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高渗氯化钠刺激与脑肾素-血管紧张素系统之间缺乏相互作用。

Lack of interaction between a hypertonic NaCl stimulus and the brain renin-angiotensin system.

作者信息

Takishita S, Ferrario C M

出版信息

Am J Physiol. 1983 Apr;244(4):H471-8. doi: 10.1152/ajpheart.1983.244.4.H471.

DOI:10.1152/ajpheart.1983.244.4.H471
PMID:6837751
Abstract

Sodium and the renin-angiotensin system (RAS) participate in the regulation of cardiovascular function, in part via activation of central nervous system (CNS) mechanisms. Because intraventricular (IVT) administration of either hypertonic sodium chloride (NaCl) or angiotensin II (ANG II) elicits similar effects (i.e., natriuresis, hypertension, increased drinking, and enhanced vasopressin release) a common and final pathway may be involved. With this in mind, we measured the effect of an IVT injection (third or lateral ventricle) of 0.6 M NaCl on postganglionic renal nerve activity (RNA) and blood pressure in morphine-pentobarbital-anesthetized dogs before and after blockade of the brain RAS with either captopril or [Sar1,Ile8]ANG II. Both vagus and carotid sinus nerves were cut to avoid impingement of the baroreceptor reflex on the measured variables. IVT injection of 0.6 M NaCl produced a prominent hypertensive response and tachycardia associated with a 59 +/- 9% increase in RNA. These changes were statistically significant (P less than 0.001), correlated with each other, and were abolished by administration of hexamethonium chloride (10 mg/kg iv). Blockade of central ANG II receptors with [Sar1,Ile8]ANG II was without effect. However, in dogs given IVT SQ 14,225, there was a slight increase in baseline RNA before injection of 0.6 M NaCl; in addition, both the pressor and heart rate responses to the stimulus of hypertonic NaCl were further augmented. These results demonstrate that central administration of hypertonic NaCl in baroreceptor-denervated dogs produces marked activation of sympathetic nerve activity via mechanisms other than activation of the brain RAS.

摘要

钠和肾素-血管紧张素系统(RAS)参与心血管功能的调节,部分是通过激活中枢神经系统(CNS)机制来实现的。由于脑室内(IVT)注射高渗氯化钠(NaCl)或血管紧张素II(ANG II)会引发相似的效应(即利钠、高血压、饮水增加和血管加压素释放增强),因此可能涉及一条共同的最终途径。考虑到这一点,我们在使用卡托普利或[Sar1,Ile8]ANG II阻断脑RAS之前和之后,测量了IVT注射(第三脑室或侧脑室)0.6 M NaCl对吗啡-戊巴比妥麻醉犬的节后肾神经活动(RNA)和血压的影响。切断迷走神经和颈动脉窦神经以避免压力感受器反射对测量变量的影响。IVT注射0.6 M NaCl产生了显著的高血压反应和心动过速,同时RNA增加了59±9%。这些变化具有统计学意义(P<0.001),相互关联,并且通过静脉注射六甲铵(10 mg/kg)而被消除。用[Sar1,Ile8]ANG II阻断中枢ANG II受体没有效果。然而,在给予IVT SQ 14,225的犬中,在注射0.6 M NaCl之前基线RNA略有增加;此外,对高渗NaCl刺激的升压和心率反应进一步增强。这些结果表明,在压力感受器去神经支配的犬中,中枢给予高渗NaCl通过激活脑RAS以外的机制产生交感神经活动的显著激活。

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