Hirata Y, Matsuoka H, Kimura K, Fukui K, Hayakawa H, Suzuki E, Sugimoto T, Sugimoto T, Yanagisawa M, Masaki T
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.
Circ Res. 1989 Nov;65(5):1370-9. doi: 10.1161/01.res.65.5.1370.
The effects of endothelin on systemic and renal hemodynamics in anesthetized spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats were examined. Endothelin (500 ng i.v. +1,000 ng/hr per 300-g rat) elevated mean blood pressure by 13% (p less than 0.02) and decreased renal blood flow by 71% and glomerular filtration rate by 66% (both p less than 0.01), resulting in a 430% (p less than 0.05) increase in renal vascular resistance (RVR) in SHR. This rise in blood pressure was associated with a significant increase in hematocrit (+8%), but a decrease in urinary sodium excretion (-51%). This dose of endothelin reduced cardiac output by 40% (p less than 0.001) and brought about a 96% (p less than 0.01) rise in systemic vascular resistance (SVR). However, the SVR increase was significantly smaller than the RVR increase. These changes in systemic and renal hemodynamics were observed in a dose-dependent manner, and the degrees of change did not differ between the two strains. Additional infusion of atrial natriuretic peptide (0.33 microgram/kg/min) into SHR completely reversed the changes in blood pressure and renal hemodynamics caused by endothelin, resulting in pronounced natriuresis (+760%). The renal vascular casting study revealed that endothelin mainly constricted the arcuate and interlobular arteries, as well as afferent arterioles. These results suggest that endothelin may be involved in blood pressure and body fluid volume regulation through systemic and renal vasoconstriction.
研究了内皮素对麻醉的自发性高血压大鼠(SHR)和Wistar-Kyoto大鼠全身及肾脏血流动力学的影响。内皮素(静脉注射500 ng +每300 g大鼠每小时1000 ng)使平均血压升高13%(p<0.02),肾血流量减少71%,肾小球滤过率减少66%(均p<0.01),导致SHR的肾血管阻力(RVR)增加430%(p<0.05)。血压升高与血细胞比容显著增加(+8%)相关,但尿钠排泄减少(-51%)。该剂量的内皮素使心输出量减少40%(p<0.001),全身血管阻力(SVR)升高96%(p<0.01)。然而,SVR的增加明显小于RVR的增加。全身和肾脏血流动力学的这些变化呈剂量依赖性,且两种品系间变化程度无差异。向SHR额外输注心房利钠肽(0.33微克/千克/分钟)完全逆转了内皮素引起的血压和肾脏血流动力学变化,导致显著的利钠作用(+760%)。肾脏血管铸型研究显示,内皮素主要使弓形动脉、小叶间动脉以及入球小动脉收缩。这些结果表明,内皮素可能通过全身和肾脏血管收缩参与血压和体液容量调节。