Department of Renal and Body Fluid Physiology, Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Pol.
Department of Physiology, School of Medicine, Tulane University, New Orleans, Louisiana, USA.
Am J Hypertens. 2018 Mar 10;31(4):504-511. doi: 10.1093/ajh/hpy006.
Indirect evidence suggests that angiotensin 1-7 (Ang1-7) may counterbalance prohypertensive actions of angiotensin II (AngII), via activation of vascular and/or renal tubular receptors to cause vasodilation and natriuresis/diuresis. We examined if Ang1-7 would attenuate the development of hypertension, renal vasoconstriction, and decreased natriuresis in AngII-infused rats and evaluated the mechanisms involved.
AngII, alone or with Ang1-7, was infused to conscious Sprague-Dawley rats for 13 days and systolic blood pressure (SBP) and renal excretion were repeatedly determined. In anesthetized rats, acute actions of Ang1-7 and effects of blockade of angiotensin AT1 or Mas receptors (candesartan or A-779) were studied.
Chronic AngII infusion increased SBP from 143 ± 4 to 195 ± 6 mm Hg. With Ang1-7 co-infused, SBP increased from 133 ± 5 to 161 ± 5 mm Hg (increase reduced, P < 0.002); concurrent increases in urine flow (V) and sodium excretion (UNaV) were greater. In anesthetized normotensive or AngII-induced hypertensive rats, Ang1-7 infusion transiently increased mean arterial pressure (MABP), transiently decreased renal blood flow (RBF), and caused increases in UNaV and V. In normotensive rats, candesartan prevented the Ang1-7-induced increases in MABP and UNaV and the decrease in RBF. In anesthetized normotensive, rats intravenous A-779 increased MABP (114 ± 5 to 120 ± 5 mm Hg, P < 0.03) and urine flow. Surprisingly, these changes were not observed with A-779 applied during background Ang1-7 infusion.
The results suggest that in AngII-dependent hypertension, Ang1-7 deficit contributes to sodium and fluid retention and thereby to BP elevation; a correction by Ang1-7 infusion seems mediated by AT1 and not Mas receptors.
间接证据表明,血管紧张素 1-7(Ang1-7)可能通过激活血管和/或肾小管受体来对抗血管紧张素 II(AngII)的升压作用,从而导致血管舒张和利钠/利尿。我们研究了 Ang1-7 是否会减弱 AngII 输注大鼠的高血压、肾血管收缩和利钠作用降低的发展,并评估了所涉及的机制。
将 AngII 单独或与 Ang1-7 一起输注至清醒的 Sprague-Dawley 大鼠 13 天,并反复测定收缩压(SBP)和肾排泄。在麻醉大鼠中,研究了 Ang1-7 的急性作用以及血管紧张素 AT1 或 Mas 受体阻断(坎地沙坦或 A-779)的作用。
慢性 AngII 输注使 SBP 从 143±4 增加到 195±6mmHg。与 Ang1-7 共输注时,SBP 从 133±5 增加到 161±5mmHg(增加减少,P<0.002);同时尿量(V)和钠排泄(UNaV)增加更大。在麻醉的正常血压或 AngII 诱导的高血压大鼠中,Ang1-7 输注使平均动脉压(MABP)短暂升高,使肾血流量(RBF)短暂降低,并引起 UNaV 和 V 增加。在正常血压大鼠中,坎地沙坦可预防 Ang1-7 引起的 MABP 和 UNaV 增加以及 RBF 减少。在麻醉的正常血压大鼠中,静脉内给予 A-779 可使 MABP(从 114±5 增加到 120±5mmHg,P<0.03)和尿流量增加。令人惊讶的是,在用 Ang1-7 输注期间应用 A-779 时没有观察到这些变化。
结果表明,在 AngII 依赖性高血压中,Ang1-7 缺乏导致钠和液体潴留,从而导致血压升高;通过 Ang1-7 输注进行校正似乎是通过 AT1 而不是 Mas 受体介导的。