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多巴胺在清醒大鼠血压调节及肾素 - 血管紧张素 - 醛固酮系统中的作用

Role of dopamine in the regulation of blood pressure and the renin--angiotensin--aldosterone system in conscious rats.

作者信息

Kondo K, Ebihara A, Suzuki H, Saruta T

出版信息

Clin Sci (Lond). 1981 Dec;61 Suppl 7:235s-237s. doi: 10.1042/cs061235s.

Abstract
  1. In conscious rats, intracerebroventricular injection of dopamine resulted in a decrease in blood pressure, whereas injection of metoclopramide, the dopamine antagonist, produced an increase in blood pressure. The central depressor effect of dopamine was attenuated by a subpressor pretreatment with intraventricular metoclopramide, but not by phentolamine. 2. Intravenous administration of dopamine increase blood pressure. This increase in blood pressure was almost completely abolished by intravenous phentolamine. Metoclopramide, when injected intravenously, did not reduce any change in blood pressure. 3. Plasma renin activity and plasma aldosterone concentration were decreased by intraventricular injection of dopamine, and increased by that of metoclopramide. In contrast, intravenous administration of metoclopramide increased plasma aldosterone concentration without changing plasma renin activity. Plasma concentrations of potassium, sodium and corticosterone were not affected by these treatments. 4. These results suggest that the dopaminergic system in the brain, but not in the systemic circulation, is involved in the regulation of blood pressure. It is also suggested that the central dopaminergic system participates in the regulation of aldosterone secretion by changes in the renin--angiotensin axis, whereas the peripheral dopaminergic modulation of aldosterone secretion appears to occur independently of the renin--angiotensin system.
摘要
  1. 在清醒大鼠中,脑室内注射多巴胺会导致血压下降,而注射多巴胺拮抗剂甲氧氯普胺则会使血压升高。多巴胺的中枢降压作用可被脑室内注射甲氧氯普胺的亚降压预处理减弱,但不能被酚妥拉明减弱。2. 静脉注射多巴胺会使血压升高。静脉注射酚妥拉明几乎完全消除了这种血压升高。静脉注射甲氧氯普胺时,血压无变化。3. 脑室内注射多巴胺会降低血浆肾素活性和血浆醛固酮浓度,而注射甲氧氯普胺则会使其升高。相比之下,静脉注射甲氧氯普胺会增加血浆醛固酮浓度,而不改变血浆肾素活性。这些处理对血浆钾、钠和皮质酮浓度无影响。4. 这些结果表明,大脑中的多巴胺能系统而非体循环中的多巴胺能系统参与血压调节。还表明,中枢多巴胺能系统通过肾素 - 血管紧张素轴的变化参与醛固酮分泌的调节,而外周多巴胺能对醛固酮分泌的调节似乎独立于肾素 - 血管紧张素系统。

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