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刺激下颌下腺后血浆肾素大幅升高与血压仅有小幅(若有升高)上升之间比例失调的原因。

Cause of the disproportion between the vast increase in plasma renin and the only small (if any) increase in blood pressure after manipulation of the submaxillary gland.

作者信息

Bing J, Poulsen K

出版信息

Acta Pathol Microbiol Scand A. 1977 Sep;85(5):691-8. doi: 10.1111/j.1699-0463.1977.tb00460.x.

Abstract

The cause of the disproportion between the vast increase in plasma renin concentration and the small, if any increase in blood pressure after manipulation of the submaxillary glands in mice is complex. The increase in plasma renin was found to cause a marked depletion of renin substrate, which however, was relatively so much less than the increase in renin that the (calculated) renin activity was markedly increased. The sensitivity of the vessels to angiotensin had only decreased in about half the animals studied, and even here the tachyphylaxis could not cope with the pronounced increase in plasma renin activity, as shown by a marked decrease in the blood pressure after blockade of the renin system. The finding that blockade of the renin system lowered the blood pressure below the pre-manipulation level made it probable that the vast release of submaxillary renin is followed by release of a depressor substance. The glands are known to contain kallikrein, but with the methods used it was neither proved nor disproved that the manipulation causes a release of kallikrein. Besides the factors studied, compensatory cardiovascular reflexes can play a role for the disproportion between plasma renin and blood pressure.

摘要

在对小鼠的颌下腺进行操作后,血浆肾素浓度大幅升高,但血压即使有升高也很微小,二者不成比例,其原因很复杂。研究发现,血浆肾素的增加导致肾素底物显著减少,然而,减少的量相对肾素的增加量要少得多,以至于(计算得出的)肾素活性显著增加。在大约一半的研究动物中,血管对血管紧张素的敏感性仅有所下降,而且即便如此,速发耐受性也无法应对血浆肾素活性的显著增加,肾素系统被阻断后血压显著下降就表明了这一点。肾素系统被阻断后血压降至操作前水平以下这一发现表明,颌下肾素大量释放后可能会释放一种降压物质。已知这些腺体含有激肽释放酶,但就所使用的方法而言,既未证实也未证伪操作会导致激肽释放酶的释放。除了所研究的因素外,代偿性心血管反射可能也是血浆肾素与血压不成比例的原因之一。

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