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卡托普利和依那普利对自发性高血压大鼠局部血管阻力和反应性的影响。

Effects of captopril and enalapril on regional vascular resistance and reactivity in spontaneously hypertensive rats.

作者信息

Richer C, Doussau M P, Giudicelli J F

出版信息

Hypertension. 1983 May-Jun;5(3):312-20. doi: 10.1161/01.hyp.5.3.312.

Abstract

The present study compares the effects of short-term treatments with captopril and enalapril, administered in equipotent antihypertensive doses, on the regional vascular resistances and on the regional vascular responsiveness to vasopressor agents of adult spontaneously hypertensive rats (SHRs). Three groups of animals were treated by gavage with captopril (100 mg/kg), enalapril (25 mg/kg), or distilled water for 8 days. Arterial blood pressure (BP), heart rate (HR), plasma renin concentration (PRC), and plasma converting-enzyme activity (CEA) were measured. Cardiac index (CI), total peripheral resistance (PR), and organ flow distribution were determined using microspheres. Renal and mesenteric vascular responsiveness to vasopressor agents was evaluated by continuous measurement of renal and mesenteric blood flows with miniaturized pulsed Doppler flow probes. Data showed that in the anesthetized SHR the two drugs induced similar reductions in BP, PR, and HR, without affecting CI. They simultaneously produced a strong converting-enzyme inhibition as evidenced by the suppression of angiotensin I effects accompanied by a potentiation of angiotensin II responses, a reduction in CEA, and an increase in PRC. Organ flows were similarly and homogeneously increased, especially in the kidneys, in both treated groups. Norepinephrine (NE) vasoconstrictor responses were abolished in the mesenteric vascular bed by both drugs, but in the renal, NE responses although completely abolished by captopril were only partially reduced by enalapril. It thus appears that diminished vascular responsiveness to NE, especially in the case of captopril, is probably involved along with converting-enzyme inhibition in the antihypertensive action of converting enzyme inhibitors (CEI), the mechanism of the difference between captopril and enalapril remaining still speculative.

摘要

本研究比较了以等效降压剂量给予卡托普利和依那普利进行短期治疗,对成年自发性高血压大鼠(SHRs)的局部血管阻力以及对血管升压药的局部血管反应性的影响。三组动物通过灌胃分别给予卡托普利(100 mg/kg)、依那普利(25 mg/kg)或蒸馏水,持续8天。测量动脉血压(BP)、心率(HR)、血浆肾素浓度(PRC)和血浆转化酶活性(CEA)。使用微球测定心脏指数(CI)、总外周阻力(PR)和器官血流分布。通过用小型脉冲多普勒血流探头连续测量肾和肠系膜血流,评估肾和肠系膜血管对血管升压药的反应性。数据显示,在麻醉的SHRs中,两种药物引起的BP、PR和HR降低相似,且不影响CI。它们同时产生强烈的转化酶抑制作用,表现为血管紧张素I效应受到抑制,同时血管紧张素II反应增强,CEA降低,PRC升高。两个治疗组的器官血流均同样且均匀地增加,尤其是在肾脏。两种药物均使肠系膜血管床中的去甲肾上腺素(NE)血管收缩反应消失,但在肾脏,卡托普利可完全消除NE反应,而依那普利仅部分降低NE反应。因此,血管对NE的反应性降低,尤其是卡托普利的这种情况,可能与转化酶抑制一起参与了转化酶抑制剂(CEI)的降压作用,卡托普利和依那普利之间差异的机制仍属推测。

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