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肾切除术及肾上腺素能受体阻滞剂对内皮素心肾作用的影响。

Effect of nephrectomy and of adrenergic receptor blockers on the cardiorenal actions of endothelin.

作者信息

Cao L, Banks R O

机构信息

Department of Physiology and Biophysics, University of Cincinnati College of Medicine, Ohio.

出版信息

Proc Soc Exp Biol Med. 1990 Jun;194(2):119-24. doi: 10.3181/00379727-194-43066.

Abstract

The cardiorenal actions of endothelin-1 (ET-1) were evaluated in rats following nephrectomy, in rats during alpha-adrenergic blockade with phentolamine, and in rats during beta-adrenergic blockade with propranolol. Female rats were anesthetized with pentobarbital and, following surgery, were allowed 60 min to stabilize before 3 x 20 min-control clearances were collected. ET-1 was then infused at a rate of 100 ng kg-1 min-1 for 30 min, the infusion was stopped, and three additional clearances were collected. Four groups of rats were studied: in Group 1 (n = 10), ET-1 was infused; in Group 2 (n = 5), a bilateral nephrectomy was performed 120 min before infusing ET-1; in Group 3 (n = 5), ET-1 was infused into rats treated with phentolamine (0.015 mg kg-1 min-1); and in Group 4 (n = 5), ET-1 was infused into rats treated with propranolol (0.015 mg kg-1 min-1). At 30 min during infusion of ET-1 into Group 1 rats, mean arterial blood pressure had increased (P less than 0.01) by 27 +/- 2% (SE) and the glomerular filtration rate had decreased (P less than 0.01) by 71 +/- 6% of baseline values. Nephrectomy potentiated and prolonged the ET-1-induced systemic vasoconstriction. Phentolamine had no effect on the cardiorenal actions of ET-1 whereas propranolol enhanced ET-1-induced changes in mean arterial blood pressure; mean arterial blood pressure increased 38 +/- 2% at 30 min during ET-1 + propranolol infusion (P less than 0.01 versus value with ET-1 alone). These data indicate that the kidney affects ET-1-induced systemic vasoconstriction and that beta-adrenergic (but not alpha-adrenergic) receptors are activated during infusion of ET-1 with a resultant attenuation of ET-1-induced changes in systemic blood pressure.

摘要

在内毒素 -1(ET -1)输注前120分钟进行双侧肾切除术;第3组(n = 5),将ET -1注入用酚妥拉明(0.015 mg kg-1 min-1)治疗的大鼠;第4组(n = 5),将ET -1注入用普萘洛尔(0.015 mg kg-1 min-1)治疗的大鼠。在向第1组大鼠输注ET -1的30分钟时,平均动脉血压升高(P < 0.01)27±2%(SE),肾小球滤过率降低(P < 0.01),降至基线值的71±6%。肾切除术增强并延长了ET -1诱导的全身血管收缩。酚妥拉明对ET -1的心脏和肾脏作用没有影响,而普萘洛尔增强了ET -1诱导的平均动脉血压变化;在ET -1 +普萘洛尔输注期间的30分钟时,平均动脉血压升高38±2%(与单独使用ET -1时的值相比,P < 0.01)。这些数据表明,肾脏影响ET -1诱导的全身血管收缩,并且在输注ET -1期间β -肾上腺素能(而非α -肾上腺素能)受体被激活,导致ET -1诱导的全身血压变化减弱。

  1. 在内毒素 -1(ET -1)输注前120分钟进行双侧肾切除术;第3组(n = 5),将ET -1注入用酚妥拉明(0.015 mg kg-1 min-1)治疗的大鼠;第4组(n = 5),将ET -1注入用普萘洛尔(0.015 mg kg-1 min-1)治疗的大鼠。

  2. 在向第1组大鼠输注ET -1的30分钟时,平均动脉血压升高(P < 0.01)27±2%(SE),肾小球滤过率降低(P < 0.01),降至基线值的71±6%。

  3. 肾切除术增强并延长了ET -1诱导的全身血管收缩。

  4. 酚妥拉明对ET -1的心脏和肾脏作用没有影响,而普萘洛尔增强了ET -1诱导的平均动脉血压变化;在ET -1 +普萘洛尔输注期间的30分钟时,平均动脉血压升高38±2%(与单独使用ET -1时的值相比,P < 0.01)。

  5. 这些数据表明,肾脏影响ET -1诱导的全身血管收缩,并且在输注ET -1期间β -肾上腺素能(而非α -肾上腺素能)受体被激活,导致ET -1诱导的全身血压变化减弱。

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