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心脏受体对血浆渗透压-血浆血管加压素关系的影响。

Cardiac receptor influences on the plasma osmolality-plasma vasopressin relationship.

作者信息

Wang B C, Sundet W D, Hakumäki M O, Geer P G, Goetz K L

出版信息

Am J Physiol. 1984 Mar;246(3 Pt 2):H360-8. doi: 10.1152/ajpheart.1984.246.3.H360.

DOI:10.1152/ajpheart.1984.246.3.H360
PMID:6703073
Abstract

Changes in blood volume are capable of altering the relationship between plasma osmolality (Posmol) and plasma arginine vasopressin (PAVP), presumably via a reflex elicited from cardiovascular receptors, but the precise location of the receptors involved in this response has not been established. Because cardiac receptors are capable of influencing AVP secretion, their specific effect was examined by producing volume changes in cardiac-denervated (CD) dogs and comparing the Posmol-PAVP relationship in these dogs with data from comparable experiments on sham-operated control dogs (cardiac-sham, CS). Posmol was increased by water deprivation for 96 h (volume depletion) and also by administration of hypertonic saline for 2 h (volume expansion). The slope of the regression line describing the Posmol-PAVP relationship in CS control dogs was steeper (P less than 0.01) during volume depletion (0.390) than it was during volume expansion (0.228), thus suggesting that volume depletion had enhanced and volume expansion had inhibited the secretion of AVP. In contrast, the slope of the regression line delineating the Posmol-PAVP relationship in CD dogs was essentially the same during volume depletion (0.288) as it was during volume expansion (0.291). It would seem that most, if not all, of the volume influences on the Posmol-PAVP relationship are mediated via reflex effects elicited by cardiac receptors.

摘要

血容量的变化能够改变血浆渗透压(Posmol)与血浆精氨酸血管加压素(PAVP)之间的关系,推测是通过心血管受体引发的反射来实现的,但参与这一反应的受体的确切位置尚未确定。由于心脏受体能够影响血管加压素的分泌,因此通过使心脏去神经支配(CD)的犬只产生容量变化,并将这些犬只的Posmol-PAVP关系与假手术对照犬(心脏假手术,CS)的可比实验数据进行比较,来研究它们的特定作用。通过96小时禁水(容量减少)以及给予高渗盐水2小时(容量增加)来升高Posmol。描述CS对照犬在容量减少(0.390)时Posmol-PAVP关系的回归线斜率比容量增加(0.228)时更陡(P<0.01),这表明容量减少增强了血管加压素的分泌,而容量增加则抑制了其分泌。相比之下,描述CD犬在容量减少(0.288)和容量增加(0.291)时Posmol-PAVP关系的回归线斜率基本相同。似乎容量对Posmol-PAVP关系的大多数(如果不是全部)影响是通过心脏受体引发的反射效应介导的。

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