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血管紧张素 1-7 在血管紧张素Ⅱ输注型高血压大鼠血压和肾功能调控中的调节作用。

Modulating Role of Ang1-7 in Control of Blood Pressure and Renal Function in AngII-infused Hypertensive Rats.

机构信息

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.

出版信息

Am J Hypertens. 2018 Mar 10;31(4):504-511. doi: 10.1093/ajh/hpy006.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

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