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卡托普利对大鼠慢性血管紧张素转换酶的阻断作用对外源性血管紧张素II及血管加压素与去甲肾上腺素反应的相反影响

The opposing effects of chronic angiotensin-converting enzyme blockade by captopril on the responses to exogenous angiotensin II and vasopressin vs. norepinephrine in rats.

作者信息

Spertini F, Brunner H R, Waeber B, Gavras H

出版信息

Circ Res. 1981 May;48(5):612-8. doi: 10.1161/01.res.48.5.612.

Abstract

To study the influence of acute and chronic angiotensin-converting enzyme blockade on the pressor response to exogenous angiotensin II, vasopressin and norepinephrine, we gave normal female Wistar rats 100 mg of captopril or 1 ml of 5% glucose twice daily by gavage for 2 weeks. On the 15th day, rats were anesthetized with pentobarbital, and dose-response curves to angiotensin II, lysine-vasopressin, and norepinephrine were obtained before and after intraperitoneal injection of 100 mg/kg of captopril or 1 ml of 5% glucose. Acute as well as chronic converting enzyme blockade enhanced the pressor response to exogenous angiotensin II. Similarly, sensitivity to exogenous vasopressin was increased by both acute and chronic converting enzyme inhibition. In contrast, chronic converting enzyme blockade significantly blunted the response to exogenous norepinephrine, whereas acute blockade tended to accentuate its pressor effect. These results suggest that chronic angiotensin-converting enzyme blockade may partly inhibit sympathetic activity which, in turn, might contribute to the antihypertensive efficacy of this therapeutic approach. These results also point to an important physiological interaction between the two pressor hormones, angiotensin II and vasopressin.

摘要

为研究急性和慢性血管紧张素转换酶阻断对外源性血管紧张素II、血管加压素和去甲肾上腺素升压反应的影响,我们对正常雌性Wistar大鼠每日两次经口灌胃给予100mg卡托普利或1ml 5%葡萄糖,持续2周。在第15天,用戊巴比妥麻醉大鼠,在腹腔注射100mg/kg卡托普利或1ml 5%葡萄糖前后,获得对血管紧张素II、赖氨酸-血管加压素和去甲肾上腺素的剂量-反应曲线。急性和慢性转换酶阻断均增强了对外源性血管紧张素II的升压反应。同样,急性和慢性转换酶抑制均增加了对外源性血管加压素的敏感性。相反,慢性转换酶阻断显著减弱了对外源性去甲肾上腺素的反应,而急性阻断则倾向于增强其升压作用。这些结果表明,慢性血管紧张素转换酶阻断可能部分抑制交感神经活性,这反过来可能有助于这种治疗方法的降压效果。这些结果还表明两种升压激素血管紧张素II和血管加压素之间存在重要的生理相互作用。

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