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[犬脑脊液中利钠肽的存在及其来源]

[Presence of atrial natriuretic peptide in canine cerebrospinal fluid and its origin].

作者信息

Masuda T, Satoh K, Ando K, Marumo F

机构信息

Department of Emergency and Critical Care Medicine, Kitasato University.

出版信息

Nihon Naibunpi Gakkai Zasshi. 1989 Oct 20;65(10):1159-70. doi: 10.1507/endocrine1927.65.10_1159.

DOI:10.1507/endocrine1927.65.10_1159
PMID:2531687
Abstract

The purposes of the present study are to demonstrate the presence of atrial natriuretic peptide (ANP) in canine cerebrospinal fluid (CSF) and to determine its origin as either the brain or atrium. Fifty-seven mongrel canines weighing from 7.5 to 23.0kg (male: 28, female: 29) were anesthetized with sodium pentobarbital (30mg/mg, iv) and were ventilated with a Harvard respirator. 16 canines (11.5 to 16.0kg) were used to examine the effect of endogenously increased plasma ANP level on the ANP concentration of the CSF in acute heart failure induced by experimental aortic regurgitation. Subsequently to examine the effect of exogenously increased plasma ANP level on the ANP concentration of the CSF, physiological and pharmacological doses of synthetic human alpha-ANP were continuously infused into the right ventricle (25ng/kg/min. and 250ng/kg/min., respectively) for 32 min. in 15 canines (8.0 to 23.0kg), only physiological dose (25ng/kg/min.) was infused for 180 min. in 8 canines (12.5 to 23.0kg). The concentrations of ANP in canine CSF and plasma were measured by our highly sensitive and specific radioimmunoassay (RIA). The molecular forms in the plasma, CSF and the atrium and hypothalamus tissues were determined by gel permeation chromatography (GPC). The ANP concentration in CSF was 2.8 +/- 1.2pg/ml (mean +/- SD), lower than that in the plasma which was 51.5 +/- 19.9pg/ml, and no correlation was found between them (r = 0.16, p = ns). Plasma ANP concentrations increased from 46.5 +/- 13.0pg/ml to 94.6 +/- 27.7pg/ml according to a rise of the left atrial pressure by experimental aortic regurgitation. However, no significant change was noted from 3.7 +/- 0.7pg/ml to 3.8 +/- 1.0pg/ml in CSF ANP concentrations during the aortic regurgitation. The ANP concentration in the CSF did not change significantly while the plasma ANP concentration greatly increased following each intravenous infusion of the synthetic alpha-ANP. Only a single peak corresponding to a low molecular weight form of ANP in the position of authentic alpha-ANP in the canine CSF was observed by GPC, while there were peaks for both low and high molecular forms of ANP in the canine plasma. Furthermore, both low and high molecular weight peaks were observed for the right atrium and hypothalamus tissue extracts by GPC, and those tissues of the right atrium and hypothalamus contained ANP concentrations of 1.97ng/mg wet tissue and 2.6pg/ml wet tissue, respectively. These results indicate the presence of ANP in canine CSF and that it does not come from blood that has seeped across the blood-CSF barriers but may originate in the brain.

摘要

本研究的目的是证明犬脑脊液(CSF)中存在心钠素(ANP),并确定其来源是大脑还是心房。57只体重7.5至23.0千克的杂种犬(雄性28只,雌性29只)用戊巴比妥钠(30毫克/千克,静脉注射)麻醉,并用哈佛呼吸机通气。16只犬(11.5至16.0千克)用于研究实验性主动脉反流诱导的急性心力衰竭中内源性血浆ANP水平升高对CSF中ANP浓度的影响。随后,为了研究外源性血浆ANP水平升高对CSF中ANP浓度的影响,将生理剂量和药理剂量的合成人α-ANP分别以25纳克/千克/分钟和250纳克/千克/分钟的速度持续注入15只犬(8.0至23.0千克)的右心室32分钟,8只犬(12.5至23.0千克)仅以生理剂量(25纳克/千克/分钟)注入180分钟。犬CSF和血浆中ANP的浓度通过我们高度灵敏且特异的放射免疫分析(RIA)进行测定。血浆、CSF以及心房和下丘脑组织中的分子形式通过凝胶渗透色谱法(GPC)确定。CSF中ANP的浓度为2.8±1.2皮克/毫升(平均值±标准差),低于血浆中的浓度51.5±19.9皮克/毫升,且两者之间未发现相关性(r = 0.16,p =无统计学意义)。实验性主动脉反流使左心房压力升高,血浆ANP浓度从46.5±13.0皮克/毫升升至94.6±27.7皮克/毫升。然而,在主动脉反流期间,CSF中ANP浓度从3.7±0.7皮克/毫升至3.8±1.0皮克/毫升未出现显著变化。每次静脉注射合成α-ANP后,血浆ANP浓度大幅升高,而CSF中ANP浓度未显著变化。通过GPC观察到,犬CSF中仅在真实α-ANP位置出现一个对应低分子量形式ANP的单峰,而犬血浆中有低分子量和高分子量两种形式ANP的峰。此外,通过GPC观察到右心房和下丘脑组织提取物中也有低分子量和高分子量峰,右心房和下丘脑组织中ANP的浓度分别为1.97纳克/毫克湿组织和2.6皮克/毫升湿组织。这些结果表明犬CSF中存在ANP,且其并非来自渗漏穿过血脑屏障的血液,而是可能起源于大脑。

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