Szilagyi J E
Department of Pharmacology, University of Houston, Texas 77204-5515.
Clin Exp Hypertens A. 1991;13(8):1383-94. doi: 10.3109/10641969109048800.
Stress is an important risk factor in cardiovascular diseases, including hypertension. Endogenous opioids are known to be elevated in stress and in various models of hypertension with differing etiologies. Blockade of endogenous opioids with naloxone has been demonstrated to attenuate or reverse the elevation in blood pressure in both renovascular and spontaneous hypertension. In the current study, increased blood pressure was induced using a model of psychosocial stress. During the first week of stress, systolic blood pressure rose rapidly to reach a level that was sustained throughout the remaining period of stress. Chronic infusion of the opiate antagonist, naloxone, both prevented and completely reversed the elevated blood pressure due to psychosocial stress. These data demonstrate that elevated endogenous opioids are important factors in cardiovascular regulation and are likely to influence both the development and maintenance of stress-induced hypertension.
压力是包括高血压在内的心血管疾病的一个重要风险因素。已知内源性阿片类物质在压力状态以及各种病因不同的高血压模型中会升高。已证实,用纳洛酮阻断内源性阿片类物质可减轻或逆转肾血管性高血压和自发性高血压患者的血压升高。在本研究中,使用心理社会压力模型诱导血压升高。在压力的第一周,收缩压迅速上升至在整个压力剩余期间持续的水平。长期输注阿片拮抗剂纳洛酮可预防并完全逆转因心理社会压力导致的血压升高。这些数据表明,内源性阿片类物质升高是心血管调节中的重要因素,可能会影响应激性高血压的发生和维持。