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心钠素对清醒犬局部血流的影响:胃肠道优先血管收缩

Regional blood flow effects of ANP in conscious dogs: preferential gastrointestinal vasoconstriction.

作者信息

Woods R L, Smolich J J

机构信息

Baker Medical Research Institute, Prahran, Victoria, Australia.

出版信息

Am J Physiol. 1991 Dec;261(6 Pt 2):H1961-9. doi: 10.1152/ajpheart.1991.261.6.H1961.

Abstract

We studied total and regional blood flow responses to human atrial natriuretic peptide (alpha-hANP) using radioactive microspheres in six conscious dogs. Hemodynamic responses to infusions of alpha-hANP at 75 ng.kg-1.min-1 were determined in each dog in the presence and absence of autonomic reflexes using the ganglion blocking agent pentolinium. When autonomic reflexes were blocked, alpha-hANP caused a substantial reduction in gastrointestinal (GI) vascular conductance (35%) but had no significant effects in brain, kidneys, liver, skeletal muscle, or skin. This alpha-hANP-induced fall in GI conductance contributed more than 40% to the fall in total peripheral conductance (TPC) of 24% occurring after autonomic blockade. A fall in myocardial vascular conductance, most prominent in the left ventricle, contributed a further 40% to the fall in TPC. When autonomic reflexes were intact, alpha-hANP caused vasoconstriction in the GI region (29% fall in vascular conductance), had no significant effects on myocardial vascular conductance but significantly increased splenic vascular conductance. In addition to these systemic responses, alpha-hANP infusion also significantly reduced pulmonary vascular conductance, independent of autonomic reflex activity or changes in pulmonary artery pressure. Thus our results in conscious dogs demonstrate that alpha-hANP causes a systemic vasoconstriction, most pronounced in the GI region.

摘要

我们使用放射性微球研究了六只清醒犬对人心房利钠肽(α-hANP)的全身及局部血流反应。在每只犬身上,使用神经节阻断剂潘托铵,分别在存在和不存在自主反射的情况下,测定对以75 ng·kg-1·min-1的速率输注α-hANP的血流动力学反应。当自主反射被阻断时,α-hANP导致胃肠道(GI)血管传导率大幅降低(35%),但对脑、肾、肝、骨骼肌或皮肤没有显著影响。自主神经阻滞后,α-hANP引起的胃肠道传导率下降对总外周传导率(TPC)下降24%的贡献率超过40%。心肌血管传导率下降,在左心室最为明显,对TPC下降的贡献率进一步达到40%。当自主反射完整时,α-hANP导致胃肠道区域血管收缩(血管传导率下降29%),对心肌血管传导率无显著影响,但显著增加脾血管传导率。除了这些全身反应外,输注α-hANP还显著降低肺血管传导率,这与自主反射活动或肺动脉压力变化无关。因此,我们在清醒犬身上的研究结果表明,α-hANP会引起全身血管收缩,在胃肠道区域最为明显。

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