Levin E R
Department of Medicine, Long Beach Veterans Hospital, Ca 90822.
Am J Hypertens. 1989 Jul;2(7):594-8. doi: 10.1093/ajh/2.7.594.
Extensive examination in the mammalian brain for the presence of atrial natriuretic factors (ANF) has revealed both peptide and receptors specifically distributed throughout the central nervous system. High concentrations of ANF have been found in several hypothalamic nuclei, septal areas, the anteroventral third ventricular area (AV3V), and the median eminence, whereas moderate concentrations have been detected in the circumventricular organs and several brainstem nuclei. The receptors for ANF have been found in moderate to high concentrations in the olfactory lobe, AV3V region, and several circumventricular organs (subfornical organ, organum vasculosum of the lamina terminalis) as well as the nucleus tractus solitarius, median eminence, and choroid plexus. These findings suggest a role for ANF in modulating fluid and electrolyte balance, and blood pressure in this compartment, analogous to the proposed actions of this peptide hormone in the periphery. To determine whether ANF might function as a neuromodulator of blood pressure, we administered ANF via fourth ventricular injection into the brain of hypertensive (SHR) and normotensive rats (WKY). Atrial natriuretic factor caused a moderate and significant decrease in mean arterial blood pressure in both strains. The action of ANF appeared to be mediated by activating the central alpha 2-adrenergic nervous system, probably through the release of catecholamines. Further, a dependence on the secretion and action of an endogenous opioid was probably involved; heart rate was unaffected in these studies. Experiments from other laboratories indicate that central ANF may modulate the pressor effects of centrally acting angiotensin II.(ABSTRACT TRUNCATED AT 250 WORDS)
在哺乳动物大脑中对心房钠尿肽(ANF)的存在进行广泛检查后发现,该肽及其受体在整个中枢神经系统中均有特异性分布。在几个下丘脑核、隔区、前腹侧第三脑室区域(AV3V)和正中隆起中发现了高浓度的ANF,而在室周器官和几个脑干核中检测到中等浓度。在嗅叶、AV3V区域、几个室周器官(穹窿下器官、终板血管器)以及孤束核、正中隆起和脉络丛中发现了中等至高浓度的ANF受体。这些发现表明ANF在调节该区域的液体和电解质平衡以及血压方面发挥作用,类似于这种肽激素在外周的拟作用。为了确定ANF是否可能作为血压的神经调节剂,我们通过第四脑室注射将ANF给予高血压大鼠(SHR)和正常血压大鼠(WKY)的大脑。心房钠尿肽使两种品系的平均动脉血压均出现中度且显著的下降。ANF的作用似乎是通过激活中枢α2 - 肾上腺素能神经系统介导的,可能是通过儿茶酚胺的释放。此外,可能涉及对内源性阿片类物质分泌和作用的依赖性;在这些研究中心率未受影响。其他实验室的实验表明,中枢ANF可能调节中枢作用的血管紧张素II的升压作用。(摘要截选至250字)