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麻醉状态下急性低血压时山羊肾血管的扩张和收缩反应。一氧化氮的作用。

Dilator and constrictor response of renal vasculature during acute renal hypotension in anesthetized goats. Role of nitric oxide.

机构信息

Departamento de Fisiología, Facultad de Medicina, Universidad Autónoma, 28029 Madrid, Spain.

出版信息

Vascul Pharmacol. 2011 Mar-Jun;54(3-6):107-11. doi: 10.1016/j.vph.2011.04.002. Epub 2011 May 6.

Abstract

The relative role of NO derived from endothelium NO synthase (eNOS) and neuronal NO synthase (nNOS) in renovascular reactivity during renal hypotension is unknown. To examine this issue, we recorded the effects of unspecific inhibitor of NO synthase N(w)-nitro-L-arginine methyl esther (L-NAME) and inhibitor of nNOS 7-nitroindazole monosodium salt (7-NINA) on renal vasodilator and vasoconstrictor responses in anesthetized goats during renal hypotension by constricting the abdominal aorta. Intrarenal administration of L-NAME and hypotension, either untreated or treated with L-NAME, decreased resting renal blood flow, and the increases in renal blood flow by acetylcholine but not those by sodium nitroprusside were tempered, and the decreases by norepinephrine and angiotensin II were augmented. Intraperitoneal administration of 7-NINA did not affect, and 7-NINA+hypotension decreased renal blood flow, and under these conditions the increases in renal blood flow by acetylcholine and sodium nitroprusside were not modified, and the decreases by norepinephrine and angiotensin II were slightly (during 7-NINA) or consistently augmented (7-NINA+hypotension). Therefore, NO derived from eNOS plays a significant role, while that derived from nNOS plays a little role, if any, to regulate renal blood flow and to mediate acetylcholine-induced vasodilation, as well to modulate renal vasoconstriction by norepinephrine and angiotensin II.

摘要

内皮型一氧化氮合酶(eNOS)和神经元型一氧化氮合酶(nNOS)产生的一氧化氮(NO)在肾低血压时肾血管反应中的相对作用尚不清楚。为了研究这个问题,我们在麻醉的山羊中,通过收缩腹主动脉,记录了非特异性一氧化氮合酶抑制剂 N(w)-硝基-L-精氨酸甲酯(L-NAME)和 nNOS 抑制剂 7-硝基吲唑单钠盐(7-NINA)对肾低血压时肾血管舒张和收缩反应的影响。肾内给予 L-NAME 和低血压,无论是未治疗还是用 L-NAME 治疗,均降低了基础肾血流量,乙酰胆碱引起的肾血流量增加,但硝普钠引起的增加受到抑制,去甲肾上腺素和血管紧张素 II 引起的减少增加。腹腔内给予 7-NINA 不影响肾血流量,7-NINA+低血压降低肾血流量,在这些条件下,乙酰胆碱和硝普钠引起的肾血流量增加不受影响,去甲肾上腺素和血管紧张素 II 引起的减少略有(在 7-NINA 时)或一致增加(7-NINA+低血压)。因此,来自 eNOS 的 NO 发挥了显著作用,而来自 nNOS 的 NO 如果有作用的话,作用很小,调节肾血流量并介导乙酰胆碱引起的血管舒张,并调节去甲肾上腺素和血管紧张素 II 引起的肾血管收缩。

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