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动脉压力感受器控制清醒犬对分级低血压的血浆血管加压素反应。

Arterial baroreceptors control plasma vasopressin responses to graded hypotension in conscious dogs.

作者信息

Thrasher T N, Chen H G, Keil L C

机构信息

Department of Surgery, University of Maryland, Baltimore, Maryland 21201, USA.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2000 Feb;278(2):R469-75. doi: 10.1152/ajpregu.2000.278.2.R469.

Abstract

We studied the role of cardiac and arterial baroreceptors in the reflex control of arginine vasopressin (AVP) and renin secretion during graded hypotension in conscious dogs. The dogs were prepared with Silastic cuffs on the thoracic inferior vena cava and catheters in the pericardial space. Each experiment consisted of a control period followed by four periods of inferior vena caval constriction, during which mean arterial pressure (MAP) was reduced in increments of approximately 10 mmHg. The hormonal responses were measured in five dogs under four treatment conditions: 1) intact, 2) acute cardiac denervation (CD) by intrapericardial infusion of procaine, 3) after sinoaortic denervation (SAD), and 4) during combined SAD+CD. The individual slopes relating MAP to plasma AVP and plasma renin activity (PRA) were used to compare the treatment effects using a 2 x 2 factorial analysis. There was a significant (P < 0.01) effect of SAD on the slope relating plasma AVP to MAP but no effect of CD and no SAD x CD interaction. In contrast, the slope relating PRA and MAP was increased (P < 0.05) by SAD but was not affected by CD. These results support the hypothesis that stimulation of AVP secretion in response to graded hypotension is primarily driven by unloading arterial baroreceptors in the dog.

摘要

我们研究了在清醒犬分级低血压期间,心脏和动脉压力感受器在精氨酸血管加压素(AVP)反射性控制和肾素分泌中的作用。给犬的胸段下腔静脉放置硅橡胶袖带,并在心包腔内放置导管。每个实验包括一个对照期,随后是四个下腔静脉缩窄期,在此期间平均动脉压(MAP)以约10 mmHg的增量降低。在五只犬的四种治疗条件下测量激素反应:1)完整状态,2)通过心包内注入普鲁卡因进行急性心脏去神经支配(CD),3)在窦主动脉去神经支配(SAD)后,4)在联合SAD + CD期间。使用2×2析因分析,将MAP与血浆AVP和血浆肾素活性(PRA)相关的个体斜率用于比较治疗效果。SAD对血浆AVP与MAP相关的斜率有显著(P < 0.01)影响,但CD无影响,且不存在SAD×CD相互作用。相反,SAD使PRA与MAP相关的斜率增加(P < 0.05),但不受CD影响。这些结果支持以下假设:在犬中,对分级低血压的反应中AVP分泌的刺激主要由动脉压力感受器卸载驱动。

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