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替米沙坦和坎地沙坦对肾脏神经控制的影响。

Effects of tempol and candesartan on neural control of the kidney.

机构信息

Department of Physiology, Monash University, Melbourne, Australia.

出版信息

Auton Neurosci. 2012 May 21;168(1-2):48-57. doi: 10.1016/j.autneu.2012.01.007. Epub 2012 Feb 13.

Abstract

We compared the effects of tempol (300 μmol kg(-1) plus 300 μmol kg(-1) h(-1), n=14) and candesartan (10 μg kg(-1) plus 10 μg kg(-1) h(-1), n=14) on renal haemodynamics, excretory function, and responses to electrical stimulation of the renal nerves (RNS) in lean and obese rabbits under pentobarbitone anaesthesia. Depressor responses to tempol (-16 ± 2 mmHg) and candesartan (-12 ± 1 mmHg) were similar. Candesartan, but not tempol, significantly increased basal renal blood flow (RBF; +36 ± 7%). Tempol, but not candesartan, significantly reduced glomerular filtration rate (GFR; -30 ± 10%) and sodium excretion (U(Na)V; -44 ± 14%). RNS induced frequency-dependent reductions in RBF (-20 ± 3% at 1 Hz), GFR (-28 ± 6% at 1 Hz) and U(Na)V (-55 ± 6% at 1 Hz). Candesartan blunted these responses. Tempol did not significantly alter RBF and GFR responses to RNS but blunted the U(Na)V response. Responses to RNS, and the effects of tempol and candesartan, were similar in lean compared with obese rabbits. Unlike candesartan, tempol did not induce renal vasodilatation, maintain GFR and U(Na)V during reductions in arterial pressure, or blunt neurally-mediated vasoconstriction. In conclusion, unlike the AT(1)-receptor antagonist candesartan, tempol does not blunt the effects of RNS on renal haemodynamic function. Furthermore, under the current experimental conditions superoxide appears to make little contribution to the actions of endogenous angiotensin II on baseline renal haemodynamics or excretory function, or their responses to RNS.

摘要

我们比较了替米沙坦(300 μmol/kg+300 μmol/kg·h,n=14)和坎地沙坦(10 μg/kg+10 μg/kg·h,n=14)对戊巴比妥麻醉的瘦兔和肥胖兔肾血流动力学、排泄功能以及肾神经电刺激(RNS)反应的影响。替米沙坦(-16±2mmHg)和坎地沙坦(-12±1mmHg)的降压反应相似。坎地沙坦而非替米沙坦显著增加基础肾血流量(RBF;+36±7%)。替米沙坦而非坎地沙坦显著降低肾小球滤过率(GFR;-30±10%)和钠排泄(U(Na)V;-44±14%)。RNS 诱导的 RBF 频率依赖性减少(1Hz 时-20±3%)、GFR 减少(1Hz 时-28±6%)和 U(Na)V 减少(1Hz 时-55±6%)。坎地沙坦减弱了这些反应。替米沙坦对 RNS 引起的 RBF 和 GFR 反应没有显著改变,但减弱了 U(Na)V 反应。RNS 反应以及替米沙坦和坎地沙坦的作用在瘦兔和肥胖兔中相似。与坎地沙坦不同,替米沙坦在降低动脉压时不会引起肾血管舒张、维持 GFR 和 U(Na)V,也不会减弱神经介导的血管收缩。总之,与 AT(1)受体拮抗剂坎地沙坦不同,替米沙坦不会减弱 RNS 对肾血流动力学功能的影响。此外,在当前的实验条件下,超氧化物似乎对内源性血管紧张素 II 对基础肾血流动力学或排泄功能及其对 RNS 的反应的作用贡献不大。

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