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心房利钠肽可抑制肾小球疾病和原发性高血压患者对甲氧氯普胺的醛固酮反应。

Atrial natriuretic peptide inhibits the aldosterone response to metoclopramide in patients with glomerular disease and essential hypertension.

作者信息

Matsuoka H, Fukui K, Dan Y, Ishimitsu T, Hirata Y, Kimura K, Sugimoto T, Ishii M, Kangawa K, Matsuo H

机构信息

Second Department of Internal Medicine, University of Tokyo, Japan.

出版信息

Clin Exp Pharmacol Physiol. 1991 Aug;18(8):557-62. doi: 10.1111/j.1440-1681.1991.tb01491.x.

DOI:10.1111/j.1440-1681.1991.tb01491.x
PMID:1833103
Abstract
  1. We examined the effects of metoclopramide (MCP: 10 mg i.v.) on plasma atrial natriuretic peptide (ANP) and aldosterone concentrations (PAC) and the effect of ANP on MCP-induced PAC in four patients with primary glomerular diseases and seven patients with essential hypertension. 2. MCP injection caused no significant changes in plasma ANP. MCP produced a marked increase in PAC without a significant change in plasma renin activity. 3. The increase in PAC induced by MCP injection was markedly attenuated when preceded by the infusion of ANP (25 ng/kg per min). 4. These results suggest that the dopaminergic D2 mechanism is not involved in the regulation of ANP secretion and that ANP modulates the dopaminergic regulation of aldosterone secretion.
摘要
  1. 我们研究了甲氧氯普胺(MCP:静脉注射10毫克)对4例原发性肾小球疾病患者和7例原发性高血压患者血浆心钠素(ANP)及醛固酮浓度(PAC)的影响,以及ANP对MCP诱导的PAC的影响。2. 注射MCP后血浆ANP无显著变化。MCP使PAC显著升高,而血浆肾素活性无显著改变。3. 在注射ANP(每分钟25纳克/千克)后再注射MCP,MCP诱导的PAC升高明显减弱。4. 这些结果表明,多巴胺能D2机制不参与ANP分泌的调节,且ANP可调节醛固酮分泌的多巴胺能调节。

相似文献

1
Atrial natriuretic peptide inhibits the aldosterone response to metoclopramide in patients with glomerular disease and essential hypertension.心房利钠肽可抑制肾小球疾病和原发性高血压患者对甲氧氯普胺的醛固酮反应。
Clin Exp Pharmacol Physiol. 1991 Aug;18(8):557-62. doi: 10.1111/j.1440-1681.1991.tb01491.x.
2
[The significance of atrial natriuretic polypeptide in the cause of essential hypertension].[心房利钠多肽在原发性高血压病因中的意义]
Nihon Naibunpi Gakkai Zasshi. 1991 Jul 20;67(7):796-810. doi: 10.1507/endocrine1927.67.7_796.
3
Dopaminergic control of aldosterone secretion is not mediated by atrial natriuretic factor in patients with essential hypertension.原发性高血压患者中,多巴胺能对醛固酮分泌的控制并非由心钠素介导。
J Hypertens Suppl. 1988 Dec;6(4):S336-8. doi: 10.1097/00004872-198812040-00104.
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Atrial natriuretic factor inhibits metoclopramide stimulated aldosterone release in man.心房利钠因子抑制甲氧氯普胺刺激的人体醛固酮释放。
Br J Clin Pharmacol. 1991 Jul;32(1):51-6. doi: 10.1111/j.1365-2125.1991.tb05612.x.
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Circadian rhythms of atrial natriuretic peptide, renin, aldosterone, cortisol, blood pressure and heart rate in normal and hypertensive subjects.正常人和高血压患者心房利钠肽、肾素、醛固酮、皮质醇、血压及心率的昼夜节律
J Hypertens. 1990 Jan;8(1):85-95. doi: 10.1097/00004872-199001000-00013.
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Effect of atrial natriuretic peptide (8-33-Met ANP) in patients with hypertension.
Am J Hypertens. 1992 May;5(5 Pt 1):266-75. doi: 10.1093/ajh/5.5.266.
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Atrial natriuretic peptide (ANP) inhibits its own secretion via ANP(A) receptors: altered effect in experimental hypertension.心房利钠肽(ANP)通过ANP(A)受体抑制其自身分泌:实验性高血压中的效应改变。
Endocrinology. 1997 May;138(5):1893-902. doi: 10.1210/endo.138.5.5120.
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Hormonal and renal effects of atrial natriuretic peptide in patients with secondary hypertension.心房利钠肽对继发性高血压患者的激素及肾脏影响
Circulation. 1988 Dec;78(6):1401-10. doi: 10.1161/01.cir.78.6.1401.
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Crit Care Med. 1990 Sep;18(9):915-20. doi: 10.1097/00003246-199009000-00003.