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血管紧张素II和钾在清醒完整犬醛固酮分泌长期调节中的作用

Role of angiotensin II and potassium in the long-term regulation of aldosterone secretion in intact conscious dogs.

作者信息

McCaa R E, McCaa C S, Guyton A C

出版信息

Circ Res. 1975 Jun;36(6 Suppl 1):57-67. doi: 10.1161/01.res.36.6.57.

Abstract

The aldosterone response to long-term infusion of angiotensin II and potassium was studied in intact conscious dogs. Plasma aldosterone concentration (PAC), plasma renin activity (PRA), and plasma cortisol concentration (PCC) were determined by radioimmunoassay. In ten dogs maintained on angiotension II infusion (5 ng/kg min-1) for 14 days, PAC increased from 6.9 plus or minus 2.9 to 18.6 plus or minus 4.7 ng/100 ml plasma (mean plus or minus SE) within ten minutes after beginning the infusion, reached a maximum level of 28.3 plus or minus 6.8 ng/100 ml plasma by one hour, and returned to control levels by six hours. PCC increased from 0.6 plus or minus 0.2 to 3.9 plus or minus 1.0 mu-g/ 100 ml plasma within one hour after angiotensin II infusion and returned to control levels by six hours. During the next 14 days of angiotensin infusion, PAC remained at control levels, PRA was undetectable by radioimmunoassay, and mean arterial blood pressure was elevated 29 plus or minus 4 mm Hg above control levels. In ten dogs maintained on KCL infusion (250 mEg/day) for 15 days, PAC increased from 6.8 plus or minus 2.4 to 13.6 plus or minus 3.4 ng/100 ml plasma within 24 hours, averaged 22.4 plus or minus 4.3 ng/100 ml plasma by 48 hours, and remained elevated for the next 12 days, averaging 21.8 plus or minus 5.6 ng/100 ml plasma. During the next 14 days of KCL infusion, serum Kn increased from 4.1 plus or minus 0.3 to 4.9 plus or minus 0.5 ME1/L, and PRA decreased from 1.25 plus or minus 0.3 to 0.65 plus or minus 0.2 ng/ml/hr. PCC averaged 0.73 plus or minus 0.4 mu-g/100 ml plasma in the control samples and failed to change significantly during KCL infusion. These data indicate that chronic angiotensin II infusion into intact conscious dogs at rates capable of maintaining elevated arterial blood pressure results in a transient increase in aldosterone secretion that lasts only a few hours, while chronic infusion of potassium ions at rates that produce a minor increase in serum Kn results in a sustained increase in aldosterone secretion.

摘要

在清醒的完整犬体内研究了醛固酮对长期输注血管紧张素II和钾的反应。采用放射免疫分析法测定血浆醛固酮浓度(PAC)、血浆肾素活性(PRA)和血浆皮质醇浓度(PCC)。在10只持续输注血管紧张素II(5 ng/kg·min-1)14天的犬中,输注开始后10分钟内,PAC从6.9±2.9 ng/100 ml血浆增加至18.6±4.7 ng/100 ml血浆(均值±标准误),1小时时达到最高水平28.3±6.8 ng/100 ml血浆,6小时时恢复至对照水平。血管紧张素II输注后1小时内,PCC从0.6±0.2 μg/100 ml血浆增加至3.9±1.0 μg/100 ml血浆,6小时时恢复至对照水平。在接下来14天的血管紧张素输注期间,PAC维持在对照水平,放射免疫分析法检测不到PRA,平均动脉血压比对照水平升高29±4 mmHg。在10只持续输注氯化钾(250 mEq/天)15天的犬中,24小时内PAC从6.8±2.4 ng/100 ml血浆增加至13.6±3.4 ng/100 ml血浆,48小时时平均为22.4±4.3 ng/100 ml血浆,并在接下来12天内持续升高,平均为21.8±5.6 ng/100 ml血浆。在接下来14天的氯化钾输注期间,血清钾从4.1±0.3 mmol/L增加至4.9±0.5 mmol/L,PRA从1.25±0.3 ng/ml·hr降至0.65±0.2 ng/ml·hr。对照样本中PCC平均为0.73±0.4 μg/100 ml血浆,在氯化钾输注期间无显著变化。这些数据表明,以能够维持动脉血压升高的速率向清醒的完整犬长期输注血管紧张素II会导致醛固酮分泌短暂增加,仅持续数小时,而以导致血清钾轻度升高的速率长期输注钾离子会导致醛固酮分泌持续增加。

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