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β-肾上腺素能受体阻滞与大鼠遗传性高血压的发展

beta-Adrenoreceptor blockage and genetic hypertension development in rats.

作者信息

Richer C, Venturini-Souto N, Boissier J R, Giudicelli J F

出版信息

Clin Exp Hypertens (1978). 1980;2(1):99-122. doi: 10.3109/10641968009038554.

Abstract

The effects of propranolol (100 mg/kg), atenolol (200 mg/kg) and acebutolol (1000 mg/kg) administered daily by gavage to spontaneously hypertensive rats (SHRs) from their 6th to 20th weeks of age were investigated on genetic hypertension development (GHD) and at regular intervals on heart rate (HR), cardiac output (CO), stroke volume (SV), peripheral resistence (PR), plasma renin concentration (PRC) and heart weight/body weight ratio (HW/BW). Treatment with propranolol and especially atenolol markedly inhibited GHD while acebutolol was ineffective. No correlation was found between GHD prevention and (1) the degree of beta-adrenergic blockade (2) the reductions in HR and CO and (3) the decrease in PRC induced by the three treatments. Although none of the three drugs prevented the progressive increase in PR which develops in SHRs during their growth, propranolol and atenolol opposed GHD mainly by reducing CO, this effect being however partly counterbalanced for atenolol by a secondary potentiation of PR increase. With acebutolol, a similar reinforcement of PR increase occurred which completely neutralized the reduction in CO, resulting in the drug's ineffectiveness against GHD. These differential effects of the three drugs probably reflect different early induced structural modifications at cardiac and/or vascular levels.

摘要

从6周龄至20周龄,每日经口灌胃给予自发性高血压大鼠(SHRs)普萘洛尔(100 mg/kg)、阿替洛尔(200 mg/kg)和醋丁洛尔(1000 mg/kg),研究其对遗传性高血压发展(GHD)的影响,并定期检测心率(HR)、心输出量(CO)、每搏输出量(SV)、外周阻力(PR)、血浆肾素浓度(PRC)和心脏重量/体重比(HW/BW)。普萘洛尔尤其是阿替洛尔治疗显著抑制GHD,而醋丁洛尔无效。在GHD预防与(1)β-肾上腺素能阻滞程度、(2)三种治疗引起的HR和CO降低以及(3)PRC降低之间未发现相关性。尽管三种药物均未阻止SHRs生长过程中PR的逐渐升高,但普萘洛尔和阿替洛尔主要通过降低CO来对抗GHD,不过阿替洛尔的这种作用部分被PR升高的继发性增强所抵消。对于醋丁洛尔,PR升高出现类似增强,完全抵消了CO的降低,导致该药物对GHD无效。这三种药物的这些差异效应可能反映了在心脏和/或血管水平早期诱导的不同结构改变。

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