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交感神经和血管紧张素受体阻断对自发性高血压大鼠中血管紧张素II和肾上腺素能激动剂诱导的肾血管收缩的影响。

Influence of sympathetic and AT-receptor blockade on angiotensin II and adrenergic agonist-induced renal vasoconstrictions in spontaneously hypertensive rats.

作者信息

Abdulla M H, Sattar M A, Khan Md A H, Abdullah N A, Johns E J

机构信息

School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Penang, Malaysia.

出版信息

Acta Physiol (Oxf). 2009 Mar;195(3):397-404. doi: 10.1111/j.1748-1716.2008.01895.x.

Abstract

AIM

This study investigated the influence of angiotensin II (Ang II) receptor and adrenergic blockade on the renal vasoconstrictions caused by Ang II and adrenergic agonists in spontaneously hypertensive rats (SHR).

METHODS

Forty-eight SHR were subjected to 7 days of losartan (10 mg kg(-1) day(-1) p.o.), carvedilol (5 mg kg(-1) day(-1) p.o.) or losartan + carvedilol (10 mg kg(-1) day(-1) + 5 mg kg(-1) day(-1) p.o.). On day 8, the rats were anaesthetized and renal vasoconstrictor experiments performed. One group of rats underwent acute unilateral renal denervation.

RESULTS

There were significant (P < 0.05) reductions in the renal vasoconstrictor responses to noradrenaline, phenylephrine, methoxamine and Ang II after losartan and carvedilol treatments compared with that in untreated rats (all P < 0.05). However, in renally denervated SHR treated with carvedilol, the vasoconstrictor responses to all the vasoactive agents were enhanced compared with those in SHR with intact renal nerves treated with carvedilol. Intact SHR given both losartan and carvedilol showed greater renal vasoconstrictor responses to the vasoactive agents than when given either losartan or carvedilol alone (all P < 0.05).

CONCLUSION

Carvedilol reduced the vasoconstrictor response to Ang II and all the adrenergic agonists in the presence of the renal nerves, but, following the removal of renal sympathetic activity, carvedilol enhanced the sensitivity of both renal alpha(1)-adrenoceptors and AT(1) receptors to the vasoactive agents. Co-treatment with losartan and carvedilol reduced the renal vasoconstrictor responses to exogenously administered vasoactive agents but to a lesser extent than losartan or carvedilol alone. The results obtained demonstrate an interaction between Ang II receptors and adrenergic neurotransmission in the SHR.

摘要

目的

本研究探讨血管紧张素II(Ang II)受体阻断和肾上腺素能阻断对自发性高血压大鼠(SHR)中由Ang II和肾上腺素能激动剂引起的肾血管收缩的影响。

方法

48只SHR接受7天的氯沙坦(10毫克/千克/天,口服)、卡维地洛(5毫克/千克/天,口服)或氯沙坦+卡维地洛(10毫克/千克/天+5毫克/千克/天,口服)治疗。在第8天,将大鼠麻醉并进行肾血管收缩实验。一组大鼠进行急性单侧肾去神经支配。

结果

与未治疗的大鼠相比,氯沙坦和卡维地洛治疗后,对去甲肾上腺素、去氧肾上腺素、甲氧明和Ang II的肾血管收缩反应显著降低(所有P<0.05)。然而,在接受卡维地洛治疗的去神经支配的SHR中,与接受卡维地洛治疗的肾神经完整的SHR相比,对所有血管活性药物的血管收缩反应增强。同时给予氯沙坦和卡维地洛的完整SHR对血管活性药物的肾血管收缩反应比单独给予氯沙坦或卡维地洛时更大(所有P<0.05)。

结论

在肾神经存在的情况下,卡维地洛降低了对Ang II和所有肾上腺素能激动剂的血管收缩反应,但在去除肾交感神经活性后,卡维地洛增强了肾α1-肾上腺素能受体和AT1受体对血管活性药物的敏感性。氯沙坦和卡维地洛联合治疗降低了对外源性给予的血管活性药物的肾血管收缩反应,但程度小于单独使用氯沙坦或卡维地洛。所获得的结果证明了SHR中Ang II受体与肾上腺素能神经传递之间的相互作用。

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