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内源性血管紧张素II在麻醉犬肾神经刺激诱导的抗利尿和去甲肾上腺素溢出中的作用。

The role of endogenous angiotensin II in antidiuresis and norepinephrine overflow induced by stimulation of renal nerves in anesthetized dogs.

作者信息

Hayashi K, Matsumura Y, Yoshida Y, Suzuki Y, Morimoto S

机构信息

Department of Pharmacology, Osaka University of Pharmaceutical Sciences, Japan.

出版信息

J Cardiovasc Pharmacol. 1991 May;17(5):807-13. doi: 10.1097/00005344-199105000-00017.

Abstract

We examined the possible involvement of endogenous angiotensin II (ANG II) in norepinephrine (NE) overflow and antidiuresis induced by renal nerve stimulation (RNS). RNS at a frequency of 0.5-2.0 Hz, which did not influence renal hemodynamics, produced significant reductions in urine flow and urinary excretion of sodium, and elevations in NE secretion rate (NESR) and renin secretion rate (RSR). Intrarenal arterial (i.r.a.) infusion of phentolamine (10 micrograms/kg/min) abolished the RNS-induced antidiuresis. In dogs receiving captopril (15 micrograms/kg/min i.v.), RNS-induced antidiuresis and increase in NESR were significantly attenuated. The i.r.a. administration of propranolol at 5 micrograms/kg/min, a dose that inhibited completely the RNS-induced increase in RSR, did not influence the alterations in NESR and urine formation in response to RNS. During ANG II infusion (1 ng/kg/min i.r.a.), RNS produced a reduction in urine formation and an increase in NESR, at a magnitude similar to that seen without ANG II infusion. These results suggest that RNS at a low frequency increased the NESR and RSR without affecting renal hemodynamics and that the antidiuretic effect was probably produced via the activation of postsynaptic alpha-adrenoceptors, but not via the ANG II receptor, located on the renal tubules. The release of NE appears to be modulated by ANG II through the activation of a facilitatory prejunctional mechanism, which is maximally stimulated by endogenously and locally generated basal levels of ANG II.

摘要

我们研究了内源性血管紧张素II(ANG II)在肾神经刺激(RNS)诱导的去甲肾上腺素(NE)溢出和抗利尿作用中的可能作用。频率为0.5 - 2.0 Hz的RNS不影响肾血流动力学,但可显著减少尿流量和尿钠排泄,并提高NE分泌率(NESR)和肾素分泌率(RSR)。肾内动脉(i.r.a.)输注酚妥拉明(10微克/千克/分钟)可消除RNS诱导的抗利尿作用。在静脉注射卡托普利(15微克/千克/分钟)的犬中,RNS诱导的抗利尿作用和NESR增加显著减弱。以5微克/千克/分钟的剂量肾内动脉给予普萘洛尔,该剂量可完全抑制RNS诱导的RSR增加,但不影响RNS引起的NESR改变和尿液生成。在ANG II输注期间(肾内动脉1纳克/千克/分钟),RNS使尿液生成减少,NESR增加,其幅度与未输注ANG II时相似。这些结果表明,低频RNS在不影响肾血流动力学的情况下增加了NESR和RSR,抗利尿作用可能是通过激活突触后α - 肾上腺素能受体产生的,而非通过位于肾小管上的ANG II受体。NE的释放似乎通过激活一种促进性的突触前机制受到ANG II的调节,内源性和局部产生的基础水平的ANG II对该机制有最大刺激作用。

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