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迷走神经切断术对出血期间脑和血浆心钠素的影响。

Effect of vagotomy on brain and plasma atrial natriuretic peptide during hemorrhage.

作者信息

Phillips M I, Kimura B, Wang H, Hoffman W E

机构信息

Department of Physiology, University of Florida College of Medicine, Gainesville 32610.

出版信息

Am J Physiol. 1989 Dec;257(6 Pt 2):R1393-9. doi: 10.1152/ajpregu.1989.257.6.R1393.

Abstract

These experiments investigated the change in brain, atrial, and plasma concentrations of atrial natriuretic polypeptide (ANP) after a 33% hemorrhage and the role of vagal nerve input in these changes. In rats, hemorrhage decreased plasma ANP from 246 +/- 48 to 41 +/- 7 pg/ml, but in a hypothalamic tissue block ANP increased from 19.0 +/- 0.9 to 25.5 +/- 0.6 ng/g tissue (P less than 0.05). Bilateral vagotomy was followed by a very large increase in plasma ANP to 703 +/- 198 pg/ml. Atrial pressures, however, fell after vagotomy from 2 +/- 2 to 1 +/- 1 mmHg. Therefore, the effect was not due to increased atrial stretch. Right atrial ANP levels were also elevated by vagotomy, but left atrial ANP concentrations did not change with vagotomy or hemorrhage. After hemorrhage in vagotomized rats, plasma ANP decreased to 79 +/- 6 pg/ml. After vagotomy, the ANP concentration in the hypothalamic block did not rise in response to hemorrhage. The results indicate that the vagus nerves provide a tonic inhibition of ANP levels in atria and plasma. The results cannot be explained by atrial distension. The results show independence of brain and plasma ANP and uncover a tonic vagal inhibition of ANP release.

摘要

这些实验研究了33%失血后大脑、心房和血浆中的心钠素(ANP)浓度变化,以及迷走神经输入在这些变化中的作用。在大鼠中,失血使血浆ANP从246±48 pg/ml降至41±7 pg/ml,但在下丘脑组织块中,ANP从19.0±0.9 ng/g组织增加到25.5±0.6 ng/g组织(P<0.05)。双侧迷走神经切断术后,血浆ANP大幅增加至703±198 pg/ml。然而,迷走神经切断术后心房压力从2±2 mmHg降至1±1 mmHg。因此,这种效应并非由于心房牵张增加所致。迷走神经切断术也使右心房ANP水平升高,但左心房ANP浓度在迷走神经切断术或失血后并未改变。在迷走神经切断的大鼠失血后,血浆ANP降至79±6 pg/ml。迷走神经切断术后,下丘脑组织块中的ANP浓度在失血后并未升高。结果表明,迷走神经对心房和血浆中的ANP水平具有紧张性抑制作用。这些结果不能用心房扩张来解释。结果显示大脑和血浆中的ANP相互独立,并揭示了迷走神经对ANP释放的紧张性抑制作用。

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