Salas S P, Roblero J S, López L F, Tachibana S, Huidobro-Toro J P
Department of Endocrinology, Faculty of Medicine, Catholic University of Chile, Santiago.
J Pharmacol Exp Ther. 1992 Sep;262(3):979-86.
The i.v. administration of E-2078 ([N-methyl-Tyr1-N-methyl-Arg7-D-Leu8]-dynorphin-A-(1-8) ethylamide) to conscious animals in doses of 15, 50 or 200 micrograms/rat caused a dose-related diuretic response associated with a significant in crease in glomerular filtration rate (GFR) and in blood pressure. The overall excretion of Na+ was not modified by the opioid, whereas it reduced K+ output and its fractional excretion. Time course studies demonstrated that the increase in GFR and in blood pressure were transient and did not parallel the changes in urine outflow. Pretreatment of the animal with 1 mg/kg of naltrexone or of naloxone reduced the pressor response but did not reduce the renal action of E-2078. Doses of naltrexone 10 times larger (10 mg/kg) were required to attenuate the diuretic effect and abolish completely the changes in K+ excretion; however, the increase in GFR was not antagonized by 10 mg/kg of naltrexone. Consonant with the studies in conscious rats, perfusion of isolated rat kidneys with 0.2 to 1.8 microM E-2078 increased urine flow in a dose-dependent manner, and this effect was prevented by the simultaneous perfusion of 2 microM naltrexone with the peptide. In pentobarbital-anesthetized animals, E-2078 elicited a diuretic response that was not parallelled by changes in GFR or electrolyte excretion. In addition, E-2078 caused a long lasting decrease in blood pressure which was blocked completely by pretreatment of the animal with 1 mg/kg of naltrexone. The diuretic effect of E-2078 was not modified by pretreatment of the animals with beta-funaltrexamine.(ABSTRACT TRUNCATED AT 250 WORDS)
以15、50或200微克/大鼠的剂量给清醒动物静脉注射E-2078([N-甲基-Tyr1-N-甲基-Arg7-D-Leu8]-强啡肽A-(1-8)乙酰胺),会引起剂量相关的利尿反应,同时伴有肾小球滤过率(GFR)和血压的显著升高。阿片类药物未改变Na+的总排泄量,但降低了K+的排出量及其分数排泄率。时程研究表明,GFR和血压的升高是短暂的,与尿量流出的变化并不平行。用1毫克/千克的纳曲酮或纳洛酮预处理动物可降低升压反应,但并未减弱E-2078的肾脏作用。需要10倍剂量(10毫克/千克)的纳曲酮才能减弱利尿作用并完全消除K+排泄的变化;然而,10毫克/千克的纳曲酮并未拮抗GFR的升高。与清醒大鼠的研究结果一致,用0.2至1.8微摩尔的E-2078灌注离体大鼠肾脏会以剂量依赖的方式增加尿量,并且该作用可通过同时用2微摩尔的纳曲酮与该肽灌注来预防。在戊巴比妥麻醉的动物中,E-2078引发了利尿反应,而GFR或电解质排泄的变化与之并不平行。此外,E-2078导致血压长期下降,用1毫克/千克的纳曲酮预处理动物可完全阻断该作用。用β-氟纳曲胺预处理动物并未改变E-2078的利尿作用。(摘要截短于250字)