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去氧皮质酮盐性高血压大鼠对血管加压素的升压反应性

Pressor responsiveness to vasopressin in the rat with DOC-salt hypertension.

作者信息

Crofton J T, Share L, Wang B C, Shade R E

出版信息

Hypertension. 1980 Jul-Aug;2(4):424-31. doi: 10.1161/01.hyp.2.4.424.

Abstract

To further characterize the role of vasopressin in DOC-salt hypertension, four groups of unilaterally nephrectomized rats were studied: control rats given no further treatment, rats treated with DOC and given 1% saline to drink, or rats treated with only DIC or 1% saline had similar pressor responses to exogenous vasopressin and angiotensin II. Within the DOC-salt group, two populations of rats were identified: one with normal pressor responsiveness to vasopressin, and one with markedly enhanced pressor responsiveness to vasopressin. Incidence of enhanced responsiveness increased with duration of treatment. Urinary excretion of vasopressin was elevated in the 1% saline and DOC-salt groups after 1 week of treatment, and in the DOC group after 4 weeks. However, the plasma vasopressin concentration was elevated only in the rats treated with both DOC and saline. It is suggested that vasopressin is essential for the expansion of blood volume in the early stages of DOC-salt hypertension, and functions as a direct pressor agent only in the later stages.

摘要

为了进一步阐明血管加压素在脱氧皮质酮 - 盐性高血压中的作用,对四组单侧肾切除的大鼠进行了研究:未接受进一步治疗的对照大鼠、接受脱氧皮质酮治疗并饮用1%盐水的大鼠,或者仅接受脱氧皮质酮或1%盐水治疗的大鼠对外源性血管加压素和血管紧张素II具有相似的升压反应。在脱氧皮质酮 - 盐组中,鉴定出两类大鼠:一类对血管加压素具有正常的升压反应性,另一类对血管加压素的升压反应性明显增强。反应性增强的发生率随治疗时间延长而增加。治疗1周后,1%盐水组和脱氧皮质酮 - 盐组的血管加压素尿排泄量升高,4周后脱氧皮质酮组升高。然而,仅在同时接受脱氧皮质酮和盐水治疗的大鼠中血浆血管加压素浓度升高。提示血管加压素在脱氧皮质酮 - 盐性高血压早期对血容量扩充至关重要,且仅在后期作为直接升压剂起作用。

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