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反对前列腺素是孕期血管减压因子这一假说的证据。对长期植入仪器的清醒大鼠进行的系列研究。

Evidence against the hypothesis that prostaglandins are the vasodepressor agents of pregnancy. Serial studies in chronically instrumented, conscious rats.

作者信息

Conrad K P, Colpoys M C

出版信息

J Clin Invest. 1986 Jan;77(1):236-45. doi: 10.1172/JCI112282.

Abstract

Renal hemodynamics increase dramatically during pregnancy, and pressor responsiveness to exogenous administration of vasoconstrictors is attenuated. We investigated whether or not vasodilatory prostaglandins mediate these phenomena. Trained, chronically instrumented, conscious pregnant rats were used. Control values of glomerular filtration rate (GFR) and effective renal plasma flow (ERPF) were elevated at midgestation (P less than 0.01 and P = 0.05 from prepregnant means, respectively), and effective renal vascular resistance was decreased (P = 0.05). Indomethacin (4.5-6.5 mg/kg body weight [BW]) failed to decrease renal hemodynamics at this stage of pregnancy; in fact, it raised GFR somewhat further (P less than 0.05). Systemic pressor responsiveness to bolus administration of norepinephrine and angiotensin II (AII) was significantly attenuated by at least gestational day 20. Neither indomethacin (7 mg/kg BW) or meclofenamate (6 mg/kg BW) affected the refractory response. The renal vasculature was also relatively unresponsive to an intravenous infusion of AII (5 ng X kg-1 X min-1) during late gestation (day 19); in particular, the fall in ERPF in response to AII (16 +/- 3%) was markedly less than that observed in the prepregnant condition (34 +/- 3%; P less than 0.05). Indomethacin (6 mg/kg BW) failed to restore this blunted response, and further attenuation was evident, despite the presence of the inhibitor (gestational day 21). We conclude that vasodilatory prostaglandins do not appear to mediate the rise in renal hemodynamics, and the attenuation of the systemic and renal pressor responsiveness observed during pregnancy, insofar as these phenomena were unaffected by acute cyclooxygenase inhibition in unstressed, conscious rats.

摘要

孕期肾血流动力学显著增加,对外源性血管收缩剂的加压反应性减弱。我们研究了血管舒张性前列腺素是否介导这些现象。使用经过训练、长期植入仪器的清醒妊娠大鼠。妊娠中期肾小球滤过率(GFR)和有效肾血浆流量(ERPF)的对照值升高(分别比妊娠前平均值P<0.01和P = 0.05),有效肾血管阻力降低(P = 0.05)。吲哚美辛(4.5 - 6.5mg/kg体重[BW])在妊娠这个阶段未能降低肾血流动力学;事实上,它还使GFR进一步升高(P<0.05)。至少到妊娠第20天,对去甲肾上腺素和血管紧张素II(AII)推注的全身加压反应性显著减弱。吲哚美辛(7mg/kg BW)或甲氯芬那酸(6mg/kg BW)均未影响这种不应性反应。妊娠后期(第19天)肾血管系统对静脉输注AII(5ng·kg-1·min-1)也相对无反应;特别是,对AII反应时ERPF的下降(16±3%)明显小于妊娠前状态下观察到的下降(34±3%;P<0.05)。吲哚美辛(6mg/kg BW)未能恢复这种减弱的反应,尽管有抑制剂存在(妊娠第21天),但进一步的减弱仍很明显。我们得出结论,血管舒张性前列腺素似乎不介导肾血流动力学的升高以及孕期观察到的全身和肾加压反应性的减弱,因为在无应激的清醒大鼠中,这些现象不受急性环氧化酶抑制的影响。

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