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肾素-血管紧张素系统与身体功能。

The renin-angiotensin system and body function.

作者信息

Reid I A

出版信息

Arch Intern Med. 1985 Aug;145(8):1475-9.

PMID:2992406
Abstract

Angiotensin II, the biologically active component of the renin-angiotensin system, acts throughout the body to produce an impressive number of cardiovascular, endocrine, metabolic, and behavioral effects. Major actions include elevation of arterial pressure, stimulation of aldosterone secretion, and a variety of effects on the kidneys, brain, and pituitary. Investigation of the role of the renin-angiotensin system in physiological regulation has been greatly facilitated by the availability of specific inhibitors of the formation or actions of angiotensin II, most notably converting-enzyme inhibitors and angiotensin receptor antagonists. Studies with these agents have clearly shown that the renin-angiotensin system plays an important role in the defense of body balance and blood pressure in hypovolemic state, including sodium deficiency and hemorrhage. The inhibitors also lower blood pressure in some forms of hypertension, and converting-enzyme inhibitors are proving to be effective antihypertensive agents.

摘要

血管紧张素II是肾素-血管紧张素系统的生物活性成分,它在全身发挥作用,产生众多显著的心血管、内分泌、代谢及行为效应。主要作用包括升高动脉血压、刺激醛固酮分泌,以及对肾脏、大脑和垂体产生多种影响。血管紧张素II生成或作用的特异性抑制剂的出现,极大地推动了对肾素-血管紧张素系统在生理调节中作用的研究,其中最显著的是转化酶抑制剂和血管紧张素受体拮抗剂。使用这些药物的研究清楚地表明,肾素-血管紧张素系统在低血容量状态(包括钠缺乏和出血)下维持身体平衡和血压方面发挥着重要作用。这些抑制剂还能降低某些类型高血压的血压,并且转化酶抑制剂已被证明是有效的抗高血压药物。

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