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内皮素在介导缺血/缺氧诱导的心房利钠肽释放中的作用。

The role of endothelin in mediating ischemia/hypoxia-induced atrial natriuretic peptide release.

作者信息

Zhang Yi, Oliver John R, Horowitz John D

机构信息

High Blood Pressure Research Unit, John Curtin School of Medical Research, Australian National University, Canberra, Australia.

出版信息

J Cardiovasc Pharmacol. 2004 Feb;43(2):227-33. doi: 10.1097/00005344-200402000-00010.

DOI:10.1097/00005344-200402000-00010
PMID:14716210
Abstract

The aim of the present study was to investigate the putative role of endothelin (ET) in mediating ischemia/hypoxia-induced ANP release utilizing exogenous ET-1 or ET receptor antagonists (BQ-123 or Bosentan). Isolated rat hearts with non-distended atria were perfused using a Langendorff apparatus and heart rate maintained constant via atrial pacing. Global ischemia was induced either by direct reduction in perfusion or by infusion of exogenous ET-1 (5 x 10(-10) M) for 30 minutes. Perfusion with the ET receptor antagonists, BQ-123 (10(-6) M) or Bosentan (10(-5) M) was initiated 10 minutes before onset of ischemia. Moderate or severe ischemia was induced by reduction (52-61% and 70-82%, respectively) in perfusate flow. Thirty minutes of ischemia/hypoxia (5% O2) was followed by 30 minutes of reperfusion/re-oxygenation. Both moderate and severe ischemia increased ANP release. BQ-123 and Bosentan did not affect basal or ischemia-induced ANP release. Exogenous ET-1 perfusion induced a late increase in ANP release (P < 0.01) that did not exceed the increase in ANP release associated with equivalent direct flow reduction. Hypoxia induced an 8-fold increase in ANP release rate. The ANP release rate returned toward basal levels after re-oxygenation. Bosentan, but not BQ-123, significantly attenuated (P < 0.01) hypoxia-induced ANP release. In conclusion, in this system, ANP release is stimulated by moderate (or severe) ischemia and severe hypoxia independent of change in atrial distension; endogenous ET does not mediate basal and ischemia-induced ANP release; and hypoxia-induced ANP release is partially modulated via interaction with endogenous ET.

摘要

本研究的目的是利用外源性内皮素-1(ET-1)或内皮素受体拮抗剂(BQ-123或波生坦)来研究内皮素(ET)在介导缺血/缺氧诱导的心房钠尿肽(ANP)释放中的假定作用。使用Langendorff装置灌注分离的大鼠心脏,其心房未扩张,并通过心房起搏使心率保持恒定。通过直接降低灌注或输注外源性ET-1(5×10⁻¹⁰ M)30分钟来诱导整体缺血。在缺血开始前10分钟开始用ET受体拮抗剂BQ-123(10⁻⁶ M)或波生坦(10⁻⁵ M)进行灌注。通过降低灌注液流量(分别为52 - 61%和70 - 82%)诱导中度或重度缺血。30分钟的缺血/缺氧(5% O₂)后接着进行30分钟的再灌注/再氧合。中度和重度缺血均增加了ANP的释放。BQ-123和波生坦不影响基础或缺血诱导的ANP释放。外源性ET-1灌注诱导ANP释放的后期增加(P < 0.01),但不超过与同等直接流量降低相关的ANP释放增加。缺氧使ANP释放速率增加8倍。再氧合后ANP释放速率恢复至基础水平。波生坦而非BQ-123显著减弱(P < 0.01)缺氧诱导的ANP释放。总之,在该系统中,中度(或重度)缺血和重度缺氧刺激ANP释放,与心房扩张变化无关;内源性ET不介导基础和缺血诱导的ANP释放;缺氧诱导的ANP释放通过与内源性ET相互作用而部分受到调节。

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