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低浓度哇巴因(0.18 微克/千克)通过抑制钠泵和激活肾素-血管紧张素系统增强自发性高血压大鼠的高血压。

A low concentration of ouabain (0.18 microg/kg) enhances hypertension in spontaneously hypertensive rats by inhibiting the Na+ pump and activating the renin-angiotensin system.

机构信息

Departamento de Ciências Fisiológicas, Universidade Federal do Espírito Santo, Vitória, ES, Brasil.

出版信息

Braz J Med Biol Res. 2010 Aug;43(8):767-76. doi: 10.1590/s0100-879x2010007500061. Epub 2010 Jul 2.

DOI:10.1590/s0100-879x2010007500061
PMID:20602018
Abstract

We investigated the effects of low ouabain concentrations on systolic (SAP) and diastolic (DAP) arterial pressures and on pressor reactivity in 3-month-old male spontaneously hypertensive rats (SHR). Arterial blood pressure (BP) and pressor reactivity to phenylephrine (PHE) were investigated before and after 0.18 microg/kg ouabain administration (N = 6). The influence of hexamethonium (N = 6), canrenone (N = 6), enalapril (N = 6), and losartan (N = 6) on ouabain actions was evaluated. Ouabain increased BP (SAP: 137 +/- 5.1 to 150 +/- 4.7; DAP: 93.7 +/- 7.7 to 116 +/- 3.5 mmHg; P<0.05) but did not change PHE pressor reactivity. Hexamethonium reduced basal BP in control but not in ouabain-treated rats. However, hexamethonium + ouabain increased DAP sensitivity to PHE. Canrenone did not affect basal BP but blocked ouabain effects on SAP. However, after canrenone + ouabain administration, DAP pressor reactivity to PHE still increased. Enalapril and losartan reduced BP and abolished SAP and DAP responses to ouabain. Enalapril + ouabain reduced DAP reactivity to PHE, while losartan + ouabain reduced SAP and DAP reactivity to PHE. In conclusion, a small dose of ouabain administered to SHR increased BP without altering PHE pressor reactivity. Although the renin-angiotensin system (RAS), Na+ pump and autonomic reflexes are involved in the effects of ouabain on PHE reactivity, central mechanisms might blunt the actions of ouabain on PHE pressor reactivity. The effect of ouabain on SAP seems to depend on the inhibition of both Na+ pump and RAS, whereas the effect on DAP seems to depend only on RAS.

摘要

我们研究了低哇巴因浓度对 3 个月大雄性自发性高血压大鼠(SHR)的收缩压(SAP)和舒张压(DAP)及升压反应的影响。在哇巴因(0.18 微克/千克)给药前后(N = 6),分别检测动脉血压(BP)和对苯肾上腺素(PHE)的升压反应。评价了六烃季铵(N = 6)、坎利酮(N = 6)、依那普利(N = 6)和氯沙坦(N = 6)对哇巴因作用的影响。哇巴因增加了 BP(SAP:137 ± 5.1 至 150 ± 4.7;DAP:93.7 ± 7.7 至 116 ± 3.5 mmHg;P<0.05),但不改变 PHE 升压反应性。六烃季铵降低了对照组大鼠的基础 BP,但不降低哇巴因治疗组大鼠的基础 BP。然而,六烃季铵+哇巴因增加了 DAP 对 PHE 的敏感性。坎利酮不影响基础 BP,但阻断了哇巴因对 SAP 的作用。然而,坎利酮+哇巴因给药后,DAP 对 PHE 的升压反应仍增加。依那普利和氯沙坦降低了 BP,并消除了 SAP 和 DAP 对哇巴因的反应。依那普利+哇巴因降低了 DAP 对 PHE 的反应性,而氯沙坦+哇巴因降低了 SAP 和 DAP 对 PHE 的反应性。结论:小剂量哇巴因给药于 SHR 增加了 BP,而不改变 PHE 升压反应性。虽然肾素-血管紧张素系统(RAS)、Na+泵和自主反射参与了哇巴因对 PHE 反应性的作用,但中枢机制可能削弱了哇巴因对 PHE 升压反应性的作用。哇巴因对 SAP 的作用似乎取决于对 Na+泵和 RAS 的抑制,而对 DAP 的作用似乎仅取决于 RAS。

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