Bartley P J, Anderson W P
Clin Exp Pharmacol Physiol. 1984 Jan-Feb;11(1):71-80. doi: 10.1111/j.1440-1681.1984.tb00241.x.
The responses to 20% haemorrhage were examined in conscious rabbits with or without inhibition of prostaglandin production by indomethacin (5 mg/kg + 0.5 mg/kg per h i.v.). In rabbits not pretreated with indomethacin, haemorrhage lowered mean arterial pressure by 6.3 (s.e.m. = 1.6) mmHg, renal blood flow by 22.8 (s.e.m. = 3.4) ml/min and glomerular filtration rate (GFR) by 3.4 (s.e.m. = 0.6) ml/min, and raised plasma renin activity by 5.2 (s.e.m. = 1.0) ng/ml per h. Pretreatment of the rabbits with indomethacin did not significantly alter the responses to haemorrhage. Mean arterial pressure fell by 10.9 (s.e.m. = 1.8) mmHg, renal blood flow by 24.9 (s.e.m. = 3.9) ml/min and GFR by 4.2 (s.e.m. = 1.8) ml/min and plasma renin activity rose by 3.2 (s.e.m. = 0.5) ng/ml per h. In a separate group of 5 rabbits, angiotensin II was infused at 10, 25 and 50 ng/kg per min i.v. or methoxamine was infused at 10 and 25 micrograms/kg per min i.v. After indomethacin pretreatment, angiotensin II caused a significantly greater rise in mean arterial pressure and greater fall in renal vascular conductance, but there was no effect on the GFR response. In contrast, methoxamine caused significantly smaller falls in GFR, renal blood flow and renal vascular conductance after indomethacin pretreatment. Indomethacin significantly lowered resting GFR but not renal blood flow or arterial pressure. Thus, indomethacin pretreatment accentuated the renal vasoconstriction to angiotensin II, reduced the renal vasoconstriction to methoxamine and had no effect on the responses to haemorrhage. The results therefore suggest that prostaglandins do not act to lessen the renal effects of all vasoconstrictor stimuli, but that the prostaglandin response depends on the nature of the ischaemic stimulus.
在有意识的家兔身上,研究了20%出血情况下,有无通过静脉注射吲哚美辛(5毫克/千克 + 0.5毫克/千克每小时)抑制前列腺素生成时的反应。在未用吲哚美辛预处理的家兔中,出血使平均动脉压降低6.3(标准误 = 1.6)毫米汞柱,肾血流量降低22.8(标准误 = 3.4)毫升/分钟,肾小球滤过率(GFR)降低3.4(标准误 = 0.6)毫升/分钟,并使血浆肾素活性每小时升高5.2(标准误 = 1.0)纳克/毫升。用吲哚美辛预处理家兔并未显著改变对出血的反应。平均动脉压降低10.9(标准误 = 1.8)毫米汞柱,肾血流量降低24.9(标准误 = 3.9)毫升/分钟,GFR降低4.2(标准误 = 1.8)毫升/分钟,血浆肾素活性每小时升高3.2(标准误 = 0.5)纳克/毫升。在另一组5只家兔中,以每分钟10、25和50纳克/千克的速度静脉注射血管紧张素II,或以每分钟10和25微克/千克的速度静脉注射甲氧明。吲哚美辛预处理后,血管紧张素II使平均动脉压显著升高,肾血管传导率显著降低,但对GFR反应无影响。相比之下,吲哚美辛预处理后,甲氧明使GFR、肾血流量和肾血管传导率的降低幅度显著减小。吲哚美辛显著降低静息GFR,但对肾血流量或动脉压无影响。因此,吲哚美辛预处理增强了对血管紧张素II的肾血管收缩作用,减弱了对甲氧明的肾血管收缩作用,对出血反应无影响。因此,结果表明前列腺素并非对所有血管收缩刺激的肾效应都有减轻作用,而是前列腺素反应取决于缺血刺激的性质。