Tallarida G, Iellamo F, Raimondi G, Legramante J M, Cassarino S, Marazza D, Di Nardo P, Peruzzi G
Dipartimento di Medicina Interna, Facoltá di Medicina e Chirurgia, 2nd Universitá di Roma Tor Vergata, Italy.
J Hypertens. 1991 Oct;9(10):935-45.
The effects induced by alpha-human 28-amino acid residue atrial natriuretic peptide (alpha-hANP) on arterial pressure, heart rate and vascular resistance, measured as hindlimb perfusion pressure (HPP), were examined in anesthetized rabbits. In particular, the involvement of the autonomic nervous system in mediating the cardiocirculatory effects of alpha-hANP was investigated. Intravenous alpha-hANP (8 micrograms/kg, bolus injection) in anesthetized rabbits caused a sustained decrease in atrial pressure, a transient decrease in HPP and no significant changes in heart rate. After sinoaortic denervation, alpha-hANP produced a greater decrease in arterial pressure and in hindlimb vascular resistance and also a consistent decrease in heart rate. Bilateral vagotomy did not significantly alter the cardiocirculatory responses to alpha-hANP in either normal or in sinoaortic denervated rabbits. Intravenous infusion of alpha-hANP (2 micrograms/kg bolus + 0.2 micrograms/kg per min) did not substantially change the baroreflex cardiocirculatory responses to loading and unloading carotid and aortic baroreceptors with bilateral carotid occlusion and phenylephrine or nitroglycerin bolus injection. In addition, alpha-hANP infusion did not modify the cardiovascular reflex responses to chemical stimulation of neural receptors (sensory endings of group III and IV somatic afferents) in the hindlimb muscles which are primarily mediated by sympathetic nerves in the anesthetized rabbit. Pharmacological blockade of the autonomic nervous system with atropine and guanethidine did not reduce the hypotensive and bradycardic effects caused by alpha-hANP in sinoaortic denervated animals. The results indicate that in anesthetized rabbits: (1) alpha-hANP can induce inhibitory cardiocirculatory responses (hypotension, bradycardia, musculocutaneous vasodilation) which are consistently offset by the sinoaortic baroreceptor system; (2) alpha-hANP does not alter the reflex control of arterial pressure and heart rate by arterial baroreceptors and muscle chemosensitive receptors; (3) activation of cardiopulmonary vagally-mediated depressor reflexes does not contribute to the inhibitory cardiovascular action of alpha-hANP; and (4) inhibitory effects on sympathetic activity do not constitute a significant component of the cardiocirculatory action of alpha-hANP.
在麻醉兔中,研究了α - 人28个氨基酸残基心房利钠肽(α - hANP)对动脉压、心率和以 hindlimb 灌注压(HPP)衡量的血管阻力的影响。特别地,研究了自主神经系统在介导α - hANP 的心脏循环效应中的作用。麻醉兔静脉注射α - hANP(8微克/千克,推注)导致心房压力持续下降、HPP 短暂下降且心率无显著变化。在去窦主动脉神经支配后,α - hANP 使动脉压和 hindlimb 血管阻力下降幅度更大,且心率持续下降。双侧迷走神经切断术在正常或去窦主动脉神经支配的兔中均未显著改变对α - hANP 的心脏循环反应。静脉输注α - hANP(2微克/千克推注 + 0.2微克/千克每分钟)在双侧颈动脉闭塞以及苯肾上腺素或硝酸甘油推注以加载和卸载颈动脉和主动脉压力感受器时,并未实质性改变压力感受性心脏循环反应。此外,α - hANP 输注并未改变对麻醉兔后肢肌肉中神经受体(Ⅲ和Ⅳ组躯体传入神经的感觉末梢)化学刺激的心血管反射反应,这些反应主要由交感神经介导。用阿托品和胍乙啶对自主神经系统进行药理阻断并未降低去窦主动脉神经支配动物中α - hANP 引起的降压和心动过缓效应。结果表明,在麻醉兔中:(1)α - hANP 可诱导抑制性心脏循环反应(低血压、心动过缓、肌肉皮肤血管舒张),这些反应被窦主动脉压力感受器系统持续抵消;(2)α - hANP 不改变动脉压力感受器和肌肉化学感受器对动脉压和心率的反射控制;(3)心肺迷走神经介导的降压反射的激活对α - hANP 的抑制性心血管作用无贡献;(4)对交感神经活动的抑制作用不是α - hANP 心脏循环作用的重要组成部分。