Weisinger R S, Blair-West J R, Burns P, Denton D A, Purcell B, Vale W, Rivier J, Weisinger H S, May C N
Howard Florey Institute of Experimental Physiology and Medicine, University of Melbourne, Parkville, Victoria, Australia.
Endocrinology. 2004 Dec;145(12):5598-604. doi: 10.1210/en.2004-0432. Epub 2004 Aug 19.
The neuroendocrine hormones ACTH and corticotropin- releasing factor (CRF), which are involved in the stress response, have acute effects on arterial pressure. New evidence indicates that urocortin (UCN), the putative agonist for the CRF type 2 receptor, has selective cardiovascular actions. The responses to long-term infusions of these hormones, both peripherally and centrally, in conscious animals have not been studied. Knowledge of the long-term effects is important because they may differ considerably from their acute actions, and stress is frequently a chronic stimulus. The present experiments investigated the cardiovascular effects of CRF, UCN, and ACTH in conscious sheep. Infusions were made either into the lateral cerebral ventricles (i.c.v.) or i.v. over 4 d at 5 microg/h. UCN infused i.c.v. or i.v. caused a prolonged increase in heart rate (HR) (P < 0.01) and a small increase in mean arterial pressure (MAP) (P < 0.05). CRF infused i.c.v. or i.v. progressively increased MAP (P < 0.05) but had no effect on HR. Central administration of ACTH had no effect, whereas systemic infusion increased MAP and HR (P < 0.001). In conclusion, long-term administration of these three peptides associated with the stress response had prolonged, selective cardiovascular actions. The striking finding was the large and sustained increase in HR with i.c.v. and i.v. infusions of UCN. These responses are probably mediated by CRF type 2 receptors because they were not reproduced by infusions of CRF.
参与应激反应的神经内分泌激素促肾上腺皮质激素(ACTH)和促肾上腺皮质激素释放因子(CRF)对动脉血压有急性影响。新证据表明,CRF 2型受体的假定激动剂尿皮质素(UCN)具有选择性心血管作用。尚未研究在清醒动物中外周和中枢长期输注这些激素的反应。了解长期影响很重要,因为它们可能与其急性作用有很大差异,而且应激通常是一种慢性刺激。本实验研究了CRF、UCN和ACTH对清醒绵羊的心血管作用。以5微克/小时的速度在4天内将药物分别注入侧脑室(脑室内)或静脉内。脑室内或静脉内注入UCN导致心率(HR)持续升高(P<0.01),平均动脉压(MAP)略有升高(P<0.05)。脑室内或静脉内注入CRF使MAP逐渐升高(P<0.05),但对HR无影响。脑室内给予ACTH无作用,而全身输注则使MAP和HR升高(P<0.001)。总之,长期给予这三种与应激反应相关的肽具有长期的、选择性心血管作用。显著的发现是脑室内和静脉内注入UCN可使HR大幅持续升高。这些反应可能由CRF 2型受体介导,因为CRF注入未产生同样的反应。