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大鼠对戊巴比妥麻醉的肾脏反应:阻断肾素-血管紧张素系统的影响。

Renal response to pentobarbital anesthesia in rats: effect of interrupting the renin-angiotensin system.

作者信息

Walker L A, Gellai M, Valtin H

出版信息

J Pharmacol Exp Ther. 1986 Mar;236(3):721-8.

PMID:3512818
Abstract

The influence of interrupting the renin-angiotensin system on the renal hemodynamic response to barbiturate anesthesia was assessed in conscious, trained, chronically catheterized rats. Anesthesia induced by pentobarbital caused a marked reduction in mean arterial pressure, heart rate, glomerular filtration rate (GFR) and effective renal plasma flow (ERPF). Pretreatment of rats with captopril, an inhibitor of angiotensin I converting enzyme, prevented the impairment of renal hemodynamics by pentobarbital without restoring blood pressure. GFR remained at 100 to 110% of control values in captopril-pretreated rats receiving pentobarbital, but was reduced by pentobarbital (90-120 min after induction) to 75 +/- 5% in rats which did not receive captopril. ERPF showed similar changes. An antagonist of angiotensin II receptors, 1-sarcosine-8-isoleucine-angiotensin II, did not prevent the anesthesia-induced decrements in GFR and ERPF (GFR was reduced to 78 +/- 6% and ERPF to 68 +/- 4% at 90-120 min after pentobarbital). This failure of the antagonist of angiotensin II receptors to protect renal hemodynamics may have been due to its intrinsic agonist activity on the renal vasculature. This is suggested by the fact that, in captopril-pretreated rats, which maintained renal hemodynamics in response to pentobarbital, addition of 1-sarcosine-8-isoleucine-angiotensin II caused a reduction in GFR and ERPF and an elevated blood pressure. At 100 min after administration of pentobarbital, plasma renin activity was elevated compared to a conscious control group (3.57 +/- 0.42 vs. 1.94 +/- 0.34 ng angiotensin l/ml X hr, P less than .05). It is concluded that the renin-angiotensin system mediates an impairment of renal hemodynamics during pentobarbital anesthesia.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在清醒、经过训练且长期插管的大鼠中,评估了阻断肾素 - 血管紧张素系统对巴比妥类麻醉引起的肾血流动力学反应的影响。戊巴比妥诱导的麻醉导致平均动脉压、心率、肾小球滤过率(GFR)和有效肾血浆流量(ERPF)显著降低。用血管紧张素I转换酶抑制剂卡托普利预处理大鼠,可防止戊巴比妥对肾血流动力学的损害,且不会使血压恢复。接受戊巴比妥的卡托普利预处理大鼠的GFR保持在对照值的100%至110%,但未接受卡托普利的大鼠中,戊巴比妥(诱导后90 - 120分钟)使其降低至75±5%。ERPF显示出类似变化。血管紧张素II受体拮抗剂1 - 肌氨酸 - 8 - 异亮氨酸 - 血管紧张素II不能防止麻醉诱导的GFR和ERPF降低(戊巴比妥后90 - 120分钟时,GFR降低至78±6%,ERPF降低至68±4%)。血管紧张素II受体拮抗剂未能保护肾血流动力学,可能是由于其对肾血管系统具有内在激动剂活性。这一点由以下事实表明:在对戊巴比妥保持肾血流动力学的卡托普利预处理大鼠中,添加1 - 肌氨酸 - 8 - 异亮氨酸 - 血管紧张素II会导致GFR和ERPF降低以及血压升高。戊巴比妥给药100分钟后,与清醒对照组相比,血浆肾素活性升高(3.57±0.42对1.94±0.34 ng血管紧张素I/ml×小时,P<0.05)。结论是,肾素 - 血管紧张素系统介导了戊巴比妥麻醉期间肾血流动力学的损害。(摘要截短至250字)

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