Hamet P, Testaert E, Palmour R, Larochelle P, Cantin M, Gutkowska J, Langlois Y, Ervin F, Tremblay J
Clinical Research Institute of Montreal, P.Q. Canada.
Am J Hypertens. 1989 Sep;2(9):690-5. doi: 10.1093/ajh/2.9.690.
It is now recognized that bolus and short-term infusions of atrial natriuretic factor (ANF) into different species lead to a slight and transient decrease of blood pressure, while prolonged infusions cause a significant blood pressure reduction in hypertensive but not in normotensive rats. The present study was designed to evaluate the effects of prolonged ANF infusions on blood pressure and humoral parameters in normotensive and hypertensive African green monkeys (Cercopithecus aethiops). Human-ANF infusions (100 ng/kg.hr) in conscious, normotensive vervets for a period of 48 hours evoked highly significant decreases of blood pressure (from 124/65 to 104/53 mm Hg), plasma renin activity, aldosterone, and hematocrit. This fall in blood pressure was not accompanied by an increase of plasma cGMP levels at the end of the infusion. Forty-eight hours after the infusion was terminated, the decrease in blood pressure was still significant (97/46 mm Hg), as was the drop in aldosterone. In hypertensive monkeys, systolic blood pressure declined from 175 +/- 8 to 130 +/- 8 mm Hg, while diastolic pressure fell from 117 +/- 10 to 88 +/- 4 mm Hg. These data demonstrate that the chronic infusion of ANF in both normotensive and hypertensive vervets has more profound effects than does acute bolus administration, effects that persist for a prolonged period of time after discontinuation of the infusion.
现在已经认识到,向不同物种大剂量推注和短期输注心房利钠因子(ANF)会导致血压轻微且短暂下降,而长期输注会使高血压大鼠的血压显著降低,但对正常血压大鼠则无此作用。本研究旨在评估长期输注ANF对正常血压和高血压非洲绿猴(猕猴)血压和体液参数的影响。对清醒的正常血压黑长尾猴进行48小时的人ANF输注(100 ng/kg·小时),可引起血压(从124/65降至104/53 mmHg)、血浆肾素活性、醛固酮和血细胞比容高度显著下降。输注结束时,血压下降并未伴随血浆cGMP水平升高。输注终止48小时后,血压下降(97/46 mmHg)以及醛固酮下降仍很显著。在高血压猴中,收缩压从175±8降至130±8 mmHg,舒张压从117±10降至88±4 mmHg。这些数据表明,在正常血压和高血压黑长尾猴中,长期输注ANF比急性大剂量给药的作用更深远,且在输注停止后这些作用会持续很长一段时间。