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高血压患者血管神经效应器连接处去甲肾上腺素释放的改变。

Alterations in the release of norepinephrine at the vascular neuroeffector junction in hypertension.

作者信息

Westfall T C, Meldrum M J, Carpentier S, Naes L, Zhang S Q

出版信息

Blood Vessels. 1987;24(3):94-9. doi: 10.1159/000158677.

Abstract

The field stimulation induced release of 3H-norepinephrine (NE) from the isolated portal vein and endogenous NE from the isolated caudal artery and perfused mesenteric arterial bed of spontaneously hypertensive rats (SHR) and age-matched normotensive rats (Wistar-Kyoto or Sprague-Dawley) was studied. There was a significantly greater release of NE from all three preparations obtained from 10- to 12-week-old SHR compared to normotensive animals. In addition, there was a greater release of NE from the caudal artery of 5- to 6-week-old SHR compared to controls. No differences were seen in the evoked release of NE from portal vein or caudal artery obtained from renal or DOCA salt hypertensives compared to vessels obtained from sham controls. Neuropeptide Y (NPY) produced a concentration-dependent decrease in the field stimulation induced release of NE from the perfused mesenteric artery. Low concentrations of NPY decreased while higher concentrations potentiated the increase in perfusion pressure. The NPY induced inhibition of evoked NE release was not altered by alpha 1- or alpha 2-adrenoceptor antagonists while the alpha 1-adrenoceptor antagonist, prazosin, prevented the postjunctional response. These results are consistent with there being an alteration of NE release at the vascular neuroeffector junction in SHR which may contribute to the development or maintenance of hypertension. NPY exerts a modulatory role in noradrenergic transmission at the vascular neuroeffector junction.

摘要

研究了电场刺激诱导的自发性高血压大鼠(SHR)以及年龄匹配的正常血压大鼠(Wistar-Kyoto或Sprague-Dawley)的离体门静脉释放3H-去甲肾上腺素(NE)、离体尾动脉和灌注肠系膜动脉床释放内源性NE的情况。与正常血压动物相比,从10至12周龄SHR获得的所有三种制剂中NE的释放均显著增加。此外,与对照组相比,5至6周龄SHR的尾动脉中NE的释放量更大。与假手术对照组获得的血管相比,从肾性或去氧皮质酮盐性高血压大鼠获得的门静脉或尾动脉中,电场刺激诱发的NE释放未见差异。神经肽Y(NPY)使灌注肠系膜动脉中电场刺激诱导的NE释放呈浓度依赖性降低。低浓度的NPY使其降低,而高浓度则增强灌注压力的升高。α1或α2肾上腺素能受体拮抗剂不会改变NPY诱导的诱发NE释放的抑制作用,而α1肾上腺素能受体拮抗剂哌唑嗪可阻止节后反应。这些结果与SHR血管神经效应器连接处NE释放的改变一致,这可能有助于高血压的发生或维持。NPY在血管神经效应器连接处的去甲肾上腺素能传递中发挥调节作用。

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