Head G A, Williams N S
Baker Medical Research Institute, Prahran, Victoria, Australia.
Am J Physiol. 1992 Oct;263(4 Pt 2):R845-51. doi: 10.1152/ajpregu.1992.263.4.R845.
We have examined the hemodynamic effects of intraventricular angiotensins in conscious rabbits. Fourth ventricular injections of angiotensin II (ANG II, 8 fmol to 25 pmol) produced dose-dependent pressor responses at doses 400 times less than equipressor intravenous doses. Lateral ventricle administration of doses up to 1,000 pmol had little effect on mean arterial pressure (maximum +7 +/- 3 mmHg, P < 0.05, n = 9). Comparison of dose-response curves to ANG I, II, and III showed that all three had similar maximum pressor effects (27 +/- 3 mmHg), with ANG I being four times less potent than ANG II, and ANG III as potent as ANG II. Central pretreatment with the ANG-converting enzyme inhibitor enalapril abolished the pressor response to ANG I, suggesting that it was mediated entirely through ANG II. Examination of the hemodynamic changes after ANG I, II, and III in rabbits instrumented with aortic, mesenteric, or hindquarter flow probes showed that the rise in blood pressure to all three agents was due entirely to a decrease in total peripheral conductance, since cardiac output and heart rate fell. Peripheral conductance changes were not uniform, with the mesenteric bed showing an average 20 +/- 3% fall in conductance, while the hindquarter conductance increased (+12 +/- 3%). In sinoaortic-denervated rabbits, however, central angiotensins reduced conductance equally in the hindlimb and mesenteric beds, suggesting that the hindlimb dilatation in the baroreceptor intact rabbit was due to baroreflex buffering of the pressor effect. In conclusion, these studies suggest that the main sites for ANG effects on the cardiovascular system are located in the brain stem.(ABSTRACT TRUNCATED AT 250 WORDS)
我们研究了脑室内血管紧张素对清醒家兔的血流动力学影响。向第四脑室注射血管紧张素II(ANG II,8飞摩尔至25皮摩尔)产生剂量依赖性升压反应,其剂量比等压静脉注射剂量小400倍。向侧脑室注射高达1000皮摩尔的剂量对平均动脉压影响很小(最大升高7±3 mmHg,P<0.05,n = 9)。对ANG I、II和III的剂量反应曲线比较表明,三者具有相似的最大升压效应(27±3 mmHg),ANG I的效力比ANG II低四倍,ANG III与ANG II效力相同。用血管紧张素转换酶抑制剂依那普利进行中枢预处理可消除对ANG I的升压反应,表明其完全通过ANG II介导。对安装有主动脉、肠系膜或后肢血流探头的家兔注射ANG I、II和III后的血流动力学变化检查表明,对所有三种药物的血压升高完全是由于总外周电导降低,因为心输出量和心率下降。外周电导变化并不均匀,肠系膜床的电导平均下降20±3%,而后肢电导增加(+12±3%)。然而,在去窦主动脉神经的家兔中,中枢血管紧张素在后肢和肠系膜床中同等程度地降低电导,表明在压力感受器完整的家兔中后肢扩张是由于压力反射对升压效应的缓冲作用。总之,这些研究表明血管紧张素对心血管系统产生作用的主要部位位于脑干。(摘要截短于250字)