Cameron V, Espiner E A, Nicholls M G, Sinclair L M
Department of Endocrinology, Princess Margaret Hospital, Christchurch, New Zealand.
Circ Shock. 1987;23(1):1-5.
When levels of plasma angiotensin converting activity (ACE) were measured in 11 sheep undergoing a 15 ml/kg hemorrhage, levels before hemorrhage (5.7 +/- 0.5 nmol/min/ml) fell significantly at 120 min (3.7 +/- 0.6 nmol/min/ml) and 150 min (3.4 +/- 0.5 nmol/min/ml) after hemorrhage (P less than 0.01). Plasma ACE activity remained constant in ten control sheep studied under the same conditions but not hemorrhaged. The time course of the fall in plasma ACE activity was then studied in an additional four sheep undergoing 15 ml/kg hemorrhage, which reduced mean arterial pressure by 25% at 10 min after hemorrhage. Plasma ACE activity was variable for 60 min post-hemorrhage, but then fell to levels significantly lower than baseline values at 150 min (P less than 0.05). The decrease in plasma ACE activity associated with hemorrhage was small when compared to the effect of an IV infusion of the ACE inhibitor, Captopril (SQ14225, 28 micrograms/min for 3 hr), which reduced plasma ACE activity in the same sheep to almost undetectable levels. These results show that hemorrhage significantly reduces plasma ACE activity in sheep. However, this effect is small and is unlikely to affect the production of plasma AII following acute hemorrhage.
在对11只接受15毫升/千克出血的绵羊进行血浆血管紧张素转换酶(ACE)活性水平测量时,出血前水平(5.7±0.5纳摩尔/分钟/毫升)在出血后120分钟(3.7±0.6纳摩尔/分钟/毫升)和150分钟(3.4±0.5纳摩尔/分钟/毫升)时显著下降(P<0.01)。在相同条件下但未出血的10只对照绵羊中,血浆ACE活性保持恒定。随后在另外4只接受15毫升/千克出血的绵羊中研究血浆ACE活性下降的时间进程,出血后10分钟平均动脉压降低了25%。出血后60分钟内血浆ACE活性变化不定,但在150分钟时降至显著低于基线值的水平(P<0.05)。与静脉输注ACE抑制剂卡托普利(SQ14225,28微克/分钟,持续3小时)的效果相比,出血相关的血浆ACE活性降低幅度较小,卡托普利可将同一只绵羊的血浆ACE活性降低至几乎无法检测的水平。这些结果表明,出血会显著降低绵羊的血浆ACE活性。然而,这种影响较小,不太可能影响急性出血后血浆血管紧张素II的产生。