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出生后清醒绵羊对全身和局部输注血管紧张素II的不同反应。

Differential responses to systemic and local angiotensin II infusions in conscious postnatal sheep.

作者信息

Velaphi Sithembiso C, Roy Timothy, Despain Kevin, Rosenfeld Charles R

机构信息

Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390-9063, USA.

出版信息

Pediatr Res. 2002 Sep;52(3):333-41. doi: 10.1203/00006450-200209000-00005.

Abstract

Angiotensin II (ANG II) increases blood pressure (MAP) via specific ANG II receptors (AT) and is considered important in regulating MAP after birth. In adult animals, AT(1) receptors predominate in vascular smooth muscle (VSM) and mediate vasoconstriction. In newborn sheep, AT(2) receptors, which do not mediate vasoconstriction, predominate in vascular smooth muscle until 2 wk postnatal when they are replaced by AT(1). Thus, the mechanisms whereby ANG II increases MAP after birth are unclear. We examined the effects of ANG II on femoral vascular resistance (FmVR) and blood flow (FmBF) in serial studies of newborn sheep (n = 7) at 7-14 d, 15-21 d, and 22-35 d. Animals had femoral catheters implanted for systemic ANG II infusions and cardiovascular monitoring, and a flow probe was implanted on the contralateral artery proximal to the superficial saphenous artery, which contained a catheter for intra-arterial ANG II infusions. Studies were performed using a range of systemic and intra-arterial ANG II doses. Systemic ANG II increased MAP dose-dependently at all ages (p < 0.001); however, responses were not age dependent. FmBF rose dose dependently at 7-14 d (p < 0.001) and was unchanged at older ages. FmVR was unaffected at 7-14 d, but values increased dose dependently at 15-21 d and 22-3 5d (p < 0.001), although never exceeded relative increases in MAP. Local ANG II did not alter MAP, FmBF, or FmVR at any age. Although systemic ANG II increases MAP and FmVR dose dependently after birth, ANG II-induced vasoconstriction is attenuated. Furthermore, intra-arterial ANG II does not alter FmVR in the absence of systemic responses, suggesting incomplete vascular smooth muscle AT(1) expression, stimulation of local ANG II antagonists, or ANG II-mediated release of another vasoconstrictor.

摘要

血管紧张素II(ANG II)通过特定的ANG II受体(AT)升高血压(平均动脉压,MAP),被认为在出生后调节MAP中起重要作用。在成年动物中,AT(1)受体在血管平滑肌(VSM)中占主导地位并介导血管收缩。在新生绵羊中,不介导血管收缩的AT(2)受体在血管平滑肌中占主导地位,直到出生后2周,此时它们被AT(1)受体取代。因此,出生后ANG II升高MAP的机制尚不清楚。我们在对7至14日龄、15至21日龄和22至35日龄的新生绵羊(n = 7)进行的系列研究中,检测了ANG II对股血管阻力(FmVR)和血流量(FmBF)的影响。给动物植入股动脉导管用于全身ANG II输注和心血管监测,并在对侧靠近大隐动脉的动脉上植入流量探头,该动脉含有用于动脉内ANG II输注的导管。研究使用了一系列全身和动脉内ANG II剂量。全身ANG II在所有年龄段均剂量依赖性地升高MAP(p < 0.001);然而,反应不依赖于年龄。FmBF在7至14日龄时剂量依赖性升高(p < 0.001),在较大年龄时无变化。FmVR在7至14日龄时未受影响,但在15至21日龄和22至35日龄时其值剂量依赖性增加(p < 0.001),尽管从未超过MAP的相对增加幅度。局部ANG II在任何年龄均未改变MAP、FmBF或FmVR。尽管出生后全身ANG II剂量依赖性地升高MAP和FmVR,但ANG II诱导的血管收缩减弱。此外,在没有全身反应的情况下,动脉内ANG II不会改变FmVR,这表明血管平滑肌AT(1)表达不完全、局部ANG II拮抗剂的刺激或ANG II介导的另一种血管收缩剂的释放。

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