Mogielnicki Andrzej, Chabielska Ewa, Pawlak Robert, Szemraj Janusz, Buczko Wlodzimierz
Department of Pharmacodynamics, Medical University, Mickiewicza Str. 2C, 15-089 Bialystok, Poland.
Thromb Haemost. 2005 Jun;93(6):1069-76. doi: 10.1160/TH04-10-0701.
There is an increased number of in vitro evidence that angiotensin II (Ang II) may promote thrombosis. However there are no in vivo experiments exploring the effect of Ang II on thrombus formation. In the present study we have investigated the influence of Ang II on venous thrombosis in renovascular hypertensive rats. Furthermore, we examined the role of AT(1) receptor and Ang II metabolites: angiotensin III (Ang III) and angiotensin IV (Ang IV) in the mechanisms of Ang II action. The contribution of coagulation and fibrinolytic systems in the mode of Ang II action was also determined. Venous thrombosis was induced by ligation of vena cava. Ang II infused into rats developing venous thrombosis caused dose-dependent increase in thrombus weight, which was partially reversed by losartan, selective AT(1) antagonist. Ang III did not influence the thrombus formation in hypertensive rats, while Ang IV caused a marked increase in thrombus weight only in one of the used doses. Our study shows that Ang II via AT(1) receptor enhances thrombosis development. The prothrombotic effect of Ang II may partially depend on enhanced leukocytes adhesion to endothelial cells accompanied by accelerated fibrin formation and increased plasma level of PAI-1. Moreover, Ang II action is partially mediated by one of its metabolites - Ang IV.
越来越多的体外证据表明,血管紧张素II(Ang II)可能促进血栓形成。然而,尚无体内实验探究Ang II对血栓形成的影响。在本研究中,我们调查了Ang II对肾血管性高血压大鼠静脉血栓形成的影响。此外,我们研究了AT(1)受体以及Ang II代谢产物:血管紧张素III(Ang III)和血管紧张素IV(Ang IV)在Ang II作用机制中的作用。还确定了凝血和纤溶系统在Ang II作用方式中的作用。通过结扎腔静脉诱导静脉血栓形成。向发生静脉血栓形成的大鼠体内注入Ang II会导致血栓重量呈剂量依赖性增加,而选择性AT(1)拮抗剂氯沙坦可部分逆转这种增加。Ang III对高血压大鼠的血栓形成没有影响,而Ang IV仅在所用的一个剂量下导致血栓重量显著增加。我们的研究表明,Ang II通过AT(1)受体增强血栓形成的发展。Ang II的促血栓形成作用可能部分取决于白细胞与内皮细胞粘附增强,同时伴有纤维蛋白形成加速和血浆PAI - 1水平升高。此外,Ang II的作用部分由其代谢产物之一——Ang IV介导。