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血管紧张素拮抗剂对肾血管阻力和前列腺素E释放的影响。

Influence of angiotensin antagonists on renal vascular resistance and prostaglandin E release.

作者信息

Sugawara S, Zimmerman B G

出版信息

Clin Exp Hypertens (1978). 1978;1(1):11-24. doi: 10.3109/10641967809068592.

Abstract

Blood pressure (BP), renal arterial pressure and renal blood flow (RBF) were measured and blood samples were removed for determination of prostaglandin E (PGE) content in pentobarbital anesthetized dogs. Analysis of PGE with prior column separation was by radioimmunoassay utilizing a PGF antiserum and PGE specific anti-serum. The angiotensin antagonists 1-Sar-8-Ala-angiotensin II (saralasin) and 1-Sar-Ileu-angiotensin II (1-S-8-I A) were infused intraarterially to the kidney achieving concentrations of 20 and 50-60 ng/ml and 10 and 20 ng/ml, respectively before and during partial occlusion of the renal artery (RAO). 1-S-8-I A, 20 ng/ml, caused a small increase in renal vascular resistance (RVR) before RAO, but saralasin exerted no effect prior to RAO. Arterial and renal venous PGE levels were not affected by the antagonists. RAO caused a decrease in RVR and gradual increase in BP which ranged from 29-38% and 12-15 mmHg, respectively at the 20 min interval. The concentration of PGE in renal venous blood was found to be increased and the AV difference was significant when measurements were made using PGF antiserum, but no change was detectable when using PGE antiserum. The infusion of saralasin, but not 1-S-8-I A in the above concentrations caused a significant decrease in RVR during RAO; however, no changes in PGE levels were obtained with either agent. These results indicate that 1-S-8-I A has a more potent agonistic renal vasoconstrictor effect than saralasin as found before RAO, and saralasin exerts a renal vasodilator action only during RAO, which is due to angiotensin antagonism and not to PGE release.

摘要

在戊巴比妥麻醉的犬中测量血压(BP)、肾动脉压和肾血流量(RBF),并采集血样以测定前列腺素E(PGE)含量。采用柱前分离法,利用PGF抗血清和PGE特异性抗血清,通过放射免疫分析法对PGE进行分析。在肾动脉部分闭塞(RAO)之前和期间,将血管紧张素拮抗剂1 - Sar - 8 - Ala - 血管紧张素II(沙拉新)和1 - Sar - Ileu - 血管紧张素II(1 - S - 8 - I A)经动脉注入肾脏,使其浓度分别达到20和50 - 60 ng/ml以及10和20 ng/ml。在RAO之前,1 - S - 8 - I A(20 ng/ml)使肾血管阻力(RVR)略有增加,但沙拉新在RAO之前无作用。拮抗剂对动脉和肾静脉PGE水平无影响。RAO导致RVR降低,血压逐渐升高,在20分钟时分别升高29 - 38%和12 - 15 mmHg。当使用PGF抗血清进行测量时,发现肾静脉血中PGE浓度升高且动静脉差异显著,但使用PGE抗血清时未检测到变化。在上述浓度下,注入沙拉新而非1 - S - 8 - I A可使RAO期间的RVR显著降低;然而,两种药物均未使PGE水平发生变化。这些结果表明,如在RAO之前所发现的,1 - S - 8 - I A比沙拉新具有更强的肾血管收缩激动剂作用,并且沙拉新仅在RAO期间发挥肾血管舒张作用,这是由于血管紧张素拮抗作用而非PGE释放所致。

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