Donker A J, Min I, Venuto R C
Hypertension. 1983 Jul-Aug;5(4):514-20. doi: 10.1161/01.hyp.5.4.514.
Conscious pregnant and nonpregnant rabbits were used to further evaluate the role of prostaglandin (PG) and plasma renin activity (PRA) in the systemic hemodynamics of pregnancy. Pregnant rabbits had high peripheral blood levels of both PGE2 and PRA. Systemic blood pressure was not affected in either pregnant or nonpregnant by the administration of an inhibitor of prostaglandin synthesis. Pregnant rabbits, however, had a much larger decrease in blood pressure than nonpregnant animals when given the angiotensin I (AI)-converting-enzyme inhibitor, captopril. Pregnant rabbits were more resistant to the pressor effect of exogenous AII than nonpregnant animals. The pressor effect of AII increased in pregnant rabbits after the administration of meclofenamate and parturition but was not changed by volume expansion. In contrast, the sensitivity of nonpregnant rabbits to AII increased after volume expansion, but not after treatment with inhibitors of prostaglandin synthesis. These studies demonstrate that a remarkable similarity exists between pregnant rabbits and pregnant women in the pressor response to AII. This study is the first to correlate the vasopressor response to AII with PRA and the level of a circulating vasopressor prostaglandin in pregnant animals. The results strongly suggest that this model will be fruitful in further attempts to define the factors controlling systemic hemodynamics during pregnancy.
清醒的妊娠和未妊娠兔被用于进一步评估前列腺素(PG)和血浆肾素活性(PRA)在妊娠体循环血流动力学中的作用。妊娠兔外周血中PGE2和PRA水平均较高。给予前列腺素合成抑制剂后,妊娠兔和未妊娠兔的体循环血压均未受影响。然而,给予血管紧张素I(AI)转换酶抑制剂卡托普利后,妊娠兔的血压下降幅度比未妊娠动物大得多。妊娠兔对外源性AII的升压作用比未妊娠动物更具抵抗力。给予甲氯芬那酸和分娩后,妊娠兔中AII的升压作用增强,但容量扩张对其无影响。相比之下,未妊娠兔在容量扩张后对AII的敏感性增加,但在给予前列腺素合成抑制剂后无变化。这些研究表明,妊娠兔和妊娠女性在对AII的升压反应方面存在显著相似性。本研究首次将对AII的血管升压反应与PRA以及妊娠动物循环中血管升压前列腺素的水平相关联。结果强烈表明,该模型将有助于进一步确定控制妊娠期间体循环血流动力学的因素。