Schaz K, Stock G, Simon W, Schlör K H, Unger T, Rockhold R, Ganten D
Hypertension. 1980 Jul-Aug;2(4):395-407. doi: 10.1161/01.hyp.2.4.395.
The cardiovascular effects of opioid peptides have been studied. Leucine-enkephalin (Leu-ENK) produced blood pressure (BP) increases following administration into the lateral brain ventricles (i.v.t.), into the cisterna magna (i.c.i.), and following intravenous (i.v.) administration. Heart rate (HR) increases were observed following all routes of administration (threshold for BP and HR effects at 0.3 nmole, maximum at 360 nmoles). The cardiovascular effects were independent of generalized seizures, which may occur at higher doses of enkephalins (ENK). D-alanine-enkephalin (D-Ala-ENK) attenuated the vagal component of the baroreceptor reflex in cats. This was indicated by the findings that HR did not decrease following D-Ala-ENK-induced BP increases and that the compensatory decreases in HR following i.v. pressor doses of angiotensin II (ANG II) were markedly attenuated in cats treated with i.v.t. D-Ala-ENK. Naloxone inhibited the BP and HR effects following i.c.i. and i.v., but not following i.v.t., administration of Leu-ENK. The i.v.t. Leu-ENK effect were inhibited by beta-adrenergic receptor blockade. Bratteboro rats homozygous for hereditary diabetes insipidus with total absence of antidiuretic hormone (ADH) synthesis responded with BP decreases following i.v.t. Leu-ENK, while BP increases were observed in control Long-Evans rats. Blood pressure increases to i.v.t. Leu-ENK were markedly greater in spontaneously hypertensive rats of the stroke-prone strain (SHR-sp) than in normotensive control rats; SHR-sp exhibit a humoral pattern of increased ADH, ACTH, and catecholamines, presumably due to central peptidergic stimulation. The known effects of opioid peptides on these hormones and the observed cardiovascular responses suggest a possible participation of this peptide system in the maintenance of high BP in the SHR-sp.
对阿片肽的心血管效应进行了研究。亮氨酸脑啡肽(Leu-ENK)经侧脑室注射(i.v.t.)、小脑延髓池注射(i.c.i.)以及静脉注射(i.v.)后可使血压(BP)升高。所有给药途径均观察到心率(HR)升高(BP和HR效应的阈值为0.3纳摩尔,360纳摩尔时达到最大值)。心血管效应与全身性惊厥无关,全身性惊厥可能在更高剂量的脑啡肽(ENK)时发生。D-丙氨酸脑啡肽(D-Ala-ENK)减弱了猫压力感受器反射的迷走神经成分。这表现为以下发现:D-Ala-ENK诱导的BP升高后HR未降低,并且在经i.v.t.给予D-Ala-ENK的猫中,静脉注射升压剂量的血管紧张素II(ANG II)后HR的代偿性降低明显减弱。纳洛酮抑制i.c.i.和i.v.给药后Leu-ENK的BP和HR效应,但不抑制i.v.t.给药后的效应。i.v.t.给予Leu-ENK的效应可被β-肾上腺素能受体阻断所抑制。遗传性尿崩症纯合子的Bratteboro大鼠完全缺乏抗利尿激素(ADH)合成,经i.v.t.给予Leu-ENK后血压降低,而对照的Long-Evans大鼠则观察到血压升高。易卒中型自发性高血压大鼠(SHR-sp)经i.v.t.给予Leu-ENK后血压升高明显大于正常血压对照大鼠;SHR-sp表现出抗利尿激素、促肾上腺皮质激素和儿茶酚胺升高的体液模式,推测是由于中枢肽能刺激所致。阿片肽对这些激素的已知作用以及观察到的心血管反应表明,该肽系统可能参与了SHR-sp中高血压的维持。