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高血压大鼠高肾素水平导致血管紧张素原耗竭:无证据表明血管紧张素 II 对血管紧张素原存在持续性刺激作用。

Angiotensinogen depletion by high renin levels in hypertensive rats: no evidence for tonic stimulation of angiotensinogen by angiotensin II.

作者信息

Gahnem F, Camargo M J, von Lutterotti N, Laragh J H, Sealey J E

机构信息

Department of Medicine, Cornell University Medical College, NY 10021, USA.

出版信息

J Hypertens. 1995 Jan;13(1):91-6.

PMID:7759857
Abstract

OBJECTIVE

Data concerning the effect of angiotensin II (Ang II) on plasma angiotensinogen levels are conflicting. Although Ang II is reported to stimulate the biosynthesis of angiotensinogen, plasma angiotensinogen is often depleted by renin when the level of renin, and therefore Ang II, increases. In the present study we used the Ang II subtype 1 (AT1) receptor antagonist losartan to investigate whether rising plasma Ang II levels stimulate angiotensinogen production to counteract the falling plasma angiotensinogen levels caused by increasing renin activity in plasma.

METHOD

Angiotensinogen was measured in plasma from two previously reported studies in which 6-week-old stroke-prone spontaneously hypertensive rats (SHRSP) or Dahl salt-sensitive (Dahl-S) rats were fed high-salt diets (4 and 8% sodium chloride, respectively) for 10-12 weeks with or without losartan.

RESULTS

As reported previously, plasma renin was suppressed during the first 4 weeks of the high-salt diet but then paradoxically increased in both strains. When plasma renin increased, plasma angiotensinogen levels fell to 45 and 62% of the baseline value. The plasma renin concentration was negatively correlated with plasma angiotensinogen both in SHRSP and in Dahl-S rats (r = -0.76, P < 0.001 and r = -0.60, P < 0.001, respectively). In Dahl-S rats losartan treatment was associated with lower levels of plasma angiotensinogen but caused greater increases in plasma renin. When differences in renin were taken into account, plasma angiotensinogen levels were not different in losartan-treated and untreated Dahl-S rats. Similarly to Dahl-S rats, plasma angiotensinogen fell in SHRSP when renin increased, but SHRSP had higher plasma angiotensinogen levels during losartan treatment because plasma renin concentration was lower.

CONCLUSION

The present study shows, in two strains of hypertensive rat, that an increase in plasma renin levels is associated with a fall in plasma angiotensinogen levels. Concurrent treatment with an Ang II AT1 receptor antagonist does not augment this fall, except to the extent that renin rises further. The results provide no evidence for a significant tonic stimulatory effect of Ang II on plasma angiotensinogen levels.

摘要

目的

关于血管紧张素II(Ang II)对血浆血管紧张素原水平影响的数据存在矛盾。尽管有报道称Ang II可刺激血管紧张素原的生物合成,但当肾素水平(进而Ang II水平)升高时,血浆血管紧张素原常被肾素消耗。在本研究中,我们使用血管紧张素II 1型(AT1)受体拮抗剂氯沙坦来研究血浆Ang II水平升高是否会刺激血管紧张素原生成,以抵消因血浆肾素活性增加导致的血浆血管紧张素原水平下降。

方法

在两项先前报道的研究中测量血浆血管紧张素原水平,这两项研究分别将6周龄的易中风自发性高血压大鼠(SHRSP)或Dahl盐敏感(Dahl-S)大鼠喂以高盐饮食(分别为4%和8%氯化钠)10 - 12周,同时给予或不给予氯沙坦。

结果

如先前报道,在高盐饮食的前4周血浆肾素受到抑制,但随后在两种品系中均出现反常升高。当血浆肾素升高时,血浆血管紧张素原水平降至基线值的45%和62%。在SHRSP和Dahl-S大鼠中,血浆肾素浓度与血浆血管紧张素原均呈负相关(r分别为 -0.76,P < 0.001和r = -0.60,P < 0.001)。在Dahl-S大鼠中,氯沙坦治疗与较低的血浆血管紧张素原水平相关,但导致血浆肾素更大幅度升高。考虑到肾素差异后,氯沙坦治疗组和未治疗组的Dahl-S大鼠血浆血管紧张素原水平并无差异。与Dahl-S大鼠类似,当肾素升高时SHRSP的血浆血管紧张素原下降,但在氯沙坦治疗期间SHRSP的血浆血管紧张素原水平较高,因为其血浆肾素浓度较低。

结论

本研究表明,在两种高血压大鼠品系中,血浆肾素水平升高与血浆血管紧张素原水平下降相关。同时使用血管紧张素II AT1受体拮抗剂并不会加剧这种下降,除非肾素进一步升高。结果未提供证据表明Ang II对血浆血管紧张素原水平有显著的持续性刺激作用。

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