Richer C, Doussau M P, Giudicelli J F
Département de Pharmacologie, Faculté de Médecine Paris-Sud, Le Kremlin-Bicêtre, France.
Arch Mal Coeur Vaiss. 1987 Jun;80(6):970-5.
The hemodynamic effects of ANF (1 and 5 micrograms/kg/min) and its potential interactions with the sympathetic system were investigated at the systemic and regional (pulsed Doppler) levels in the pithed SHR. ANF dose-dependently decreased cardiac output CO, renal (RBF), mesenteric (MBF) and hindquarter (HQBF) blood flows and increased the corresponding vascular resistances: total peripheral (TPR), renal (RR), mesenteric (MR) and hindquarter (HQR), all these effects being significant at 5 micrograms/kg/min. Mean blood pressure (MBP) and heart rate were also significantly decreased at 5 micrograms/kg/min. ANF significantly reduced the responses to cirazoline of MBP, TPR and RR (1 microgram/kg/min) and of MR (5 micrograms/kg/min) but did not affect those of HQR ANF also significantly reduced the responses to UK-14,304 of MBP, TPR and MR (5 micrograms/kg/min) but did not affect those of RR and HQR. These data indicate that (a) ANF, in the absence of reflex phenomenons, exerts intrinsic regional vasoconstrictor effects, (b) ANF exhibits a postsynaptic sympatho-inhibitory effect. The latter is more marked vs the alpha 1-(especially renal) than vs the alpha 2-adrenoceptor-mediated responses but does not affect the hindquarter vascular bed, which suggest that its contribution to the overall antihypertensive action of ANF is of limited importance.
在脊髓横断的自发性高血压大鼠(SHR)中,研究了心房钠尿肽(ANF,1和5微克/千克/分钟)的血流动力学效应及其与交感神经系统的潜在相互作用,分别在全身和局部(脉冲多普勒)水平进行。ANF剂量依赖性地降低心输出量(CO)、肾血流量(RBF)、肠系膜血流量(MBF)和后肢血流量(HQBF),并增加相应的血管阻力:总外周阻力(TPR)、肾血管阻力(RR)、肠系膜血管阻力(MR)和后肢血管阻力(HQR),所有这些效应在5微克/千克/分钟时均显著。平均血压(MBP)和心率在5微克/千克/分钟时也显著降低。ANF显著降低了MBP、TPR和RR(1微克/千克/分钟)以及MR(5微克/千克/分钟)对可乐唑啉的反应,但不影响HQR的反应。ANF还显著降低了MBP、TPR和MR(5微克/千克/分钟)对UK-14,304的反应,但不影响RR和HQR的反应。这些数据表明:(a)在无反射现象的情况下,ANF发挥内在的局部血管收缩作用;(b)ANF表现出突触后交感抑制作用。后者对α1 -(尤其是肾)介导的反应的抑制作用比对α2 -肾上腺素能受体介导的反应更明显,但不影响后肢血管床,这表明其对ANF整体降压作用的贡献有限。