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脑钠肽对清醒家兔肾神经活动的影响。

Effects of brain natriuretic peptide on renal nerve activity in conscious rabbits.

作者信息

Morita H, Nishida Y, Motochigawa H, Kangawa K, Minamino N, Matsuo H, Hosomi H

机构信息

Department of Physiology, Kagawa Medical School, Japan.

出版信息

Am J Physiol. 1989 Mar;256(3 Pt 2):R792-6. doi: 10.1152/ajpregu.1989.256.3.R792.

Abstract

Responses of renal nerve activity (RNA) to intravenous infusion of brain natriuretic peptide (BNP) were examined in chronically instrumented conscious rabbits with all baroreflexes intact, sinoaortic baroreceptor denervation (SAD), and SAD plus vagotomy. In intact rabbits, an infusion of BNP at a rate of 0.3 microgram.kg-1.min-1 for 30 min decreased mean arterial pressure (MAP) by 8 +/- 1 mmHg and increased RNA by 48 +/- 4% but did not alter heart rate (HR). The decrease in MAP in SAD rabbits (20 +/- 3 mmHg) was greater than in intact rabbits, whereas RNA increased less (21 +/- 7%). After SAD plus vagotomy, BNP lowered MAP by 25 +/- 4 mmHg, whereas RNA was not altered significantly. To further examine the effects of BNP on baroreflex control of HR and RNA, the baroreceptors were stimulated or unloaded by raising or lowering MAP by injections of phenylephrine or glyceryl trinitrate, respectively. The maximum change in each HR or RNA response to phenylephrine or glyceryl trinitrate was plotted against the maximum change in each MAP response and a logistic function curve was fitted to the MAP-HR and MAP-RNA relationship. BNP did not alter the slope of either curve but shifted both curves to the left. These results indicate that 1) in intact rabbits, BNP increases RNA due to sinoaortic and cardiopulmonary baroreflexes and 2) BNP resets the baroreflex control of HR and RNA to a lower arterial pressure.

摘要

在所有压力反射均完整、进行了窦主动脉压力感受器去神经支配(SAD)以及SAD加迷走神经切断术的慢性植入仪器的清醒兔中,研究了肾神经活动(RNA)对静脉输注脑钠肽(BNP)的反应。在完整的兔中,以0.3微克·千克⁻¹·分钟⁻¹的速率输注BNP 30分钟,平均动脉压(MAP)降低8±1毫米汞柱,RNA增加48±4%,但心率(HR)未改变。SAD兔的MAP降低(20±3毫米汞柱)大于完整兔,而RNA增加较少(21±7%)。在SAD加迷走神经切断术后,BNP使MAP降低25±4毫米汞柱,而RNA无显著改变。为了进一步研究BNP对HR和RNA压力反射控制的影响,分别通过注射去氧肾上腺素或硝酸甘油升高或降低MAP来刺激或减轻压力感受器。将每个HR或RNA对去氧肾上腺素或硝酸甘油反应的最大变化与每个MAP反应的最大变化作图,并对MAP - HR和MAP - RNA关系拟合逻辑函数曲线。BNP未改变两条曲线的斜率,但将两条曲线均向左移动。这些结果表明:1)在完整兔中,BNP由于窦主动脉和心肺压力反射而增加RNA;2)BNP将HR和RNA的压力反射控制重置为较低的动脉压。

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