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脑肾素-血管紧张素系统对清醒家兔肾交感神经和心脏压力反射的影响。

Influence of brain renin-angiotensin system on renal sympathetic and cardiac baroreflexes in conscious rabbits.

作者信息

Dorward P K, Rudd C D

机构信息

Baker Medical Research Institute, Melbourne, Victoria, Australia.

出版信息

Am J Physiol. 1991 Mar;260(3 Pt 2):H770-8. doi: 10.1152/ajpheart.1991.260.3.H770.

DOI:10.1152/ajpheart.1991.260.3.H770
PMID:2000972
Abstract

The role of the brain renin-angiotensin system (RAS) in the baroreflex regulation of renal sympathetic nerve activity (RSNA) and heart rate (HR) was studied in conscious rabbits. RSNA and HR were recorded during slow ramp changes in mean arterial pressure (MAP) before and after intraventricular infusion of 1) angiotensin II (ANG II), 2) ANG II receptor antagonist, [Sar1,Ile8]ANG II, or 3) converting enzyme inhibitor (CEI, enalaprilat). Central ANG II increased resting MAP and RSNA by 10.6 +/- 0.9 mmHg and 21 +/- 7%, respectively, but did not alter HR. There was a marked increase of 107 +/- 15% in the maximum RSNA evoked by slowly lowering MAP. In contrast, maximum reflex tachycardia was only modestly elevated, and baroreflex inhibition of RSNA and HR during MAP rises was unaffected. Central [Sar1,Ile8]ANG II had no effect on RSNA or HR, either at rest or during baroreflex responses, while CEI slightly enhanced maximal reflex responses. Thus exogenous ANG II causes a powerful excitation of renal sympathetic motoneurons, the magnitude of which is revealed when tonic baroreceptor inhibition is removed during transient pressure falls. However, in quietly resting conscious rabbits, we found no evidence for a tonic influence of endogenous ANG II on these neurons, and the physiological stimuli required for their activation by the brain RAS remain to be found.

摘要

在清醒家兔中研究了脑肾素-血管紧张素系统(RAS)在肾交感神经活动(RSNA)和心率(HR)压力反射调节中的作用。在脑室内注入以下物质之前和期间,记录平均动脉压(MAP)缓慢斜坡变化过程中的RSNA和HR:1)血管紧张素II(ANG II)、2)ANG II受体拮抗剂[Sar1,Ile8]ANG II或3)转化酶抑制剂(CEI,依那普利拉)。中枢ANG II使静息MAP和RSNA分别升高10.6±0.9 mmHg和21±7%,但未改变HR。通过缓慢降低MAP诱发的最大RSNA显著增加了107±15%。相比之下,最大反射性心动过速仅适度升高,并且在MAP升高期间对RSNA和HR的压力反射抑制未受影响。中枢[Sar1,Ile8]ANG II在静息时或压力反射反应期间对RSNA或HR均无影响,而CEI略微增强了最大反射反应。因此,外源性ANG II可强力兴奋肾交感运动神经元,在短暂压力下降期间去除紧张性压力感受器抑制时,这种兴奋的程度就会显现出来。然而,在安静休息的清醒家兔中,我们未发现内源性ANG II对这些神经元有紧张性影响的证据,并且脑RAS激活这些神经元所需的生理刺激仍有待发现。

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