Lockette W, Brennaman B
Department of Medicine, Wayne State University School of Medicine, Detroit, Michigan.
Aviat Space Environ Med. 1990 Dec;61(12):1121-4.
An increase in central blood volume in microgravity may result in increased plasma levels of atrial natriuretic factor (ANF). Since elevations in plasma ANF are found in clinical syndromes associated with edema, and since space motion sickness induced by microgravity is associated with an increase in central blood volume and facial edema, we determined whether ANF increases capillary permeability to plasma protein. Conscious, bilaterally nephrectomized male rats were infused with either saline, ANF + saline, or hexamethonium + saline over 2 h following bolus injections of 125I-albumin and 14C-dextran of similar molecular size. Blood pressure was monitored and serial determinations of hematocrits were made. Animals infused with 1.0 micrograms.kg-1.min-1 ANF had significantly higher hematocrits than animals infused with saline vehicle. Infusion of ANF increased the extravasation of 125I-albumin, but not 14C-dextran from the intravascular compartment. ANF also induced a depressor response in rats, but the change in blood pressure did not account for changes in capillary permeability to albumin; similar depressor responses induced by hexamethonium were not accompanied by increased extravasation of albumin from the intravascular compartment. ANF may decrease plasma volume by increasing permeability to albumin, and this effect of ANF may account for some of the signs and symptoms of space motion sickness.
微重力环境下中心血容量增加可能导致心房利钠因子(ANF)的血浆水平升高。由于在与水肿相关的临床综合征中发现血浆ANF升高,且由于微重力引起的太空晕动病与中心血容量增加和面部水肿有关,我们确定了ANF是否会增加毛细血管对血浆蛋白的通透性。在推注相似分子大小的125I-白蛋白和14C-右旋糖酐后,对清醒、双侧肾切除的雄性大鼠在2小时内分别输注生理盐水、ANF+生理盐水或六甲铵+生理盐水。监测血压并连续测定血细胞比容。输注1.0微克·千克-1·分钟-1ANF的动物的血细胞比容显著高于输注生理盐水载体的动物。输注ANF增加了125I-白蛋白从血管内间隙的外渗,但未增加14C-右旋糖酐的外渗。ANF还引起大鼠血压下降,但血压变化不能解释毛细血管对白蛋白通透性的变化;六甲铵引起的类似血压下降反应并未伴随白蛋白从血管内间隙外渗增加。ANF可能通过增加对白蛋白的通透性来降低血浆容量,ANF的这种作用可能解释了太空晕动病的一些体征和症状。