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反对抗利尿激素在脱水时支持血压作用的证据。

Evidence against role of antidiuretic hormone in support of blood pressure during dehydration.

作者信息

Fejes-Tóth G, Náray-Fejes-Tóth A, Ratge D

出版信息

Am J Physiol. 1985 Jul;249(1 Pt 2):H42-8. doi: 10.1152/ajpheart.1985.249.1.H42.

Abstract

The contribution of arginine vasopressin (AVP) to the maintenance of mean arterial pressure (MAP) during fluid deprivation was reinvestigated in chronically prepared, conscious, freely moving rats. In normal Long-Evans (LE) rats during water deprivation for up to 48 h plasma AVP levels increased from 2.98 +/- 0.62 to 17.55 +/- 2.03 pg/ml, but MAP and heart rate (HR) remained unchanged. Fluid deprivation for 10 h in Brattleboro homozygous rats that are unable to synthetize vasopressin resulted in a more severe water depletion than 48 h of dehydration in the normal rats, but also in this group MAP and HR were maintained at values not significantly different from control. Cardiac output (CO) fell during the course of dehydration in both LE and Brattleboro rats. Injection of 20 micrograms/kg of the vasopressin pressor antagonist, 1-deamino-penicillamine, 2-(O-methyl)-tyrosine AVP [dPTyr(Me)AVP] did not decrease MAP or increase HR in LE rats after 24 h of water deprivation and was ineffective even after 48 h of fluid deprivation. CO also remained unchanged following AVP blockade. Efficacy of the antagonist was verified by complete inhibition of the pressor response elicited by exogenous AVP. The concentration of plasma catecholamines was unaltered by dPTyr(Me)AVP. Blockade of the renin-angiotensin system via converting-enzyme inhibition failed to reveal any depressor effect after injection of dPTyr(Me)AVP. Thus it appears that AVP is not involved in the maintenance of blood pressure after fluid deprivation in conscious rats.

摘要

在长期制备的、清醒的、自由活动的大鼠中,重新研究了精氨酸加压素(AVP)在液体剥夺期间对维持平均动脉压(MAP)的作用。在正常的长 Evans(LE)大鼠中,缺水长达 48 小时期间,血浆 AVP 水平从 2.98±0.62 升高至 17.55±2.03 pg/ml,但 MAP 和心率(HR)保持不变。无法合成加压素的 Brattleboro 纯合大鼠缺水 10 小时导致的缺水程度比正常大鼠脱水 48 小时更严重,但在该组中 MAP 和 HR 也维持在与对照组无显著差异的值。在 LE 和 Brattleboro 大鼠脱水过程中,心输出量(CO)均下降。在缺水 24 小时的 LE 大鼠中,注射 20 μg/kg 的加压素升压拮抗剂 1-脱氨基青霉胺、2-(O-甲基)-酪氨酸 AVP [dPTyr(Me)AVP] 并未降低 MAP 或增加 HR,即使在缺水 48 小时后也无效。AVP 阻断后 CO 也保持不变。通过完全抑制外源性 AVP 引起的升压反应验证了拮抗剂的有效性。dPTyr(Me)AVP 未改变血浆儿茶酚胺浓度。通过抑制转换酶阻断肾素-血管紧张素系统未能在注射 dPTyr(Me)AVP 后显示出任何降压作用。因此,在清醒大鼠液体剥夺后,AVP 似乎不参与血压维持。

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