Zimmerman R S, Martinez A J, MacPhee A A, Barbee R W
Department of Endocrinology, Ochsner Clinic, New Orleans, LA 70121.
J Cardiovasc Pharmacol. 1990 Dec;16(6):865-70. doi: 10.1097/00005344-199012000-00002.
The present study was designed to determine the pharmacologic effects of rat atrial natriuretic factor (r-ANF; 250 ng/kg/min), endothelin-3 (ET-3; 340 ng/kg/min), and combined r-ANF and ET-3 infusion on cardiac hemodynamics and renal function in anesthetized rats. The change in mean arterial pressure (delta MAP) was 13 +/- 2 mm Hg during ET-3 infusion alone. Delta MAP was -9 +/- 2 mm Hg during r-ANF infusion alone. Combined infusion of ET-3 and r-ANF resulted in a change in MAP of -7 +/- 3 mm Hg. The decrease in MAP during combined infusion of ET-3 and r-ANF occurred due to a decrease in cardiac output. Infusion of r-ANF did not block the cardiac output. Infusion of r-ANF did not block the ET-3-induced increase in total peripheral resistance (TPR). Infusion of r-ANF alone resulted in an 11-fold increase in urinary sodium excretion. ET-3 infusion completely blocked the ANF-induced natriuresis in part by markedly decreasing the glomerular filtration rate (GFR). ET-3 or r-ANF infusion alone resulted in two- or eightfold increases, respectively, in circulating r-ANF levels compared to vehicle alone. However, combined infusion of r-ANF and ET-3 resulted in a dramatic 27-fold increase in circulating r-ANF when compared to levels obtained during vehicle infusion alone. The present study demonstrates that at pharmacologic levels, r-ANF blocks the pressor action of ET-3 by decreasing cardiac output rather than TPR. Furthermore, ET-3 blocks the natriuretic action of r-ANF, partly by decreasing GFR.
本研究旨在确定大鼠心房利钠因子(r-ANF;250 ng/kg/分钟)、内皮素-3(ET-3;340 ng/kg/分钟)以及r-ANF与ET-3联合输注对麻醉大鼠心脏血流动力学和肾功能的药理作用。单独输注ET-3期间,平均动脉压变化(ΔMAP)为13±2 mmHg。单独输注r-ANF期间,ΔMAP为-9±2 mmHg。ET-3与r-ANF联合输注导致MAP变化为-7±3 mmHg。ET-3与r-ANF联合输注期间MAP的降低是由于心输出量减少所致。输注r-ANF并未阻断心输出量。输注r-ANF并未阻断ET-3诱导的总外周阻力(TPR)增加。单独输注r-ANF导致尿钠排泄增加11倍。ET-3输注通过显著降低肾小球滤过率(GFR),部分阻断了ANF诱导的利钠作用。与单独输注赋形剂相比,单独输注ET-3或r-ANF分别使循环r-ANF水平增加2倍或8倍。然而,与单独输注赋形剂时获得的水平相比,r-ANF与ET-3联合输注导致循环r-ANF急剧增加27倍。本研究表明,在药理水平上,r-ANF通过降低心输出量而非TPR来阻断ET-3的升压作用。此外,ET-3部分通过降低GFR来阻断r-ANF的利钠作用。