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恶性二肾型 Goldblatt 高血压大鼠的血浆血管加压素浓度及血管加压素抗血清对血压的影响

Plasma vasopressin concentrations and effects of vasopressin antiserum on blood pressure in rats with malignant two-kidney Goldblatt hypertension.

作者信息

Möhring J, Möhring B, Petri M, Haack D

出版信息

Circ Res. 1978 Jan;42(1):17-22. doi: 10.1161/01.res.42.1.17.

Abstract

Male Sprague-Dawley rats with unilateral renal artery stenosis and a contralateral untouched kidney develop a malignant hypertension (MH) which is characterized by high blood pressures, sodium and water depletion, and subsequent activation of the renin-angiotensin system. In the present studies we found plasma arginine vasopressin (AVP) concentrations-3-fold higher than those in rats with benign renal hypertension, and 4- to 5-fold higher than those in normotensive control rats. Analysis of individual values showed considerable scatter; about 50% of the values fell in the range of benign hypertensive or control rats. When a specific AVP antiserum was injected, iv, into eight conscious unrestrained MH rats, BP transiently fell toward control values in four; in one, BP fell by only 10 mm Hg, and three other MH rats showed no response. In the same rats, injection of a specific angiotensin II antiserum always induced a transient fall in BP. On the basis of these and previously reported observations, we conclude that, subsequent to sodium and water loss and activation of the renin-angiotensin system, vasopressin release is stimulated in a significant number of MH rats and that, in these rats, vasopressin may cause significant systemic vasoconstriction. Thereby vasopressin may contribute to the development of malignant renal hypertension in rats.

摘要

单侧肾动脉狭窄且对侧肾脏未受影响的雄性斯普拉格 - 道利大鼠会发展出恶性高血压(MH),其特征为高血压、钠和水缺失以及随后肾素 - 血管紧张素系统的激活。在本研究中,我们发现血浆精氨酸加压素(AVP)浓度比良性肾性高血压大鼠高3倍,比正常血压对照大鼠高4至5倍。对个体值的分析显示出相当大的离散度;约50%的值落在良性高血压大鼠或对照大鼠的范围内。当向8只清醒不受约束的MH大鼠静脉注射特异性AVP抗血清时,4只大鼠的血压短暂降至对照值;其中1只大鼠血压仅下降10 mmHg,另外3只MH大鼠无反应。在相同的大鼠中,注射特异性血管紧张素II抗血清总是会引起血压短暂下降。基于这些以及先前报道的观察结果,我们得出结论,在钠和水丢失以及肾素 - 血管紧张素系统激活之后,相当数量的MH大鼠中血管加压素释放受到刺激,并且在这些大鼠中,血管加压素可能导致显著的全身血管收缩。由此,血管加压素可能促成大鼠恶性肾性高血压的发展。

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