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卡托普利对钠缺乏犬血压及血管紧张素I、II和III的影响:转化酶抑制后血管紧张素II测量相关问题

The effect of captopril on blood pressure and angiotensins I, II and III in sodium-depleted dogs: problems associated with the measurement of angiotensin II after inhibition of converting enzyme.

作者信息

Morton J J, Tree M, Casals-Stenzel J

出版信息

Clin Sci (Lond). 1980 Jun;58(6):445-50. doi: 10.1042/cs0580445.

Abstract
  1. Changes in arterial blood pressure, blood angiotensin I, plasma angiotensin II and plasma angiotensin III were measured in conscious sodium-depleted dogs after infusion of captopril, an orally active inhibitor of converting enzyme. 2. Angiotensins II and III were measured after chromatography to remove angiotensin I, which increased in concentration after inhibition of converting enzyme and which interfered in the direct assay for angiotensin II. 3. Infusion of captopril at 20, 200, 2000 and 6000 microgram h-1 kg-1, each for 3 h, produced a rapid fall in blood pressure and in concentration of angiotensin II. Angiotensin II was undetectable at 6000 microgram h-1 kg-1 (mean pre-infusion value for all samples was 39 +/- SD 15 pmol/1, n = 14). 4. The percentage fall in blood pressure correlated with the percentage fall in plasma angiotensin II (r = 0.65, P < 0.001). 5. These results suggest that the initial fall in blood pressure may be mediated in part by the suppression of angiotensin II. 6. Blood angiotensin I concentration rose with each rate of infusion of drug to a maximum 16-fold increase at 6000 microgram h-1 kg-1 (26-416 pmol/l). The rise in angiotensin I was inversely related to the fall in angiotensin II (r = 0.68, P < 0.001).
摘要
  1. 在清醒的缺钠犬中,静脉输注口服活性转化酶抑制剂卡托普利后,测量动脉血压、血中血管紧张素I、血浆血管紧张素II和血浆血管紧张素III的变化。2. 对血管紧张素II和III进行测量前,先通过色谱法去除血管紧张素I,血管紧张素I在转化酶受抑制后浓度升高,且会干扰血管紧张素II的直接测定。3. 以20、200、2000和6000微克·小时-1·千克-1的速率静脉输注卡托普利,每次输注3小时,导致血压和血管紧张素II浓度迅速下降。在输注速率为6000微克·小时-1·千克-1时,血管紧张素II无法检测到(所有样本的输注前平均浓度为39±标准差15皮摩尔/升,n = 14)。4. 血压下降的百分比与血浆血管紧张素II下降的百分比相关(r = 0.65,P < 0.001)。5. 这些结果表明,血压的初始下降可能部分是由血管紧张素II的抑制介导的。6. 随着药物输注速率的增加,血中血管紧张素I浓度升高,在输注速率为6000微克·小时-1·千克-1时,最大升高16倍(26 - 416皮摩尔/升)。血管紧张素I的升高与血管紧张素II的下降呈负相关(r = 0.68,P < 0.001)。

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