Elfont R M, Epstein A N, Fitzsimons J T
J Physiol. 1984 Sep;354:11-27. doi: 10.1113/jphysiol.1984.sp015359.
The angiotensin converting enzyme inhibitor, captopril, given to rats in their drinking water (about 40 mg/day) for 6 days caused an increase in intake of hypertonic NaCl solution which began 1-2 days after the captopril was started and reached a plateau after 4-5 days. Twice-daily subcutaneous injections of captopril (15 mg per injection) elicited a sodium appetite similar in pattern to that seen with oral administration. The rats remained in sodium and fluid balance during oral captopril treatment and the haematocrit did not alter. Captopril infused directly into the ventricles (12 micrograms/h), or captopril reaching the brain from the periphery across a leaky blood-brain barrier, suppressed the sodium appetite which normally follows oral captopril. Continuous intravenous infusion of captopril at rates high enough to block angiotensin converting enzyme in the brain (25, 50 or 500 mg/day) did not cause sodium appetite. As soon as the rate was reduced to a low value (5 mg/day), NaCl intake increased. In conclusion, moderate levels of circulating captopril which do not cross the blood-brain barrier in sufficient amounts to block cerebral angiotensin converting enzyme, result in an increase in circulating angiotensin I which stimulates sodium appetite when it is converted to angiotension II in the brain.
给大鼠饮用含血管紧张素转换酶抑制剂卡托普利的水(约40毫克/天),持续6天,会导致高渗氯化钠溶液摄入量增加,这种增加在开始给予卡托普利1 - 2天后开始,4 - 5天后达到平稳状态。每日两次皮下注射卡托普利(每次注射15毫克)引发的钠食欲模式与口服给药相似。在口服卡托普利治疗期间,大鼠保持钠和液体平衡,血细胞比容未改变。直接注入脑室的卡托普利(12微克/小时),或从外周通过渗漏的血脑屏障进入大脑的卡托普利,会抑制口服卡托普利后通常出现的钠食欲。以足以阻断大脑中血管紧张素转换酶的速率持续静脉输注卡托普利(25、50或500毫克/天)不会引起钠食欲。一旦速率降至低值(5毫克/天),氯化钠摄入量就会增加。总之,适量的循环卡托普利,其穿过血脑屏障的量不足以阻断脑内血管紧张素转换酶,会导致循环中的血管紧张素I增加,当它在大脑中转化为血管紧张素II时会刺激钠食欲。