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交感神经系统与血管加压素和肾素在维持血压中的相互作用。

Interaction of the sympathetic nervous system with vasopressin and renin in the maintenance of blood pressure.

作者信息

Gavras H, Hatzinikolaou P, North W G, Bresnahan M, Gavras I

出版信息

Hypertension. 1982 May-Jun;4(3):400-5. doi: 10.1161/01.hyp.4.3.400.

Abstract

To evaluate the partial contributions and interaction of three vasopressor systems in blood pressure maintenance, nephrectomized rats and rats with intact kidneys were submitted sequentially to catecholamine depletion, elimination of vasopressin's vasoconstrictor action, and (for those with kidneys in situ) angiotensin blockade. Catecholamine depletion decreased blood pressure and stimulated vasopressin levels in all rats, but significantly more so in the anephric ones. Subsequent injection of an antagonist to the vasopressor effect of vasopressin produced a lasting fall of blood pressure in anephric rats, but only transient fall in those with intact kidneys. Infusion of teprotide--an angiotensin converting enzyme inhibitor--in the latter animals also produced transient blood pressure fall, but if this were followed by injection of the vasopressin antagonist, the pressure remained low for several hours. Blood pressure levels were closely correlated with those of plasma catecholamines throughout these maneuvers. Catecholamine levels were inversely correlated with those of plasma vasopressin, which were far greater in anephric rats through both stimulation and accumulation. Plasma renin activity was increasingly stimulated by falling blood pressure after each maneuver in rats with intact kidneys. Thus, it appears that in the resting state the sympathetic nervous system is more involved in the maintenance of blood pressure, whereas vasopressin and renin are important backup mechanisms.

摘要

为评估三种血管升压系统在维持血压中的部分作用及相互作用,对肾切除大鼠和肾脏完整的大鼠依次进行儿茶酚胺耗竭、消除血管升压素的血管收缩作用,以及(对于肾脏完好的大鼠)阻断血管紧张素。儿茶酚胺耗竭使所有大鼠的血压降低并刺激血管升压素水平升高,但无肾大鼠的这种变化更为显著。随后注射血管升压素血管升压作用的拮抗剂,使无肾大鼠的血压持续下降,但仅使肾脏完整的大鼠血压短暂下降。在后者动物中输注替普罗肽(一种血管紧张素转换酶抑制剂)也使血压短暂下降,但如果随后注射血管升压素拮抗剂,血压会持续数小时保持在低水平。在整个这些操作过程中,血压水平与血浆儿茶酚胺水平密切相关。儿茶酚胺水平与血浆血管升压素水平呈负相关,无肾大鼠通过刺激和蓄积,其血浆血管升压素水平要高得多。在肾脏完整的大鼠中,每次操作后血压下降都会越来越多地刺激血浆肾素活性。因此,在静息状态下,交感神经系统似乎在维持血压方面发挥着更大作用,而血管升压素和肾素是重要的后备机制。

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