-140 (50 microg/kg intrarenal bolus) abolished the increases in MAP and HR observed during intrarenal infusion of BK (maximum MAP response, -2+/-3 mmHg; maximum HR response, 15+/-11 beats/min). Similarly, the increases in RBF were prevented after HOE-140 treatment. In fact, after HOE-140, intrarenal BK produced a significant decrease in RBF (22%) at the highest dose of BK. Results from this study show that the cardiovascular responses elicited by intrarenal BK are mediated predominantly via a B2-receptor mechanism.
缓激肽(BK)是一种已知可激活来自肾脏的传入神经纤维并引发心血管系统反射性变化的肽。本研究专门设计用于检验缓激肽B2受体介导肾内给予缓激肽期间引发的升压反应这一假说。脉冲多普勒血流探头置于左肾动脉周围以测量肾血流量(RBF)。一根用于选择性肾内给予BK的导管推进至左肾动脉近端。股动脉插管以测量平均动脉压(MAP)。在清醒不受约束的大鼠中记录MAP、心率(HR)和RBF,同时构建肾内输注BK(5 - 80微克×千克⁻¹×分钟⁻¹)期间的五点累积剂量反应曲线。肾内输注BK引起MAP剂量依赖性升高(最大升压反应,26±3 mmHg),伴有显著心动过速(130±18次/分钟)和RBF增加28%。神经节阻断消除了BK诱导的MAP升高(最大反应,-6±5 mmHg)、HR升高(最大反应31±14次/分钟)和RBF升高(最大反应,7±2%)。用HOE - 140(50微克/千克肾内推注)进行选择性肾内B2受体阻断消除了肾内输注BK期间观察到的MAP和HR升高(最大MAP反应,-2±3 mmHg;最大HR反应,15±11次/分钟)。同样,HOE - 140处理后RBF的增加也被阻止。事实上,在HOE - 140处理后,肾内BK在最高剂量时使RBF显著降低(22%)。本研究结果表明,肾内BK引发的心血管反应主要通过B2受体机制介导。