Altura B M, Altura B T
Fed Proc. 1977 May;36(6):1853-60.
Experimental studies relating to the direct peripheral vascular actions of neurohypophyseal hormones and their synthetic variants are reviewed. In addition, the available data on the comparative pharmacologic actions of these peptides on mammalian vascular smooth muscle are reviewed. Experiments relating to mechanisms by which neurohypophyseal peptides induce contraction of blood vessels are discussed. Neurohypophyseal peptide hormones appear to be able to contract and relax vascular smooth muscle, the exact type of response being dependent on species, vascular bed, and region within a vascular bed. Receptors that subserve both contraction and relaxation may exist on different blood vessels within a species, with a preponderance of receptors that subserve contraction being present in most blood vessels. Concentrations of vasopressin that can be considered physiologic (i.e., 10(-13) to 10(-11) M) are capable of evoking responses on a variety of microscopic as well as large blood vessels. Arginine-vasopressin appears to be, relatively, the most potent contractile substance on rat blood vessels investigated to date; angiotensin is not. Preservative-free oxytocin is a contractile agent on all mammalian arterial and arteriolar vessels so far investigated. A great deal of the controversy surrounding the exact vascular actions elicited by these peptide hormones can be attributed to many factors that were not controlled in older experiments. Moreover, rat pressor assays cannot be utilized to determine structure-activity relationship for neurohypophyseal peptides on vascular smooth muscles. Nuerohypophyseal peptide-induced contractions of vascular smooth muscles can be markedly affected by sex, sex hormones, alcohols, [Ca2+]0, [mg2+]0, oxygen deficit, and glucose-deprivation. Extracellular sodium and potassium ions appear to play relatively little role in vasopressin-induced contractions of rat arterial smooth muscle. The terminal amino group, phenolic hydroxyl, aromatic ring and basicity in positions 1, 2, 3, and 8, respectively, of the neurohypophyseal hormones are important for optimizing hormone-receptor affinity and intrinsic contractile activity on vascular smooth muscle. Basicity in position 8 of these peptide hormones is not an absolute requirement for contractile activation of these smooth muscles. Alterations in molecular structure can result in neurohypophyseal peptides with unique, and selective, microcirculatory effects that may be beneficial in the treatment of low-flow states.
本文综述了与神经垂体激素及其合成变体的直接外周血管作用相关的实验研究。此外,还综述了这些肽对哺乳动物血管平滑肌的比较药理作用的现有数据。讨论了与神经垂体肽诱导血管收缩的机制相关的实验。神经垂体肽激素似乎能够使血管平滑肌收缩和舒张,具体的反应类型取决于物种、血管床以及血管床内的区域。在一个物种的不同血管上可能存在同时参与收缩和舒张的受体,大多数血管中以参与收缩的受体为主。可被视为生理浓度的血管加压素(即10^(-13)至10^(-11) M)能够在各种微血管以及大血管上引发反应。迄今为止,在已研究的大鼠血管上,精氨酸血管加压素相对而言似乎是最有效的收缩物质;血管紧张素则不是。到目前为止,无防腐剂的催产素对所有已研究的哺乳动物动脉和小动脉血管都是一种收缩剂。围绕这些肽激素所引发的确切血管作用的许多争议可归因于早期实验中未得到控制的诸多因素。此外,大鼠升压试验无法用于确定神经垂体肽对血管平滑肌的构效关系。神经垂体肽诱导的血管平滑肌收缩可受到性别、性激素、酒精、[Ca2+]0、[Mg2+]0、缺氧和葡萄糖剥夺的显著影响。细胞外钠和钾离子在血管加压素诱导的大鼠动脉平滑肌收缩中似乎作用相对较小。神经垂体激素第1、2、3和8位的末端氨基、酚羟基、芳香环和碱性分别对于优化激素 - 受体亲和力和血管平滑肌的内在收缩活性很重要。这些肽激素第8位的碱性并非这些平滑肌收缩激活的绝对必要条件。分子结构的改变可导致具有独特且选择性的微循环作用的神经垂体肽,这可能对低流量状态的治疗有益。