Seino M, Abe K, Nushiro N, Omata K, Kasai Y, Yoshinaga K
Second Department of Internal Medicine, Tohoku University School of Medicine, Sendai, Japan.
J Hypertens. 1988 Nov;6(11):867-71. doi: 10.1097/00004872-198811000-00004.
To examine a possible role of endogenous bradykinin in the regulation of blood pressure (BP) and renal blood flow (RBF), a newly synthesized competitive antagonist of bradykinin (B4147) was studied in anesthetized rats. Also, the question of whether the hypotensive effect of the converting enzyme inhibitor, captopril, is mediated partly by an accumulation of endogenous bradykinin was considered. The intravenous infusion of B4147 (25 micrograms/min) inhibited the depressor effect of exogenous bradykinin (0.5 microgram, i.v.) by 69%. After an intravenous injection of B4147 at doses of 25, 50 and 100 micrograms, BP increased and RBF decreased in a dose-dependent fashion. The increase in BP was not blocked by pretreatment with an angiotensin II antagonist (1-Sar-8-Ile angiotensin II; 20 micrograms/kg per min) or an alpha 1-blocker (prazosin; 0.1 mg/kg). The administration of captopril (1 mg/kg) decreased mean BP from 110 +/- 3.5 to 71 +/- 1.9 mmHg (P less than 0.001). However, the injection of B4147 (50 micrograms) after the administration of captopril elicited an increase in BP of 43% of the initial decrease induced by captopril. These results suggest that the effects of B4147 on BP and RBF are not mediated through angiotensin II or sympathetic alpha 1-stimulation. Endogenous bradykinin could contribute to the maintenance of BP and RBF in anesthetized rats, probably counter-balancing the vasoconstrictor mechanisms. It is also suggested that bradykinin may partly participate in the acute hypotensive effect induced by the converting enzyme inhibitor captopril.
为研究内源性缓激肽在血压(BP)和肾血流量(RBF)调节中的可能作用,在麻醉大鼠中研究了一种新合成的缓激肽竞争性拮抗剂(B4147)。此外,还考虑了转化酶抑制剂卡托普利的降压作用是否部分由内源性缓激肽的蓄积介导这一问题。静脉输注B4147(25微克/分钟)可使外源性缓激肽(0.5微克,静脉注射)的降压作用抑制69%。静脉注射25、50和100微克剂量的B4147后,血压呈剂量依赖性升高,肾血流量降低。血压升高不受血管紧张素II拮抗剂(1- Sar-8- Ile血管紧张素II;20微克/千克每分钟)或α1-阻滞剂(哌唑嗪;0.1毫克/千克)预处理的阻断。给予卡托普利(1毫克/千克)可使平均血压从110±3.5降至71±1.9毫米汞柱(P<0.001)。然而,在给予卡托普利后注射B4147(50微克),血压升高幅度为卡托普利所致初始血压降低幅度的43%。这些结果表明,B4147对血压和肾血流量的作用不是通过血管紧张素II或交感α1-刺激介导的。内源性缓激肽可能有助于维持麻醉大鼠的血压和肾血流量,可能是对血管收缩机制起平衡作用。还提示缓激肽可能部分参与转化酶抑制剂卡托普利诱导的急性降压作用。