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甲氯噻嗪诱导大鼠主动脉收缩反应抑制的机制

Mechanisms of methyclothiazide-induced inhibition of contractile responses in rat aorta.

作者信息

Colas B, Slama M, Collin T, Safar M, Andrejak M

机构信息

Laboratoire de Pharmacologie et Physiopathologie Cardiovasculaire, Faculté de Médecine, Amiens, France.

出版信息

Eur J Pharmacol. 2000 Nov 10;408(1):63-7. doi: 10.1016/s0014-2999(00)00704-4.

DOI:10.1016/s0014-2999(00)00704-4
PMID:11070184
Abstract

Methyclothiazide (MCTZ), a thiazide diuretic, inhibits the contractile response induced by norepinephrine in aortic rings from 12-week-old spontaneously hypertensive rats (SHR). Although not modified by indomethacin, this inhibition was attenuated by either mechanical removal of the endothelium or N omega-nitro-L-arginine (NOLA) treatment. These results suggest that the MCTZ effects on the norepinephrine-evoked vascular response are mediated by an endothelium-dependent mechanism involving endothelium-dependent relaxing factor (EDRF)/nitric oxide (NO) release. MCTZ was also found to alter the contractile response induced by the addition of Ca(2+) to a depolarizing solution, and this inhibitory effect was partially abolished by NOLA application. Our data led us to propose that MCTZ relaxes aortic rings, resulting in an endothelium-dependent relaxation phenomenon that could even be reinforced under high-K(+) depolarizing conditions.

摘要

甲氯噻嗪(MCTZ)是一种噻嗪类利尿剂,可抑制12周龄自发性高血压大鼠(SHR)主动脉环中去甲肾上腺素诱导的收缩反应。尽管吲哚美辛对此无影响,但这种抑制作用可通过机械去除内皮或Nω-硝基-L-精氨酸(NOLA)处理而减弱。这些结果表明,MCTZ对去甲肾上腺素诱发的血管反应的作用是由涉及内皮依赖性舒张因子(EDRF)/一氧化氮(NO)释放的内皮依赖性机制介导的。还发现MCTZ可改变向去极化溶液中添加Ca(2+)所诱导的收缩反应,并且NOLA的应用可部分消除这种抑制作用。我们的数据使我们提出,MCTZ可使主动脉环舒张,导致内皮依赖性舒张现象,在高钾去极化条件下甚至可能增强。

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引用本文的文献

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Mechanism of Thiazide Diuretic Arterial Pressure Reduction: The Search Continues.噻嗪类利尿剂降低动脉压的机制:探索仍在继续。
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Lack of thiazide diuretic inhibition of agonist constriction of mouse mesenteric arterioles ex vivo.噻嗪类利尿剂缺乏抑制小鼠肠系膜小动脉激动剂收缩的作用。
Naunyn Schmiedebergs Arch Pharmacol. 2019 Jan;392(1):117-121. doi: 10.1007/s00210-018-1590-5. Epub 2018 Nov 23.
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The non-diuretic hypotensive effects of thiazides are enhanced during volume depletion states.
在血容量减少状态下,噻嗪类药物的非利尿性降压作用会增强。
PLoS One. 2017 Jul 18;12(7):e0181376. doi: 10.1371/journal.pone.0181376. eCollection 2017.
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Curr Opin Pharmacol. 2016 Apr;27:31-7. doi: 10.1016/j.coph.2016.01.005. Epub 2016 Feb 10.
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Curr Hypertens Rep. 2014 Sep;16(9):467. doi: 10.1007/s11906-014-0467-3.
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