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血栓素介导肾脏对输注血管紧张素II的血流动力学反应。

Thromboxane mediates renal hemodynamic response to infused angiotensin II.

作者信息

Wilcox C S, Welch W J, Snellen H

机构信息

Department of Medicine, University of Florida College of Medicine, Gainesville.

出版信息

Kidney Int. 1991 Dec;40(6):1090-7. doi: 10.1038/ki.1991.319.

DOI:10.1038/ki.1991.319
PMID:1837063
Abstract

UNLABELLED

Since we had found that angiotensin II (Ang II), but not phenylephrine (PE), increased the excretion of thromboxane (Tx) and raised mean arterial pressure (MAP) by a Tx-dependent mechanism, we tested the role of TxA2 in mediating Ang II-induced changes in renal hemodynamics. For series 1, groups of anesthetized rats received an i.v. infusion of Ang II (50 ng.kg-1.min-1). When infused with a vehicle, Ang II increased MAP, renal vascular resistance (RVR) and the excretion of TxB2 factored by GFR. A PGH2-TxA2 receptor antagonist, SQ-29,548, or three days of pretreatment with a TxA2 synthase inhibitor UK-38,485, which reduced excretion of TxB2 by 80%, blunted the rise in MAP and RVR induced by Ang II. In contrast, three days of pretreatment with indomethacin did not alter the renal vascular response to Ang II. For series 2, groups of rats received Ang II at a higher rate (500 ng.kg-1.min-1) while the RPP was stabilized at +11 to +15 mm Hg with a suprarenal aortic clamp. SQ-29,548 and UK-38,485 both prevented Ang II-induced reductions in GFR and blocked 80% of the increase in RVR. For series 3, infusions of phenylephrine at an equipressor dose to series 2 of 30 micrograms.kg-1.min-1 with control of RPP at +14 mm Hg also increased RVR but this was not blunted by SQ-29,548.

IN CONCLUSION

1.) infusion of Ang II increases excretion of filtered TxB2, causes dose-dependent increases in RVR and, at high doses, reduces GFR.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

未标记

由于我们发现血管紧张素II(Ang II)而非去氧肾上腺素(PE)通过一种依赖血栓素(Tx)的机制增加血栓素(Tx)的排泄并升高平均动脉压(MAP),我们测试了血栓素A2(TxA2)在介导Ang II诱导的肾血流动力学变化中的作用。在系列1中,给几组麻醉大鼠静脉输注Ang II(50 ng·kg-1·min-1)。当输注溶媒时,Ang II增加MAP、肾血管阻力(RVR)以及经肾小球滤过率(GFR)校正的血栓素B2(TxB2)排泄。一种前列环素H2-血栓素A2受体拮抗剂SQ-29548,或用血栓素A2合酶抑制剂UK-38485预处理三天(其使TxB2排泄减少80%),可减弱Ang II诱导的MAP和RVR升高。相比之下,用吲哚美辛预处理三天并未改变肾脏对Ang II的血管反应。在系列2中,给几组大鼠以更高速率(500 ng·kg-1·min-1)输注Ang II,同时用肾上腹主动脉夹将肾灌注压(RPP)稳定在+11至+15 mmHg。SQ-29548和UK-38485均能防止Ang II诱导的GFR降低,并阻断80%的RVR升高。在系列3中,以与系列2等压剂量(30 μg·kg-1·min-1)输注去氧肾上腺素并将RPP控制在+14 mmHg也增加了RVR,但这并未被SQ-29548减弱。

结论

1.)输注Ang II增加滤过TxB2的排泄,导致RVR呈剂量依赖性增加,且在高剂量时降低GFR。(摘要截短至250字)

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