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替普罗肽、卡托普利和依那普利拉对动脉壁激肽酶和血管紧张素转换活性的影响。

Effects of teprotide, captopril and enalaprilat on arterial wall kininase and angiotensin converting activity.

作者信息

Lindsey C J, Bendhack L M, Paiva A C

机构信息

Department of Biophysics, Escola Paulista de Medicina São Paulo, SP, Brazil.

出版信息

J Hypertens Suppl. 1987 Jul;5(2):S71-6. doi: 10.1097/00004872-198707002-00013.

Abstract

We have previously shown that the hypotensive action of angiotensin I (ANG I) converting enzyme (ACE) inhibitors is temporally related to a long-lasting inhibition of kininase activity in the arterial wall. More recently, we showed that conversion of ANG I in the perfused mesenteric vascular bed was not inhibited by enalaprilat at concentrations above those which maximally inhibited kininase activity. The present study extends these observations to two other ACE inhibitors and to another vascular bed, the rat hindlimb preparation. Like enalaprilat, captopril (0.06-1.5 mumol/l) or teprotide (0.4-10 mumol/l) did not inhibit the conversion of ANG I in the perfused mesenteric bed, although the response to bradykinin was substantially potentiated, indicating that the ACE inhibitor decreased kininase activity. In the perfused hindlimb preparations, enalaprilat reduced kininase activity without altering the conversion of ANG I. Enalaprilat or captopril administered to rats caused a decrease in mean arterial blood pressure that lasted for over 24 h. In mesenteric preparations taken from animals 24 h after treatment with ACE inhibitors, kininase activity was inhibited whereas converting activity was unchanged. Therefore, the long-lasting hypotensive effect of ACE inhibition is apparently related to a prolonged inhibition of kininase activity in the arterial wall, which is believed to be the target for ACE inhibitor activity.

摘要

我们之前已经表明,血管紧张素I(ANG I)转换酶(ACE)抑制剂的降压作用在时间上与动脉壁中激肽酶活性的长期抑制有关。最近,我们发现,在灌注肠系膜血管床中,依那普利拉在高于最大抑制激肽酶活性的浓度时,并不会抑制ANG I的转化。本研究将这些观察结果扩展到另外两种ACE抑制剂以及另一个血管床——大鼠后肢制备模型。与依那普利拉一样,卡托普利(0.06 - 1.5 μmol/l)或替普罗肽(0.4 - 10 μmol/l)在灌注肠系膜床中不会抑制ANG I的转化,尽管对缓激肽的反应显著增强,这表明ACE抑制剂降低了激肽酶活性。在灌注后肢制备模型中,依那普利拉降低了激肽酶活性,但未改变ANG I的转化。给大鼠施用依那普利拉或卡托普利会导致平均动脉血压下降,且持续超过24小时。在用ACE抑制剂治疗24小时后的动物所取的肠系膜制备物中,激肽酶活性受到抑制,而转化活性未改变。因此,ACE抑制的持久降压作用显然与动脉壁中激肽酶活性的延长抑制有关,而动脉壁被认为是ACE抑制剂活性的靶点。

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