McGrath B P, Jover B, Dupont M, Mimran A
Monash University Department of Medicine, Prince Henry's Hospital, Melbourne, Australia.
J Hypertens Suppl. 1985 Dec;3(3):S439-42.
The hypothesis that vasopressin participates in cardiovascular adaptation to sodium depletion was examined in male Sprague-Dawley rats studied after 6 days (n = 28) or 4 weeks (n = 28) of low sodium diet. Blood pressure was similar on the two diets but heart rate, water intake and urine volume were all significantly greater at 4 weeks. Animals were randomly assigned to four acute treatment groups: controls, vasopressin pressor antagonist, d(CH2)5Tyr(Me)AVP (AVPA, 10 micrograms/kg); angiotensin converting enzyme (ACE) inhibitor, enalaprilic acid (150 micrograms/kg); combined ACE inhibitor and AVPA. Cardiac output and blood flow distribution were measured using labelled microspheres. Blood pressure, cardiac output and blood flow distribution were unchanged after AVPA alone. Angiotensin converting enzyme inhibition and ACE inhibitor plus AVPA produced similar falls in mean blood pressure at 6 days (-12 +/- 1, -14 +/- 3 mmHg) and 4 weeks (-11 +/- 2, -16 +/- 2 mmHg) due to parallel falls in peripheral resistance. Angiotensin converting enzyme inhibition was associated with selective increases in renal and mesenteric blood flow. Renal blood flow increased further after combined blockade at 6 days (ACE inhibitor 9.68 +/- 0.71; ACE inhibitor plus AVPA 11.92 +/- 0.73 ml/min per g, P < 0.05) but not at 4 weeks (ACE inhibitor 11.15 +/- 0.23; ACE inhibitor plus AVPA 10.76 +/- 0.78 ml/min per g). Vasopressin appears to contribute to early but not late cardiovascular adaptation to sodium depletion. A specific effect on the renal vascular bed is only revealed after removal of the dominant effect of angiotensin II (ANG II).
在对雄性斯普拉格 - 道利大鼠进行的研究中,检验了血管加压素参与心血管系统对钠缺失适应过程的假说。这些大鼠分别接受了6天(n = 28)或4周(n = 28)的低钠饮食。两种饮食条件下的血压相似,但4周时的心率、水摄入量和尿量均显著增加。动物被随机分为四个急性治疗组:对照组、血管加压素升压拮抗剂d(CH2)5Tyr(Me)AVP(AVPA,10微克/千克);血管紧张素转换酶(ACE)抑制剂依那普利酸(150微克/千克);联合使用ACE抑制剂和AVPA。使用标记微球测量心输出量和血流分布。单独使用AVPA后,血压、心输出量和血流分布均未改变。在6天(-12±1,-14±3 mmHg)和4周(-11±2,-16±2 mmHg)时,血管紧张素转换酶抑制以及ACE抑制剂加AVPA均导致平均血压类似下降,这是由于外周阻力平行下降所致。血管紧张素转换酶抑制与肾和肠系膜血流的选择性增加有关。在6天时联合阻断后肾血流进一步增加(ACE抑制剂组9.68±0.71;ACE抑制剂加AVPA组11.92±0.73毫升/分钟每克,P<0.05),但4周时未增加(ACE抑制剂组11.15±0.23;ACE抑制剂加AVPA组10.76±0.78毫升/分钟每克)。血管加压素似乎有助于早期而非晚期心血管系统对钠缺失的适应。只有在去除血管紧张素II(ANG II)的主要作用后,才会显示出对肾血管床的特定影响。