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肾素-血管紧张素系统在清醒犬血管加压素分泌调控中的作用。

Role of the renin-angiotensin system in the control of vasopressin secretion in conscious dogs.

作者信息

Brooks V L, Keil L C, Reid I A

出版信息

Circ Res. 1986 Jun;58(6):829-38. doi: 10.1161/01.res.58.6.829.

Abstract

The present studies were designed to evaluate the physiological significance of angiotensin II in the control of vasopressin secretion in conscious dogs. They demonstrated that exogenous angiotensin II (10 ng/kg per min) increased vasopressin secretion more when the pressor effect of angiotensin II was abolished. The fact that endogenous angiotensin II levels are normally increased without an increase in arterial pressure suggests that angiotensin II may play a greater role in the control of vasopressin secretion than was previously thought. The present study also evaluated the role of endogenous angiotensin II in the control of vasopressin secretion during sodium depletion, a state in which angiotensin II levels are elevated. Intracarotid infusion of a low dose of the angiotensin II antagonist, saralasin, decreased plasma vasopressin concentration, suggesting that endogenous angiotensin II acts in an area of the brain perfused by the carotid arteries to stimulate vasopressin secretion in sodium-deprived dogs. Finally, the present experiments evaluated the role of angiotensin II in baroreceptor reflex control of vasopressin secretion. Baroreflex function was assessed by examining the relationship between the change in blood pressure and the log of the change in vasopressin secretion over a range of blood pressure levels. Exogenous angiotensin II (10 ng/kg per min) altered baroreflex function by causing a shift of this relationship to a higher pressure level in sodium-replete dogs. In sodium-depleted dogs, inhibition of the renin-angiotensin system with saralasin or captopril produced an opposite shift. These results suggest that endogenous angiotensin II may be necessary for the maintenance of normal baroreflex control of vasopressin secretion during sodium depletion. Collectively, these results support the hypothesis that endogenous angiotensin II plays a role in the control of vasopressin secretion.

摘要

本研究旨在评估血管紧张素II在清醒犬抗利尿激素分泌调控中的生理意义。研究表明,当血管紧张素II的升压作用被消除时,外源性血管紧张素II(每分钟10纳克/千克)对抗利尿激素分泌的促进作用更强。内源性血管紧张素II水平通常在动脉血压未升高的情况下升高,这一事实表明,血管紧张素II在抗利尿激素分泌调控中可能发挥着比之前认为的更大的作用。本研究还评估了内源性血管紧张素II在钠缺乏(一种血管紧张素II水平升高的状态)时抗利尿激素分泌调控中的作用。颈动脉内输注低剂量的血管紧张素II拮抗剂沙拉新可降低血浆抗利尿激素浓度,这表明内源性血管紧张素II在由颈动脉供血的脑区发挥作用,以刺激钠缺乏犬的抗利尿激素分泌。最后,本实验评估了血管紧张素II在压力感受器反射性抗利尿激素分泌调控中的作用。通过在一系列血压水平上检查血压变化与抗利尿激素分泌变化的对数之间的关系来评估压力反射功能。外源性血管紧张素II(每分钟10纳克/千克)通过使这种关系在钠充足的犬中向更高压力水平偏移而改变了压力反射功能。在钠缺乏的犬中,用沙拉新或卡托普利抑制肾素-血管紧张素系统产生了相反的偏移。这些结果表明,内源性血管紧张素II可能是钠缺乏期间维持正常的压力感受器反射性抗利尿激素分泌调控所必需的。总体而言,这些结果支持内源性血管紧张素II在抗利尿激素分泌调控中发挥作用这一假说。

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