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L-NAME 对心肌肥厚中心肺反射的影响。

Impact of L-NAME on the cardiopulmonary reflex in cardiac hypertrophy.

机构信息

Department of Physiology, University College Cork, Cork, Republic of Ireland.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2011 Nov;301(5):R1549-56. doi: 10.1152/ajpregu.00307.2011. Epub 2011 Aug 24.

Abstract

There is evidence that in cardiac failure, there is defective baroreceptor reflex control of sympathetic nerve activity. Often, cardiac failure is preceded by a state of cardiac hypertrophy in which there may be enhanced performance of the heart. This study investigated whether in two different models of cardiac hypertrophy, there was an increased contribution of nitric oxide (NO) to the low-pressure baroreceptor regulation of renal sympathetic nerve activity (RSNA) and nerve-dependent excretory function. Administration of a volume load, 0.25* body wt/min saline for 30 min, in normal rats decreased RSNA by 40* and increased urine flow by some 9-fold. Following nitro-L-arginine methyl ester (L-NAME) administration, 10 μg·kg(-1)·min(-1) for 60 min, which had no effect on blood pressure, heart rate, or RSNA, the volume load-induced renal sympathoinhibitory and excretory responses were markedly enhanced. In cardiac hypertrophy states induced by 2 wk of isoprenaline/caffeine or 1 wk thyroxine administration, the volume challenge failed to suppress RSNA, and there were blunted increases in urine flow in the innervated kidneys, but following L-NAME infusion, the volume load decreased RSNA by 30-40* and increased urine flow by some 20-fold in the innervated kidneys, roughly to the same extent as observed in normal rats. These findings suggest that the blunted renal sympathoinhibition and nerve-dependent diuresis to the volume load in cardiac hypertrophy are related to a heightened production or activity of NO within either the afferent or central arms of the reflex.

摘要

有证据表明,在心力衰竭中,存在压力感受器反射控制交感神经活动的缺陷。通常,心力衰竭之前是心脏肥大的状态,此时心脏的功能可能增强。本研究探讨了在两种不同的心脏肥大模型中,一氧化氮(NO)是否对低压压力感受器调节肾交感神经活动(RSNA)和神经依赖性排泄功能的作用增强。在正常大鼠中,给予 30 分钟 0.25体重/分钟盐水的容量负荷,可使 RSNA 降低 40,尿量增加约 9 倍。给予硝基-L-精氨酸甲酯(L-NAME),10 μg·kg(-1)·min(-1),60 分钟,对血压、心率或 RSNA 没有影响,容量负荷诱导的肾交感神经抑制和排泄反应明显增强。在异丙肾上腺素/咖啡因或甲状腺素给药 2 周诱导的心脏肥大状态下,容量负荷不能抑制 RSNA,并且受神经支配的肾脏的尿量增加减少;但给予 L-NAME 输注后,容量负荷可使 RSNA 降低 30-40*,受神经支配的肾脏的尿量增加约 20 倍,大致与正常大鼠相同。这些发现表明,在心脏肥大中,容量负荷对肾交感神经抑制和神经依赖性利尿作用减弱与反射传入或中枢臂内 NO 的产生或活性增强有关。

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