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清醒高血压大鼠肾功能的中枢肾上腺素能受体调控

Central adrenergic receptor control of renal function in conscious hypertensive rats.

作者信息

Koepke J P, DiBona G F

出版信息

Hypertension. 1986 Feb;8(2):133-41. doi: 10.1161/01.hyp.8.2.133.

Abstract

The role of central nervous system alpha-adrenergic and beta-adrenergic receptors in the increased renal sympathetic nerve activity and antinatriuresis resulting from environmental stress (air stress) in conscious spontaneously hypertensive rats (SHR) was examined. Intracerebroventricular administration of the alpha 2-adrenergic receptor agonist clonidine (1, 5, and 15 micrograms) prevented the effects of air stress on renal sympathetic nerve activity and urinary sodium excretion. Clonidine, 5 and 15 micrograms, lowered baseline mean arterial pressure and renal sympathetic nerve activity and increased baseline urine flow rate and urinary sodium excretion; clonidine, 1 micrograms, had no effect on these baseline levels. Intravenous administration of 5 micrograms, but not 1 microgram of clonidine, abolished the renal responses to air stress. Intracerebroventricular administration of alpha 2-adrenergic receptor antagonists (yohimbine, rauwolscine) reversed the effects of clonidine, alpha 2-adrenergic receptor blockade alone, alpha 1-adrenergic receptor blockade (20 micrograms prazosin), or combined alpha 1-adrenergic and alpha 2-adrenergic receptor blockade (30 micrograms phenoxybenzamine) had no effect on the renal sympathetic nerve activity or antinatriuretic responses to air stress. Intracerebroventricular, but not intravenous, administration of the beta 2-adrenergic receptor antagonist ICI 118551 (30 micrograms) prevented the increased renal sympathetic nerve activity and antinatriuretic responses to air stress. In contrast, intracerebroventricular administration of the beta 1-adrenergic receptor antagonist atenolol (30 micrograms) had no effect on the renal responses to air stress. These results indicate that the increased renal sympathetic nerve activity and antinatriuresis resulting from environmental stress in conscious SHR can be prevented by pharmacological stimulation of central alpha 2-adrenergic receptors or by blockade of central beta 2-adrenergic receptors.

摘要

研究了中枢神经系统α-肾上腺素能和β-肾上腺素能受体在清醒自发性高血压大鼠(SHR)因环境应激(空气应激)导致的肾交感神经活动增加和钠排泄减少中的作用。脑室内注射α2-肾上腺素能受体激动剂可乐定(1、5和15微克)可预防空气应激对肾交感神经活动和尿钠排泄的影响。5微克和15微克的可乐定可降低基础平均动脉压和肾交感神经活动,并增加基础尿流率和尿钠排泄;1微克的可乐定对这些基础水平无影响。静脉注射5微克而非1微克的可乐定可消除肾对空气应激的反应。脑室内注射α2-肾上腺素能受体拮抗剂(育亨宾、萝芙木碱)可逆转可乐定的作用,单独阻断α2-肾上腺素能受体、阻断α1-肾上腺素能受体(20微克哌唑嗪)或联合阻断α1-肾上腺素能和α2-肾上腺素能受体(30微克酚苄明)对肾交感神经活动或对空气应激的钠排泄减少反应均无影响。脑室内而非静脉注射β2-肾上腺素能受体拮抗剂ICI 118551(30微克)可预防肾交感神经活动增加和对空气应激的钠排泄减少反应。相比之下,脑室内注射β1-肾上腺素能受体拮抗剂阿替洛尔(30微克)对肾对空气应激的反应无影响。这些结果表明,通过药理学刺激中枢α2-肾上腺素能受体或阻断中枢β2-肾上腺素能受体,可预防清醒SHR因环境应激导致的肾交感神经活动增加和钠排泄减少。

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