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血管紧张素II 1型受体拮抗剂EXP 3174急性和慢性治疗对清醒自发性高血压大鼠压力反射功能的影响。

Effect of acute and chronic treatment with the angiotensin II subtype 1 receptor antagonist EXP 3174 on baroreflex function in conscious spontaneously hypertensive rats.

作者信息

Bartholomeusz B, Widdop R E

机构信息

Department of Pharmacology, Monash University, Clayton, Victoria, Australia.

出版信息

J Hypertens. 1995 Feb;13(2):219-25.

PMID:7615952
Abstract

OBJECTIVE

To determine whether the angiotensin II subtype 1 (AT1) receptor antagonist EXP 3174 can modify the baroreceptor-heart rate reflex in conscious rats.

DESIGN

EXP 3174 was given acutely, both peripherally and centrally, as well as chronically to spontaneously hypertensive rats (SHR), and baroreflex function was then examined.

METHODS

Baroreceptor reflex activity was assessed by constructing sigmoidal mean arterial pressure (MAP)-heart rate curves after injection of pressor (phenylephrine) and depressor (sodium nitroprusside) agents. Baroreflex testing was performed before and after intravenous (1 mg/kg) and intracerebroventricular (1 microgram) administration of EXP 3174 in separate groups of conscious SHR and Wistar-Kyoto (WKY) rats. EXP 3174 was also given subcutaneously for 15 days (5 mg/kg per day) in SHR, and baroreceptor reflex activity was assessed approximately 24 h later.

RESULTS

EXP 3174 lowered MAP after acute peripheral administration in SHR and, to a lesser extent, WKY rats. MAP was not altered after central administration of EXP 3174 in either group. Baroreceptor reflex function was not significantly modified after acute peripheral or central injection of the AT1 receptor antagonist in SHR or WKY rats. In contrast, chronic treatment of SHR with EXP 3174 markedly decreased MAP compared with vehicle-treated SHR. Moreover, the MAP-heart rate curve was shifted leftwards together with an enhancement of reflex bradycardia, such that baroreflex function was restored to the level observed in untreated WKY rats.

CONCLUSION

Chronic, but not acute, administration of EXP 3174 normalized baroreflex function in SHR. This facilitation of baroreflex function might contribute to the greater antihypertensive effect observed after chronic administration of EXP 3174 in SHR.

摘要

目的

确定血管紧张素II 1型(AT1)受体拮抗剂EXP 3174是否能改变清醒大鼠的压力感受器-心率反射。

设计

将EXP 3174分别急性外周给药、急性中枢给药以及长期给予自发性高血压大鼠(SHR),随后检测压力反射功能。

方法

通过在注射升压药(去氧肾上腺素)和降压药(硝普钠)后构建S形平均动脉压(MAP)-心率曲线来评估压力感受器反射活动。在清醒的SHR和Wistar-Kyoto(WKY)大鼠的不同组中,分别在静脉注射(1 mg/kg)和脑室内注射(1微克)EXP 3174之前和之后进行压力反射测试。EXP 3174也在SHR中皮下给药15天(每天5 mg/kg),大约24小时后评估压力感受器反射活动。

结果

急性外周给予EXP 3174后,SHR以及程度较轻的WKY大鼠的MAP降低。两组中,中枢给予EXP 3174后MAP均未改变。急性外周或中枢注射AT1受体拮抗剂后,SHR或WKY大鼠的压力感受器反射功能均未得到显著改变。相比之下,与给予赋形剂的SHR相比,用EXP 3174长期治疗SHR可使MAP显著降低。此外,MAP-心率曲线向左移位,同时反射性心动过缓增强,从而使压力反射功能恢复到未治疗的WKY大鼠中观察到的水平。

结论

长期而非急性给予EXP 3174可使SHR的压力反射功能正常化。压力反射功能的这种促进作用可能有助于解释在SHR中长期给予EXP 317后观察到的更大的降压效果。

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