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卡托普利可减弱速尿的利尿和利钠作用,但对心房利钠肽无此作用。

Captopril attenuates diuretic and natriuretic actions of furosemide but not atrial natriuretic peptide.

作者信息

Di Nicolantonio R, Morgan T O

出版信息

Clin Exp Hypertens A. 1987;9(1):19-32. doi: 10.3109/10641968709160028.

DOI:10.3109/10641968709160028
PMID:2953509
Abstract

Atrial Natriuretic Peptide (ANP) exerts a potent diuretic and natriuretic action in rat, dog and man. To test whether these actions of ANP are due to antagonism of the antinatriuretic actions of endogenous angiotensin II, an examination was made of the renal actions of ANP in anesthetized rats with and without captopril pretreatment. Captopril treatment did not alter the diuretic and natriuretic action of a single, intravenous bolus injection of ANP (1000 ng of the 8-33 ANP). Captopril treatment did significantly attenuate the diuretic and natriuretic actions of Furosemide (20 mg/kg ip). This attenuation was not reversed by concomitant, exogenous angiotensin II infusion. These results suggest that while ANP exerts its renal actions independently of the circulating renin-angiotensin system the diuretic and natriuretic action of Furosemide is modulated by a substrate of angiotensin converting enzyme.

摘要

心房利钠肽(ANP)在大鼠、狗和人类中发挥强大的利尿和利钠作用。为了测试ANP的这些作用是否归因于对内源性血管紧张素II的抗利钠作用的拮抗,研究了在有或没有卡托普利预处理的麻醉大鼠中ANP的肾脏作用。卡托普利治疗并未改变单次静脉推注ANP(1000 ng的8-33 ANP)的利尿和利钠作用。卡托普利治疗确实显著减弱了呋塞米(20 mg/kg腹腔注射)的利尿和利钠作用。这种减弱并未因同时输注外源性血管紧张素II而逆转。这些结果表明,虽然ANP独立于循环肾素-血管紧张素系统发挥其肾脏作用,但呋塞米的利尿和利钠作用受血管紧张素转换酶底物的调节。

相似文献

1
Captopril attenuates diuretic and natriuretic actions of furosemide but not atrial natriuretic peptide.卡托普利可减弱速尿的利尿和利钠作用,但对心房利钠肽无此作用。
Clin Exp Hypertens A. 1987;9(1):19-32. doi: 10.3109/10641968709160028.
2
Acute administration of captopril lowers the natriuretic and diuretic response to a loop diuretic in patients with chronic cardiac failure.急性给予卡托普利会降低慢性心力衰竭患者对袢利尿剂的利钠和利尿反应。
Eur Heart J. 1991 Aug;12(8):924-7. doi: 10.1093/eurheartj/12.8.924.
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Captopril antagonizes the hypotensive action of atrial natriuretic peptide in the anaesthetized rat.卡托普利可拮抗麻醉大鼠体内心钠素的降压作用。
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Interrelation of coronary effects of atrial natriuretic peptide and the renin-angiotensin system in the isolated perfused rat heart.心房利钠肽与肾素-血管紧张素系统对离体灌注大鼠心脏冠脉作用的相互关系
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Diminution by captopril of the diuretic, natriuretic and kallikrein stimulating action of furosemide by reduction in its renal secretion.卡托普利通过减少呋塞米的肾脏分泌,降低其利尿、利钠及激肽释放酶刺激作用。
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Renal effects of atrial natriuretic peptide in cirrhotic rats with and without captopril pretreatment.心房利钠肽对有或无卡托普利预处理的肝硬化大鼠的肾脏影响。
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Atrial natriuretic peptide inhibits angiotensin-stimulated proximal tubular sodium and water reabsorption.
Nature. 1987;326(6114):697-8. doi: 10.1038/326697a0.

引用本文的文献

1
Renal excretory responses to single and repeated administration of diuretics in healthy subjects: clinical connotations.健康受试者单次及重复使用利尿剂后的肾脏排泄反应:临床意义
Cardiovasc Drugs Ther. 1993 Jan;7 Suppl 1:29-44. doi: 10.1007/BF00877956.
2
Contraluminal para-aminohippurate (PAH) transport in the proximal tubule of the rat kidney. VI. Specificity: amino acids, their N-methyl-, N-acetyl- and N-benzoylderivatives; glutathione- and cysteine conjugates, di- and oligopeptides.大鼠肾脏近端小管管腔对侧对氨基马尿酸(PAH)的转运。VI. 特异性:氨基酸及其N-甲基、N-乙酰和N-苯甲酰衍生物;谷胱甘肽和半胱氨酸共轭物、二肽和寡肽。
Pflugers Arch. 1989 Dec;415(3):342-50. doi: 10.1007/BF00370886.
3
Interference of different ACE-inhibitors with the diuretic action of furosemide and hydrochlorothiazide.
不同血管紧张素转换酶抑制剂对呋塞米和氢氯噻嗪利尿作用的干扰。
Klin Wochenschr. 1989 Nov 17;67(22):1138-46. doi: 10.1007/BF01726115.
4
Captopril augments both basal and frusemide-induced natriuresis in normal man by suppression of circulating angiotensin II.卡托普利通过抑制循环中的血管紧张素II,增强正常人的基础及速尿诱导的利钠作用。
Br J Clin Pharmacol. 1992 Jul;34(1):25-31. doi: 10.1111/j.1365-2125.1992.tb04103.x.