Matsumura Kiyoshi, Tsuchihashi Takuya, Fujii Koji, Abe Isao, Iida Mitsuo
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hypertension. 2002 Nov;40(5):694-9. doi: 10.1161/01.hyp.0000035395.51441.10.
Ghrelin is an orexigenic peptide originally isolated from the stomach. Intravenous administration of ghrelin has been shown to elicit a decrease in arterial pressure without a significant change in heart rate (HR), suggesting that ghrelin may act on the central nervous system to modulate sympathetic activity. The aim of the present study was to determine the central effects of ghrelin on cardiovascular and sympathetic responses in conscious rabbits. Intravenous injection of ghrelin elicited dose-related decreases in arterial pressure and HR, without a significant change in renal sympathetic nerve activity. On the other hand, intracerebroventricular injection of 1 nmol of ghrelin decreased arterial pressure, HR, and renal sympathetic nerve activity. Peak depressor or sympathoinhibitory responses of mean arterial pressure and renal sympathetic nerve activity (-19.0+/-1.5 mm Hg and -43.3+/-5.4%) were observed at 50 and 40 minutes, respectively, after intracerebroventricular injection of 1 nmol of ghrelin. Furthermore, a subdepressor dose of intracerebroventricular infusion of ghrelin (0.3 nmol/150 micro L per hour) significantly augmented the baroreflex sensitivities assessed by renal sympathetic nerve activity and HR compared with those of vehicle infusion (G(max); -17.8+/-3.1 versus -9.4+/-1.6%/mm Hg, P<0.05; -12.5+/-1.8 versus -6.6+/-1.2 bpm/mm Hg, P<0.05; respectively). These results suggest that intravenous injection of ghrelin acts, at least in part, on the central nervous system to decrease arterial pressure and renal sympathetic nerve activity, and that central ghrelin participates in the regulations of the sympathetic nerve activity to the kidney and the baroreceptor reflex in conscious rabbits.
胃饥饿素是一种最初从胃中分离出来的促食欲肽。静脉注射胃饥饿素已被证明可引起动脉血压下降,而心率(HR)无显著变化,这表明胃饥饿素可能作用于中枢神经系统以调节交感神经活动。本研究的目的是确定胃饥饿素对清醒家兔心血管和交感神经反应的中枢作用。静脉注射胃饥饿素引起动脉血压和心率呈剂量相关下降,肾交感神经活动无显著变化。另一方面,脑室内注射1 nmol胃饥饿素可降低动脉血压、心率和肾交感神经活动。脑室内注射1 nmol胃饥饿素后,平均动脉压和肾交感神经活动的最大降压或交感抑制反应分别在50分钟和40分钟时观察到(分别为-19.0±1.5 mmHg和-43.3±5.4%)。此外,与注射赋形剂相比,脑室内输注亚降压剂量的胃饥饿素(0.3 nmol/150 μL/小时)可显著增强通过肾交感神经活动和心率评估的压力感受性反射敏感性(G(max);-17.8±3.1对-9.4±1.6%/mmHg,P<0.05;-12.5±1.8对-6.6±1.2 bpm/mmHg,P<;0.05)。这些结果表明,静脉注射胃饥饿素至少部分通过作用于中枢神经系统来降低动脉血压和肾交感神经活动,并且中枢胃饥饿素参与清醒家兔肾交感神经活动和压力感受器反射的调节。