Boura A L, Rechtman M P, Walters W A
J Auton Pharmacol. 1983 Sep;3(3):203-11. doi: 10.1111/j.1474-8673.1983.tb00536.x.
Low doses (0.1-1.0 mg/kg) of the converting enzyme inhibitor captopril given intravenously to pithed rats were followed by long lasting falls in systolic and diastolic arterial blood pressures. Concomitantly pressor responses were reduced to either electrical stimulation of the thoraco-lumbar sympathetic outflow or intravenous injection of the ganglion stimulant McNeil-A-343. Positive chronotropic responses of the heart to cardiac nerve stimulation were unchanged after relatively large doses of the drug (3.0 mg/kg). The reductions in arterial blood pressure and pressor responses to McNeil-A-343 caused by captopril persisted following beta-adrenoreceptor blockade, renal sympathectomy or unilateral nephrectomy, but did not occur after acute bilateral nephrectomy nor during sodium and water retention due to unilateral nephrectomy plus subacute administration of desoxycorticosterone and saline. Pressor responses to noradrenaline were reduced after 1.0 mg/kg captopril i.v. whereas those to methoxamine or vasopressin were unaltered after 5.0 mg/kg. It is concluded that in the rat, after elimination of sympathetic tone by pithing, the level of the arterial blood pressure and the magnitude of pressor responses to peripheral sympathetic nerve activation depend on the basal activity of the renin-angiotensin system. This maintains sufficient angiotensin II production to ensure retention of some tone in resistance vessels together with presynaptic augmentation of noradrenaline output at a sympathetic postganglionic nerve endings. The latter effects are abolished after converting enzyme inhibition with captopril, consequent to reduced tissue levels of angiotensin II and perhaps potentiation of the actions of bradykinin.
给脊髓毁损大鼠静脉注射低剂量(0.1 - 1.0毫克/千克)的血管紧张素转换酶抑制剂卡托普利后,收缩压和舒张压会出现长时间下降。同时,对胸腰段交感神经传出纤维进行电刺激或静脉注射神经节兴奋剂麦克尼尔 - A - 343所引发的升压反应会减弱。相对大剂量(3.0毫克/千克)的该药物给药后,心脏对心神经刺激的正性变时反应未发生改变。卡托普利导致的动脉血压降低以及对麦克尼尔 - A - 343的升压反应减弱,在β - 肾上腺素能受体阻断、肾交感神经切除术或单侧肾切除术后仍然存在,但在急性双侧肾切除术后以及单侧肾切除加脱氧皮质酮和生理盐水亚急性给药导致钠水潴留期间则不会出现。静脉注射1.0毫克/千克卡托普利后,对去甲肾上腺素的升压反应减弱,而静脉注射5.0毫克/千克后,对甲氧明或血管升压素的升压反应未改变。得出的结论是,在大鼠中,通过脊髓毁损消除交感神经张力后,动脉血压水平以及对外周交感神经激活的升压反应幅度取决于肾素 - 血管紧张素系统的基础活性。这维持了足够的血管紧张素II生成,以确保阻力血管保留一定张力,并在交感神经节后神经末梢增强去甲肾上腺素输出的突触前作用。在用卡托普利抑制转换酶后,由于组织中血管紧张素II水平降低以及可能缓激肽作用的增强,后两种作用被消除。