Nicholls M G, Tree M, Brown J J, Douglas B H, Fraser R, Hay G D, Lever A F, Morton J J, Robertson J I
Endocrinology. 1978 Feb;102(2):485-93. doi: 10.1210/endo-102-2-485.
The possibility that the responsiveness of plasma aldosterone concentration to angiotensin II alters with changes in sodium balance was investigated in male beagle dogs under conditions of controlled sodium and potassium intake. Angiotensin II was infused at four different rates (usually 3, 6, 12, and 24 ng/kg/min), each for 1 h, 1) after periods of normal sodium diet (32 mEq/day), 2) after moderate sodium depletion (negative cumulative sodium balance 25-58 mEq), 3) after severe sodium depletion (65-116 mEq negative cumulative sodium balance), and 4) after sodium loading (150-212 mEq positive sodium balance), daily potassium intake remaining constant (26 mEq/day) throughout. Angiotensin II/aldosterone dose-response curves after moderate sodium depletion were both elevated and steepened in comparison with those found during normal sodium intake. Severe sodium depletion was associated with even greater elevation of dose-response curves, but individual aldosterone responses to angiotensin II were irregular and unpredictable. Sodium loading significantly diminished aldosterone responsiveness to angiotensin II. Blood pressure increments during angiotensin II infusion were attenuated by sodium depletion.
在钠和钾摄入量得到控制的条件下,对雄性比格犬进行研究,以探讨血浆醛固酮浓度对血管紧张素II的反应性是否会随着钠平衡的变化而改变。以四种不同速率(通常为3、6、12和24 ng/kg/分钟)输注血管紧张素II,每种速率持续1小时,1)在正常钠饮食期(32 mEq/天)之后,2)在中度钠耗竭后(累积负钠平衡25 - 58 mEq),3)在重度钠耗竭后(65 - 116 mEq累积负钠平衡),以及4)在钠负荷后(150 - 212 mEq正钠平衡),整个过程中每日钾摄入量保持恒定(26 mEq/天)。与正常钠摄入期间相比,中度钠耗竭后的血管紧张素II/醛固酮剂量反应曲线升高且变陡。重度钠耗竭与剂量反应曲线的更大升高相关,但个体醛固酮对血管紧张素II的反应不规则且不可预测。钠负荷显著降低了醛固酮对血管紧张素II的反应性。钠耗竭减弱了血管紧张素II输注期间的血压升高。