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血管紧张素II对胎羊的作用及吲哚美辛对其作用的影响。

Effects of angiotensin II in fetal sheep and modification of its actions by indomethacin.

作者信息

Stevenson K M, Lumbers E R

机构信息

School of Physiology and Pharmacology, University of New South Wales, Sydney, Australia.

出版信息

J Physiol. 1995 Aug 15;487(1):147-58. doi: 10.1113/jphysiol.1995.sp020867.

DOI:10.1113/jphysiol.1995.sp020867
PMID:7473244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1156605/
Abstract
  1. Angiotensin II (AII) was infused I.V. into seven chronically catheterized fetal sheep (gestational age, 120-136 days). The effects of short-term infusions of 6 and 12 micrograms kg-1 h-1 for 1.5 h were compared with the effects of infusing 6 micrograms kg-1 h-1 for 3 or 5 days (long-term infusion). AII produced an immediate rise in fetal arterial blood pressure (P < 0.025). When infused for 3 or 5 days, 6 micrograms kg-1 h-1 AII caused a greater increase in arterial blood pressure (P < 0.05). 2. Infusions of 6 micrograms kg-1 h-1 AII for 1.5 h had no effect on fetal placental blood flow or on flow to the fetal membranes, but after AII infusion for 3 or 5 days both flows were reduced (P < 0.01 and P < 0.005, respectively). Fetal blood gas status and pH were maintained. The only change in fetal renal function observed with short-term infusions of AII was a rise in sodium excretion when 12 micrograms kg-1 h-1 AII was given (P < 0.05). Infusion of 6 micrograms kg-1 h-1 for 3 or 5 days also caused a rise in sodium excretion (P < 0.025) because total and proximal fractional sodium reabsorptions were depressed (P < 0.01). Infusions of AII had no effects on the volume of lung liquid produced or on its composition. 3. Administration of indomethacin to the ewe (10 mg kg-1) and to the fetus (12 mg kg-1), during the infusion of AII, caused a rise in maternal arterial pressure (P < 0.01) but no change in fetal arterial pressure. 4. After indomethacin, umbilicoplacental blood flow rose (P < 0.05), as did fetal arterial PO2 (P < 0.05). Fetal arterial PCO2, pH and bicarbonate levels fell (P < 0.01). Glomerular filtration rate (GFR) rose (P < 0.01); there was a natriuresis (P < 0.01), chloriuresis (P < 0.01) and a kaliuresis (P < 0.05) but urine flow rate did not change. Lung liquid flow fell (P < 0.01). 5. It is concluded that in the fetus, long-term infusions of AII at a constant dose rate cause a progressive rise in arterial pressure. In addition, effects of AII on placental blood flow and on renal function develop. Thus, short-term infusions of AII cannot be used to predict the renal and cardiovascular effects of sustained high levels of this peptide in the fetus.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 给7只长期插管的胎羊(胎龄120 - 136天)静脉输注血管紧张素II(AII)。比较了短期输注6和12微克/千克·小时,持续1.5小时的效果与输注6微克/千克·小时,持续3或5天(长期输注)的效果。AII使胎羊动脉血压立即升高(P < 0.025)。当输注3或5天时,6微克/千克·小时的AII使动脉血压升高更明显(P < 0.05)。2. 输注6微克/千克·小时的AII 1.5小时对胎羊胎盘血流量或胎膜血流量无影响,但输注3或5天后,两种血流量均减少(分别为P < 0.01和P < 0.005)。胎羊血气状态和pH值保持稳定。短期输注AII时,观察到的胎羊肾功能唯一变化是给予12微克/千克·小时的AII时钠排泄增加(P < 0.05)。输注6微克/千克·小时,持续3或5天也导致钠排泄增加(P < 0.025),因为总钠重吸收和近端钠分数重吸收降低(P < 0.01)。输注AII对肺液生成量或其成分无影响。3. 在输注AII期间,给母羊(10毫克/千克)和胎羊(12毫克/千克)给予吲哚美辛,导致母羊动脉血压升高(P < 0.01),但胎羊动脉血压无变化。4. 给予吲哚美辛后,脐胎盘血流量增加(P < 0.05),胎羊动脉血氧分压也增加(P < 0.05)。胎羊动脉血二氧化碳分压、pH值和碳酸氢盐水平下降(P < 0.01)。肾小球滤过率升高(P < 0.01);出现利钠(P < 0.01)、利氯(P < 0.01)和利尿钾(P < 0.05),但尿流率未改变。肺液流量下降(P < 0.01)。5. 得出结论,在胎羊中,以恒定剂量率长期输注AII会导致动脉血压逐渐升高。此外,AII对胎盘血流量和肾功能的影响会显现。因此,短期输注AII不能用于预测该肽在胎羊中持续高水平时对肾脏和心血管系统的影响。(摘要截取自400字)

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