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[沙拉新对血管紧张素依赖性高血压患者血浆肾素活性和精氨酸加压素的影响(作者译)]

[Effect of saralasin on plasma renin activity and arginine-vasopressin in patients with angiotensin-dependent hypertension (author's transl)].

作者信息

Arlart I P, Wagner H, Rosenthal J

出版信息

Klin Wochenschr. 1978 Jun 15;56(12):625-7. doi: 10.1007/BF01477012.

Abstract

A central stimulatory effect of angiotensin II (AII) on the secretion of arginine-vasopressin (AVP) has been described. The competitive blocker of AII, saralasin (SAR) has been used for diagnostic purposes in angiotensin-dependent hypertension. In addition SAR has a partially agnoistic effect. The aim of the present study was to demonstrate whether AVP-levels can be influenced during SAR-induced renin stimulation. In 9 patients with essential hypertension blood pressure dropped significantly under SAR (10 microgram/kg/min over a 30 min period). Before and after SAR plasma renin activity (PRA) and AVP were measured by RIA, SAR evoked significantly increments of PRA in all patients and of AVP in 6 patients. The increased serum concentrations of AVP following SAR may be explained either by the depressor effect of SAR, its diminished concentration at the central receptor, or a partial AII-agonistic effect.

摘要

已有研究描述了血管紧张素II(AII)对精氨酸加压素(AVP)分泌的中枢刺激作用。AII的竞争性阻断剂沙拉新(SAR)已被用于血管紧张素依赖性高血压的诊断。此外,SAR具有部分激动作用。本研究的目的是证明在SAR诱导肾素刺激期间,AVP水平是否会受到影响。9例原发性高血压患者在使用SAR期间(30分钟内以10微克/千克/分钟的速度给药)血压显著下降。在使用SAR前后,通过放射免疫分析法测定血浆肾素活性(PRA)和AVP,结果显示SAR使所有患者的PRA显著升高,6例患者的AVP显著升高。SAR给药后AVP血清浓度升高,这可能是由于SAR的降压作用、其在中枢受体处浓度降低,或部分AII激动作用所致。

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