Gaul S L, Martin G E, Sweet C S
Clin Exp Hypertens A. 1984;6(6):1187-206. doi: 10.3109/10641968409039591.
The role of central angiotensin converting enzyme (ACE), in the maintenance of high blood pressure, was examined in unanesthetized spontaneously hypertensive rats (SHR). Pressor and dipsogenic responses induced by intracerebroventricular (ICV) injections of angiotensin I (AI) were elicited before and 30 min after either captopril (120-800 nanomoles ICV), enalapril (66-460 nanomoles ICV) and enalaprilic acid (70-280 nanomoles ICV). Enalapril was 1.6 (0.7-3.9) and 1.7 (0.9-2.9) times more potent than captopril in inhibiting AI-induced pressor and dipsogenic responses, respectively. Enalaprilic acid was 2.7 (1.1-7.1) and 2.9 (1.9-4.8) times more potent than captopril in inhibiting AI- (ICV administration) induced pressor and dipsogenic responses, respectively. None of the ACE inhibitors, in contrast, reduced the central actions of AII. Basal mean arterial pressure was not reduced by these ACE inhibitors after ICV administration. Administered orally at doses which produced similar hypotensive responses, neither captopril (30 mg/kg) nor enalapril (3 mg/kg) blocked the responses induced by AI given ICV (10 ng). These findings indicate that ACE inhibitors given acutely do not penetrate into the central nervous system sufficiently to block the dipsogenic and pressor responses induced by AI given ICV, and suggest that inhibition of central ACE may not be important to the acute antihypertensive activity of the ACE inhibitors tested.
在未麻醉的自发性高血压大鼠(SHR)中,研究了中枢血管紧张素转换酶(ACE)在维持高血压中的作用。在脑室注射(ICV)卡托普利(120 - 800纳摩尔ICV)、依那普利(66 - 460纳摩尔ICV)和依那普利酸(70 - 280纳摩尔ICV)之前和30分钟后,引发由ICV注射血管紧张素I(AI)诱导的升压和致渴反应。依那普利在抑制AI诱导的升压反应和致渴反应方面,分别比卡托普利强1.6(0.7 - 3.9)倍和1.7(0.9 - 2.9)倍。依那普利酸在抑制AI(ICV给药)诱导的升压和致渴反应方面,分别比卡托普利强2.7(1.1 - 7.1)倍和2.9(1.9 - 4.8)倍。相比之下,没有一种ACE抑制剂能降低血管紧张素II的中枢作用。ICV给药后,这些ACE抑制剂均未降低基础平均动脉压。以产生相似降压反应的剂量口服给药时,卡托普利(30毫克/千克)和依那普利(3毫克/千克)均未阻断ICV给予AI(10纳克)诱导的反应。这些发现表明,急性给予ACE抑制剂不能充分穿透中枢神经系统以阻断ICV给予AI诱导的致渴和升压反应,并提示抑制中枢ACE可能对所测试的ACE抑制剂的急性降压活性并不重要。