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糖皮质激素诱导高血压的肾上腺切除大鼠肾素分泌增强。

Enhanced renin secretion in adrenalectomized rats with glucocorticoid-induced hypertension.

作者信息

Kasser A, Waeber B, Nussberger J, Burris J, Brunner H R

出版信息

Clin Exp Hypertens A. 1985;7(11):1619-28. doi: 10.3109/10641968509073613.

Abstract

The role of circulating epinephrine in the regulation of renin release was studied in unanesthetized rats with glucocorticoid-induced hypertension. Biadrenalectomized Wistar rats were made hypertensive with methylprednisolone (20 mg/kg s.c. weekly) for 2 weeks and supplemented with deoxycorticosterone pivalate (10 mg/kg s.c. weekly). Sham-operated controls received the same treatment. Baseline weight, mean intra-arterial blood pressure and heart rate of the groups were the same. In both adrenalectomized and sham-operated rats plasma renin activity was determined after a 30 min infusion of the beta-adrenoceptor stimulant isoproterenol (40 ng/min) or its vehicle. Isoproterenol had no blood pressure effect and accelerated heart rate to a similar extent in rats with and without adrenals. Plasma renin activity was significantly higher in epinephrine-deficient than in sham-operated rats. Renin secretion was significantly enhanced by isoproterenol in both groups of rats. These data therefore indicate that in rats with glucocorticoid-induced hypertension the renin-angiotensin system is activated by adrenalectomy, despite the fact that adrenal insufficiency cannot develop. It also appears that rats lacking of circulating epinephrine for a prolonged period do not exhibit an abnormal responsiveness of renin secretion to the stimulation of renal beta-adrenoceptors.

摘要

在糖皮质激素诱导高血压的未麻醉大鼠中,研究了循环肾上腺素在肾素释放调节中的作用。对双侧肾上腺切除的Wistar大鼠用甲泼尼龙(每周皮下注射20mg/kg)使其高血压2周,并补充特戊酸脱氧皮质酮(每周皮下注射10mg/kg)。假手术对照组接受相同治疗。两组的基线体重、平均动脉血压和心率相同。在双侧肾上腺切除大鼠和假手术大鼠中,在静脉输注β-肾上腺素能受体激动剂异丙肾上腺素(40ng/min)或其溶媒30分钟后,测定血浆肾素活性。异丙肾上腺素对有肾上腺和无肾上腺大鼠的血压均无影响,且使心率加快程度相似。肾上腺素缺乏大鼠的血浆肾素活性显著高于假手术大鼠。异丙肾上腺素在两组大鼠中均显著增强肾素分泌。因此,这些数据表明,在糖皮质激素诱导高血压的大鼠中,尽管不会发生肾上腺功能不全,但肾上腺切除仍可激活肾素-血管紧张素系统。似乎长期缺乏循环肾上腺素的大鼠,肾素分泌对肾β-肾上腺素能受体刺激的反应性并未异常。

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