Ruskoaho H, Leppäluoto J
Department of Pharmacology, University of Oulu, Finland.
Circ Res. 1988 Feb;62(2):384-94. doi: 10.1161/01.res.62.2.384.
To evaluate the role of extra-atrial atrial natriuretic peptide (ANP) in volume and blood pressure regulation, the plasma, atrial, ventricular, and hypothalamic levels of immunoreactive atrial natriuretic peptide (IR-ANP) were measured simultaneously in the spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY) at the ages of 2, 6, and 12 months. Plasma IR-ANP in the 12-month-old, conscious SHR was significantly higher than that of the WKY (300 +/- 18 versus 200 +/- 20 pg/ml, p less than 0.05, n = 9), while no differences in plasma IR-ANP levels were found between the strains in younger rats. Acute volume expansion with saline (1.1 ml/100 g body wt) in hypertensive as well as in normotensive rats resulted in marked increases in right atrial pressure and plasma IR-ANP concentration. The older SHR had attenuated ANP release to volume loading as shown by the shift of the ANP versus right atrial pressure curve to the right. Right auricular IR-ANP concentration decreased, while that of left auricle increased with increasing age in both strains. No substantial differences were noted in auricular ANP concentration between SHR and WKY. However, the total atrial IR-ANP content (micrograms/atria) was consistently lower in SHR compared with WKY. In both ventricles, IR-ANP concentrations and contents increased with increasing age in WKY and SHR, but the ventricular levels of ANP were reduced in ventricles of the SHR heart compared with normotensive controls. The depletion of total ventricular IR-ANP was greatest in SHR with greatest ventricular hypertrophy and coincided with the attenuated ANP release to acute volume load. The increase of left but not right ventricular weight occurring secondary to 6 weeks minoxidil treatment was accompanied by higher ANP concentration in both strains. In contrast to the ventricles, the hypothalamic IR-ANP concentration was significantly increased in SHR compared with that of WKY and decreased in both strains after 6 weeks' treatment with antihypertensive drugs. Thus, ventricular and hypothalamic, as well as atrial, ANP respond to increased pressure overload in genetically hypertensive rats. Our results suggest that chronic stimulation of ANP release from ventricles is associated with depleted stores of ANP from both ventricles and reduced response to acute volume load. Our findings that ventricular ANP increased with increasing weight and in response to a hypertrophic stimulus in WKY and was decreased in SHR with severe ventricular hypertrophy suggest that ANP may locally have an inhibitory effect on the development of cardiac hypertrophy.
为评估心房外心房利钠肽(ANP)在容量和血压调节中的作用,同时测定了2、6和12月龄自发性高血压大鼠(SHR)和Wistar - Kyoto大鼠(WKY)的血浆、心房、心室及下丘脑的免疫反应性心房利钠肽(IR - ANP)水平。12月龄清醒SHR的血浆IR - ANP显著高于WKY(300±18对200±20 pg/ml,p<0.05,n = 9),而年轻大鼠中两品系的血浆IR - ANP水平无差异。高血压大鼠和正常血压大鼠经盐水急性扩容(1.1 ml/100 g体重)后,右心房压力和血浆IR - ANP浓度均显著升高。老年SHR对容量负荷的ANP释放减弱,表现为ANP与右心房压力曲线右移。两品系中,右心耳IR - ANP浓度随年龄增长而降低,左心耳则升高。SHR和WKY的心耳ANP浓度无显著差异。然而,SHR的总心房IR - ANP含量(微克/心房)始终低于WKY。在WKY和SHR中,两心室的IR - ANP浓度和含量均随年龄增长而增加,但与正常血压对照组相比,SHR心脏心室的ANP水平降低。心室总IR - ANP的耗竭在心室肥厚最严重的SHR中最为明显,且与对急性容量负荷的ANP释放减弱一致。两品系中,6周米诺地尔治疗继发的左心室而非右心室重量增加伴随着更高的ANP浓度。与心室相反,SHR的下丘脑IR - ANP浓度显著高于WKY,且两品系经6周抗高血压药物治疗后均降低。因此,在遗传性高血压大鼠中,心室、下丘脑以及心房的ANP对压力超负荷增加均有反应。我们的结果表明,心室ANP释放的慢性刺激与心室ANP储备耗竭及对急性容量负荷反应降低有关。我们的发现,即WKY中心室ANP随体重增加及对肥厚刺激而升高,而严重心室肥厚的SHR中则降低,提示ANP可能在局部对心脏肥厚的发展具有抑制作用。