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卡托普利对肾内血流的影响。

Effect of captopril on intrarenal blood flow.

作者信息

Imbs J L, Schmidt M, Giesen E M, Schwartz J

出版信息

Am J Med. 1984 May 31;76(5B):53-7. doi: 10.1016/0002-9343(84)90884-2.

DOI:10.1016/0002-9343(84)90884-2
PMID:6375362
Abstract

The inhibition of the renin-angiotensin system by captopril was used in pentobarbital-anesthetized dogs to confirm that the vasoconstrictive action of endorenally synthesized angiotensin II predominates on the efferent glomerular arteriole. Ozolinone is a loop diuretic with two isomers. Only (-)- ozolinone is diuretic, whereas both isomers have a renal vasodilatory effect which predominates on the efferent glomerular arteriole. Only the diuretic isomer increases renin release. The renin hypersecretion is simultaneous with recovery from the initial fall in filtration fraction, because of postglomerular vasodilatation. This recovery does not occur with (+)- ozolinone and is inhibited by pretreatment with captopril. This confirms that vasoconstrictive action of angiotensin II predominates on the efferent glomerular arteriole. Such a vasoconstrictive effect might affect blood flow in the vasa recta, which arise from the efferent arterioles of juxtamedullary glomeruli. This action might enable the renin-angiotensin system to participate in the control of renal medullary blood flow and urinary concentration.

摘要

在戊巴比妥麻醉的犬中使用卡托普利抑制肾素-血管紧张素系统,以证实肾内合成的血管紧张素II的血管收缩作用在肾小球出球小动脉上占主导地位。奥唑啉酮是一种具有两种异构体的袢利尿剂。只有(-)-奥唑啉酮具有利尿作用,而两种异构体都具有肾血管舒张作用,且在肾小球出球小动脉上占主导地位。只有利尿异构体可增加肾素释放。由于球后血管舒张,肾素分泌过多与滤过分数最初下降后的恢复同时发生。(+)-奥唑啉酮不会出现这种恢复,且卡托普利预处理可抑制这种恢复。这证实了血管紧张素II的血管收缩作用在肾小球出球小动脉上占主导地位。这种血管收缩作用可能会影响直小血管的血流,直小血管由近髓肾小球的出球小动脉发出。这种作用可能使肾素-血管紧张素系统参与肾髓质血流和尿液浓缩的控制。

相似文献

1
Effect of captopril on intrarenal blood flow.卡托普利对肾内血流的影响。
Am J Med. 1984 May 31;76(5B):53-7. doi: 10.1016/0002-9343(84)90884-2.
2
Stereoselective renal effects of the loop diuretic ozolinone in the anesthetized dog.髓袢利尿剂奥佐利酮对麻醉犬的立体选择性肾脏效应。
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Is the renin-angiotensin system involved in urinary concentration mechanisms?肾素-血管紧张素系统是否参与尿液浓缩机制?
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Regulation of renal hemodynamics and glomerular filtration in patients with renovascular hypertension during converting enzyme inhibition with captopril.肾血管性高血压患者在使用卡托普利进行转换酶抑制治疗期间的肾血流动力学和肾小球滤过的调节
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[Correlation of renin-angiotensin system and prostanoids system in renal circulation: dissociation of renal blood flow and glomerular filtration rate in acute alterations of renal blood pressure].肾循环中肾素 - 血管紧张素系统与前列腺素系统的相关性:肾血压急性改变时肾血流量与肾小球滤过率的分离
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Renal hemodynamics in essential and renovascular hypertension. Influence of captopril.原发性高血压和肾血管性高血压的肾脏血流动力学。卡托普利的影响。
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Interactions between adenosine and angiotensin II in controlling glomerular filtration.腺苷与血管紧张素II在控制肾小球滤过中的相互作用。
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Effect of captopril on renal haemodynamics and the renin-angiotensin-aldosterone and osmoregulatory systems in essential hypertension.
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Mechanisms of the antihypertensive action of captopril.卡托普利的降压作用机制。
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引用本文的文献

1
Evolution of diuretics and ACE inhibitors, their renal and antihypertensive actions--parallels and contrasts.利尿剂和血管紧张素转换酶抑制剂的演变、它们的肾脏作用和降压作用——异同比较
Br J Clin Pharmacol. 1987;23 Suppl 1(Suppl 1):27S-41S. doi: 10.1111/j.1365-2125.1987.tb03120.x.