Woods R L, Anderson W P
Emily E. E. Stewart Renal Laboratory, Baker Medical Research Institute, Melbourne, Australia.
Am J Physiol. 1990 Oct;259(4 Pt 2):R813-22. doi: 10.1152/ajpregu.1990.259.4.R813.
Many studies have shown that atrial natriuretic peptide (ANP) reduces mean arterial pressure (MAP) in conscious animals by lowering cardiac output (CO) with no change or even increased total peripheral resistance (TPR). Because ANP is thought to be a vasodilator, the lack of fall in TPR in conscious animals is generally considered to be due to autonomic reflex increases in vascular resistance. In the present study in conscious, trained, chronically instrumented dogs (n = 7), we measured hemodynamic and renal excretory responses to 30-min infusions of alpha-human ANP (alpha hANP; 25, 50, and 100 ng.kg-1.min-1) in the presence and absence of autonomic nervous system blockade using the ganglion blocking agent pentolinium. In the absence of blockade, MAP and CO fell, whereas TPR rose with alpha hANP infusions, but these changes did not reach significance. There were significant increases in renal vascular resistance (RVR; 16-25%) and mesenteric vascular resistance (MVR; 14-40%). During autonomic nervous system blockade, alpha hANP caused dose-related reductions in MAP (7-12%), due to falls in CO (13-34%). Remarkably, the absence of autonomic reflex responses exposed substantial dose-related increases in TPR (5-33%). Autonomic blockade did not alter the ANP-induced increases in MVR but did abolish the rises in RVR. In summary, ANP caused vasoconstriction in mesenteric vasculature and substantial vasoconstriction in other nonrenal areas, independent of autonomic reflexes.
许多研究表明,心房利钠肽(ANP)通过降低心输出量(CO)来降低清醒动物的平均动脉压(MAP),而总外周阻力(TPR)不变甚至升高。由于ANP被认为是一种血管扩张剂,清醒动物的TPR缺乏下降通常被认为是由于自主反射导致血管阻力增加。在本研究中,对7只清醒、经过训练且长期植入仪器的犬进行实验,我们测量了在使用神经节阻滞剂潘托铵进行自主神经系统阻断和未阻断的情况下,静脉输注α-人ANP(αhANP;25、50和100 ng·kg-1·min-1)30分钟后的血流动力学和肾脏排泄反应。在未阻断时,输注αhANP后MAP和CO下降,而TPR升高,但这些变化无统计学意义。肾血管阻力(RVR)显著增加(16 - 25%),肠系膜血管阻力(MVR)显著增加(14 - 40%)。在自主神经系统阻断期间,αhANP导致MAP呈剂量依赖性降低(7 - 12%),这是由于CO下降(13 - 34%)所致。值得注意的是,自主反射反应的缺失使TPR出现显著的剂量依赖性增加(5 - 33%)。自主神经阻断并未改变ANP诱导的MVR增加,但消除了RVR的升高。总之,ANP导致肠系膜血管收缩,并在其他非肾脏区域引起显著的血管收缩,且与自主反射无关。