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高钠性肾性高血压患者的血浆血管加压素浓度

Plasma vasopressin concentration in high sodium renal hypertension.

作者信息

Hinojosa C, Shade R E, Haywood J R

出版信息

J Hypertens. 1986 Oct;4(5):529-34. doi: 10.1097/00004872-198610000-00003.

Abstract

One-kidney, figure-8 renal wrapped and sham-operated rats maintained on high sodium intake were studied to determine plasma concentrations of vasopressin during the onset of hypertension. Animals were chronically prepared with femoral artery and vein catheters. Arterial blood samples were taken from conscious rats before and 3 days after renal wrap or sham operation while donor blood was simultaneously infused intravenously. Three days after surgery, arterial pressure, plasma osmolality and plasma vasopressin concentration increased significantly in the renal wrapped animals and remained unchanged in the sham-operated rats. Ganglionic blockade with hexamethonium and atropine produced equivalent decreases in arterial pressure and increases in plasma vasopressin concentration in the two groups of rats. Subsequent administration of the V1 vasopressin antagonist, d(CH2)5Tyr(Me)AVP, caused a significantly greater fall in arterial pressure in the hypertensive rats. These results provide further evidence for a contribution of vasopressin to sodium-dependent hypertension.

摘要

对单肾、8字形肾包裹和假手术的大鼠进行研究,这些大鼠维持高钠摄入,以确定高血压发作期间血管加压素的血浆浓度。动物通过股动脉和静脉导管进行长期准备。在肾包裹或假手术前和术后3天,从清醒大鼠采集动脉血样,同时静脉输注供血者血液。手术后3天,肾包裹动物的动脉压、血浆渗透压和血浆血管加压素浓度显著升高,而假手术大鼠则保持不变。用六甲铵和阿托品进行神经节阻断,两组大鼠的动脉压均有同等程度下降,血浆血管加压素浓度均有升高。随后给予V1血管加压素拮抗剂d(CH2)5Tyr(Me)AVP,高血压大鼠的动脉压下降幅度明显更大。这些结果为血管加压素在钠依赖性高血压中的作用提供了进一步的证据。

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