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心钠素与内皮素在心血管、肾脏及内分泌功能方面的相互作用。

Interaction of ANP with endothelin on cardiovascular, renal, and endocrine function.

作者信息

Ota K, Kimura T, Shoji M, Inoue M, Sato K, Ohta M, Yamamoto T, Tsunoda K, Abe K, Yoshinaga K

机构信息

Second Department of Internal Medicine, Tohoku University School of Medicine, Sendai, Japan.

出版信息

Am J Physiol. 1992 Feb;262(2 Pt 1):E135-41. doi: 10.1152/ajpendo.1992.262.2.E135.

Abstract

To assess the interaction of endothelin (ET) with atrial natriuretic peptide (ANP) on cardiovascular and renal function, arginine vasopressin (AVP) release, and the renin-angiotensin-aldosterone system, either a low or high dose of ET (4 or 12 pmol.kg-1.min-1) was administered with ANP (26 pmol.kg-1.min-1) for 45 min after the initial infusion of ANP alone in anesthetized dogs. In the other groups, either ANP or saline alone was administered for 90 min. ANP alone decreased blood pressure (BP), cardiac output (CO), plasma aldosterone, and plasma renin activity (PRA), increased urinary Na and K excretion (UNaV and UKV, respectively) and urine flow (UF), but did not affect plasma AVP. The low dose of ET had no effect on these ANP-induced changes. However, the high dose of ET curtailed the responses to ANP, increased BP and PRA, and decreased UNaV, UKV, and UF associated with decreased renal plasma flow and glomerular filtration rate. High ET also further potentiated the decrease in CO and the increase in total peripheral resistance induced by ANP and increased plasma AVP. These results indicate that a dose of ET one-half that of ANP (on the molar ratio) may have completely counteracted vascular, hormonal, and renal responses to ANP.

摘要

为评估内皮素(ET)与心房利钠肽(ANP)在心血管和肾功能、精氨酸加压素(AVP)释放以及肾素-血管紧张素-醛固酮系统方面的相互作用,在麻醉犬单独初始输注ANP后,给予低剂量或高剂量的ET(4或12 pmol·kg⁻¹·min⁻¹)与ANP(26 pmol·kg⁻¹·min⁻¹),持续45分钟。在其他组中,单独给予ANP或生理盐水,持续90分钟。单独给予ANP可降低血压(BP)、心输出量(CO)、血浆醛固酮和血浆肾素活性(PRA),增加尿钠和钾排泄(分别为UNaV和UKV)以及尿流量(UF),但不影响血浆AVP。低剂量的ET对这些ANP诱导的变化无影响。然而,高剂量的ET减弱了对ANP的反应,升高了BP和PRA,并降低了与肾血浆流量和肾小球滤过率降低相关的UNaV、UKV和UF。高剂量ET还进一步增强了ANP诱导的CO降低和总外周阻力增加,并增加了血浆AVP。这些结果表明,ET剂量为ANP的一半(摩尔比)可能完全抵消了对ANP的血管、激素和肾脏反应。

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