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阿司匹林与吲哚美辛预处理对清醒犬肾动脉压力降低反应的比较。

Comparison of aspirin and indomethacin pre-treatments on the responses to reduced renal artery pressure in conscious dogs.

作者信息

Anderson W P, Bartley P J, Casley D J, Selig S E

出版信息

J Physiol. 1983 Mar;336:101-12. doi: 10.1113/jphysiol.1983.sp014570.

Abstract

To examine the role of prostaglandins in physiologically induced renin release, we reduced renal artery pressure within the autoregulatory range in chronically instrumented conscious dogs with aspirin, indomethacin or no pre-treatment. In untreated dogs, reduction of renal artery pressure to 60 mmHg for 90 min produced rises in plasma renin activity (+ 5.4 +/- 1.0 ng ml.-1 hr-1) and mean arterial pressure (+ 17 +/- 2 mmHg) without significant effect on renal blood flow (n = 13). Aspirin pre-treatment (2 X 25-40 mg kg-1 orally) had no effect on the renin, arterial pressure or renal blood flow responses to renal artery pressure reduction (n = 7). In contrast, indomethacin pre-treatment (2 X 2-3 mg kg-1 orally) significantly lessened the increase in plasma renin activity during reduced renal artery pressure (+ 2.0 +/- 0.3 ng ml.-1 hr-1, n = 11). The relative effectiveness of aspirin and indomethacin in inhibiting prostaglandin production in the kidney was then tested in separate experiments by measuring the renal blood flow responses to renal artery injections of arachidonate (5-200 micrograms kg-1). In the doses used above, aspirin markedly attenuated the blood flow response to arachidonate but indomethacin had almost no effect. Both aspirin and indomethacin abolished the hypotensive effect of intravenous arachidonate (0.5 mg kg-1). These results tentatively suggest that indomethacin may not effectively inhibit renal prostaglandin production in conscious dogs at the doses used in these experiments. Thus the reduced renin release in response to lowered renal artery pressure in indomethacin pre-treated dogs may have been due to another, non-prostaglandin action of indomethacin. The results from the aspirin pre-treated dogs suggest that prostaglandins are not involved in the release of renin in response to reduced renal artery pressure in conscious dogs.

摘要

为了研究前列腺素在生理诱导的肾素释放中的作用,我们在长期植入仪器的清醒犬中,用阿司匹林、吲哚美辛预处理或不进行预处理,将肾动脉压力降低至自身调节范围内。在未处理的犬中,将肾动脉压力降至60 mmHg持续90分钟,导致血浆肾素活性升高(+5.4±1.0 ng ml⁻¹ hr⁻¹)和平均动脉压升高(+17±2 mmHg),而对肾血流量无显著影响(n = 13)。阿司匹林预处理(口服2×25 - 40 mg kg⁻¹)对肾素、动脉压或肾血流量对肾动脉压力降低的反应无影响(n = 7)。相比之下,吲哚美辛预处理(口服2×2 - 3 mg kg⁻¹)显著减轻了肾动脉压力降低期间血浆肾素活性的升高(+2.0±0.3 ng ml⁻¹ hr⁻¹,n = 11)。然后,在单独的实验中,通过测量肾动脉注射花生四烯酸(5 - 200 μg kg⁻¹)后的肾血流量反应,测试了阿司匹林和吲哚美辛在抑制肾脏前列腺素产生方面的相对有效性。在上述使用的剂量下,阿司匹林显著减弱了对花生四烯酸的血流量反应,但吲哚美辛几乎没有影响。阿司匹林和吲哚美辛都消除了静脉注射花生四烯酸(0.5 mg kg⁻¹)的降压作用。这些结果初步表明,在这些实验中使用的剂量下,吲哚美辛可能无法有效抑制清醒犬的肾脏前列腺素产生。因此,吲哚美辛预处理的犬对降低肾动脉压力反应中肾素释放减少可能是由于吲哚美辛的另一种非前列腺素作用。阿司匹林预处理犬的结果表明,前列腺素不参与清醒犬对降低肾动脉压力的肾素释放。

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