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长期氯沙坦治疗可降低血管紧张素II介导的去甲肾上腺素在自发性高血压大鼠尾动脉中的释放促进作用。

Chronic losartan treatment decreases angiotensin II-mediated facilitation of noradrenaline release in the caudal artery of spontaneously hypertensive rats.

作者信息

Ruiz-Gayo M, Somoza B, Bravo R, Fernández-Alfonso M S, González C

机构信息

Departamento de Fisiología, Facultad de Medicina, Universidad Autónoma de Madrid, Spain.

出版信息

Life Sci. 2000 Nov 17;67(26):3153-62. doi: 10.1016/s0024-3205(00)00900-0.

Abstract

Sympathetic activity is modulated by angiotensin II (AII), both at pre- and postsynaptic level in the rat caudal artery. In the spontaneously hypertensive rat (SHR), this artery receives more dense sympathetic innervation than blood vessels of normotensive strains. This fact seems to be linked to the enhanced pressor responses elicited by noradrenaline in SHR. In this work we describe, in the SHR, the effect of a chronic treatment with the angiotensin II AT1-receptor antagonist, losartan, in modulating noradrenergic mechanisms involved in caudal artery contraction. The effect of losartan is compared to that of captopril, given at doses leading to a similar decrease of both arterial blood pressure and left ventricular hypertrophy. The contractile response of caudal artery rings induced by endogenous noradrenaline released by low frequency transmural nerve stimulation (TNS) has been studied. Under our conditions, TNS (0.5-1 Hz) induced higher contractile responses in SHR treated with losartan than in the control and captopril-treated groups. This difference seems to be due to an increase of the postsynaptic effect of noradrenaline (NA) rather than to an increase of noradrenaline release from sympathetic endings, since i) DE50 value for NA was lower in losartan-treated SHR than in the other groups, and ii) AII induced a dose-dependent increase of TNS-evoked release of radioactivity from caudal artery segments loaded with [3H]-NA, in both control and captopril-treated groups but had no effect in the losartan-treated group. These results show that chronic treatment with losartan, although slightly enhancing the pressor effect of NA at postsynaptic level, fully supresses the facilitatory role of AII on NA release.

摘要

在大鼠尾动脉中,交感神经活动在突触前和突触后水平均受到血管紧张素II(AII)的调节。在自发性高血压大鼠(SHR)中,该动脉接受的交感神经支配比正常血压品系的血管更为密集。这一事实似乎与去甲肾上腺素在SHR中引发的升压反应增强有关。在本研究中,我们描述了在SHR中,用血管紧张素II AT1受体拮抗剂氯沙坦进行慢性治疗对调节尾动脉收缩中涉及的去甲肾上腺素能机制的影响。将氯沙坦的作用与卡托普利的作用进行了比较,卡托普利的给药剂量导致动脉血压和左心室肥厚均有相似程度的降低。研究了低频跨壁神经刺激(TNS)释放的内源性去甲肾上腺素诱导的尾动脉环收缩反应。在我们的实验条件下,TNS(0.5 - 1 Hz)在氯沙坦治疗的SHR中诱导出的收缩反应高于对照组和卡托普利治疗组。这种差异似乎是由于去甲肾上腺素(NA)的突触后效应增加,而不是交感神经末梢去甲肾上腺素释放增加,因为:i)氯沙坦治疗的SHR中NA的DE50值低于其他组;ii)在对照组和卡托普利治疗组中,AII诱导了剂量依赖性的、从加载了[3H]-NA的尾动脉段中TNS诱发的放射性释放增加,但在氯沙坦治疗组中没有作用。这些结果表明,氯沙坦慢性治疗虽然在突触后水平略微增强了NA的升压作用,但完全抑制了AII对NA释放的促进作用。

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