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正常及自主神经阻断兔出血期间血管加压素和肾素释放的传入控制

Afferent control of vasopressin and renin release during haemorrhage in normal and autonomically blocked rabbits.

作者信息

Courneya C A, Korner P I, Oliver J R, Woods R L

机构信息

Baker Medical Research Institute, Melbourne, Australia.

出版信息

Clin Exp Pharmacol Physiol. 1992 Nov;19(11):745-60. doi: 10.1111/j.1440-1681.1992.tb00412.x.

DOI:10.1111/j.1440-1681.1992.tb00412.x
PMID:1473290
Abstract
  1. The role of the arterial and cardiac baroreceptors on the arginine vasopressin (AVP) and plasma renin activity (PRA) responses to haemorrhage was studied in conscious rabbits. They were bled at a rate of approximately 3% of their blood volume (BV)/min, both when the autonomic nervous system (ANS) was intact and during ANS blockade, which markedly enhances the AVP response due to the much greater haemodynamic disturbance. Under each condition of ANS function 2 x 2 factorial analysis was performed, each with four groups of rabbits, including animals with both sets of baroreceptors working, one or other set working and neither set working. 2. With intact ANS, haemorrhage had to be terminated at different times in the four groups. This presents problems for factorial analysis due to differences in the relationship between plasma AVP (or PRA) and release rate. A method for overcoming this was developed by extrapolating the BV-log AVP curves to a common time from the start of bleeding. 3. Under both conditions of ANS function the arterial and cardiac baroreceptors together accounted for 90-95% of the rise in AVP during haemorrhage. With normal ANS function, the rise in AVP was about 70% through cardiac (probably ventricular) baroreceptors (P = 0.01) and about 30% through arterial baroreceptors (P = 0.08). This compares with an earlier study at a rate of bleeding of 1.8% BV/min, where the entire drive came from the cardiac receptors. During ANS blockade, plasma AVP was enhanced approximately five-fold, which was mostly mediated through the arterial baroreceptors, but the cardiac baroreceptor component was also greater; arterial/cardiac baroreceptor drive was 2/1. 4. Baroreflexes played no role in renin release during haemorrhage, but the experiments with ANS blockade suggest that a hormonal factor, which was related to the cardiac innervation, may limit the rise in PRA in the latter part of haemorrhage.
摘要
  1. 在清醒兔中研究了动脉和心脏压力感受器对精氨酸加压素(AVP)及血浆肾素活性(PRA)对出血反应的作用。以约3%血容量(BV)/分钟的速率对其进行放血,分别在自主神经系统(ANS)完整时以及在ANS阻断期间进行,后者由于血流动力学干扰大得多而显著增强AVP反应。在ANS功能的每种情况下进行2×2析因分析,每组有四组兔子,包括两组压力感受器均起作用、仅一组起作用以及两组均不起作用的动物。

  2. 在ANS完整时,四组放血在不同时间终止。由于血浆AVP(或PRA)与释放速率之间关系的差异,这给析因分析带来问题。通过将BV-log AVP曲线从出血开始外推到一个共同时间,开发出一种克服此问题的方法。

  3. 在ANS功能的两种情况下,动脉和心脏压力感受器共同占出血期间AVP升高的90 - 95%。在正常ANS功能下,AVP升高约70%通过心脏(可能是心室)压力感受器(P = 0.01),约30%通过动脉压力感受器(P = 0.08)。这与早期一项以1.8% BV/分钟的放血速率进行的研究相比,早期研究中整个驱动来自心脏感受器。在ANS阻断期间,血浆AVP升高约五倍,这主要通过动脉压力感受器介导,但心脏压力感受器成分也更大;动脉/心脏压力感受器驱动为2/1。

  4. 压力反射在出血期间肾素释放中不起作用,但ANS阻断实验表明,一种与心脏神经支配相关的激素因子可能在出血后期限制PRA的升高。

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