Matsumura K, Abe I, Tsuchihashi T, Tominaga M, Kobayashi K, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hypertension. 1991 Jun;17(6 Pt 2):1192-6. doi: 10.1161/01.hyp.17.6.1192.
It has been shown that endothelin-1 (ET-1) binding sites exist in the central nervous system and that the injection of intracerebroventricular ET-1 induces a pressor response. Therefore, we determined the neurohormonal and cardiovascular responses to intracerebroventricular ET-1 (25 pmol/kg) in conscious rabbits with chronically instrumented electrodes on the renal sympathetic nerve. Intracerebroventricular ET-1 provoked a prompt increase in arterial pressure and in renal sympathetic nerve activity within 5 minutes, and peak values were obtained at 20 and 40 minutes, respectively. Plasma epinephrine and norepinephrine reached peak values at 5-20 minutes. Plasma vasopressin and plasma glucose levels also increased significantly, but plasma osmolality, hematocrit, and serum sodium and potassium concentrations did not show any changes. Arterial blood gas analysis showed respiratory alkalosis. However, pretreatment with intravenous pentolinium (5 mg/kg), a ganglion blocking agent, abolished these neurohormonal and cardiovascular responses. Conversely, the same dose of intravenous ET-1 (25 pmol/kg) as that used in the intracerebroventricular experiment failed to cause any cardiovascular or renal sympathetic nerve responses. These results suggest that intracerebroventricular ET-1 acts in the central nervous system and causes a pressor response mainly through the enhancement of sympathoadrenal outflow.
研究表明,内皮素 -1(ET-1)结合位点存在于中枢神经系统,且脑室内注射ET-1可诱发升压反应。因此,我们在肾交感神经上长期植入电极的清醒家兔中,测定了对脑室内注射ET-1(25 pmol/kg)的神经激素和心血管反应。脑室内注射ET-1在5分钟内迅速引起动脉血压和肾交感神经活动增加,峰值分别在20分钟和40分钟时出现。血浆肾上腺素和去甲肾上腺素在5 - 20分钟时达到峰值。血浆血管加压素和血浆葡萄糖水平也显著升高,但血浆渗透压、血细胞比容以及血清钠和钾浓度未显示任何变化。动脉血气分析显示呼吸性碱中毒。然而,用神经节阻断剂静脉注射潘托铵(5 mg/kg)预处理可消除这些神经激素和心血管反应。相反,与脑室内实验中使用的相同剂量静脉注射ET-1(25 pmol/kg)未能引起任何心血管或肾交感神经反应。这些结果表明,脑室内注射ET-1在中枢神经系统起作用,主要通过增强交感肾上腺输出引起升压反应。