Basso N, Kurnjek M L, Ruiz P, Cannata M A
Instituto de Investigaciones Cardiológica, Facultad de Medicina, Universidad de Buenos Aires, Argentina.
Hypertension. 1995 Feb;25(2):283-7. doi: 10.1161/01.hyp.25.2.283.
This study examined the effect on mean blood pressure of a new orally active nonpeptide angiotensin II (Ang II) receptor antagonist, EXP 3174, in doses that completely block exogenous Ang II action. Anesthetized and conscious two-kidney, two clip chronic renovascular hypertensive rats and sham-operated animals were used. In anesthetized hypertensive rats, intracerebroventricular administration of the inhibitor had no effect on blood pressure, whereas blood pressure was normalized by intravenous injection of the antagonist (163 +/- 12 to 110 +/- 9 mm Hg, P < .05). In sham anesthetized rats, intravenous injection of EXP 3174 also lowered blood pressure (112 +/- 6 to 96 +/- 6mm Hg, P < .05). In conscious rats, intravenous EXP 3174 induced a fall in pressure that was larger in hypertensive (156 +/- 9 to 132 +/- 5 mm Hg, P < .05) than in sham (104 +/- 3 to 94 +/- 4 mm Hg, P < .05) rats. Plasma renin activity was very high in anesthetized animals (hypertensive versus sham, 87.8 +/- 8.3 versus 95.7 +/- 10.2 ng Ang I/mL per hour); differences were not significant either between anesthetized hypertensive and sham or in conscious animals (hypertensive versus sham, 9.42 +/- 1.58 versus 6.74 +/- 2.32 ng Ang I/mL per hour). Angiotensinogen concentration was higher in cerebrospinal fluid in anesthetized hypertensive rats (36.4 +/- 3.0 versus 26.0 +/- 2.4 ng Ang I/mL, P < .05) and in the artery wall of hypertensive conscious rats (103.1 +/- 10.3 versus 75.2 +/- 7.8 ng Ang I/g, P < .05).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究检测了新型口服活性非肽类血管紧张素II(Ang II)受体拮抗剂EXP 3174在完全阻断外源性Ang II作用剂量下对平均血压的影响。使用了麻醉和清醒的双肾双夹慢性肾血管性高血压大鼠以及假手术动物。在麻醉的高血压大鼠中,脑室内给予该抑制剂对血压无影响,而静脉注射拮抗剂可使血压恢复正常(从163±12降至110±9 mmHg,P<.05)。在假麻醉大鼠中,静脉注射EXP 3174也可降低血压(从112±6降至96±6 mmHg,P<.05)。在清醒大鼠中,静脉注射EXP 3174导致的血压下降在高血压大鼠(从156±9降至132±5 mmHg,P<.05)中比在假手术大鼠(从104±3降至94±4 mmHg,P<.05)中更大。麻醉动物的血浆肾素活性非常高(高血压大鼠与假手术大鼠相比,分别为87.8±8.3与95.7±10.2 ng Ang I/mL每小时);无论是在麻醉的高血压大鼠与假手术大鼠之间,还是在清醒动物中(高血压大鼠与假手术大鼠相比,分别为9.42±1.58与6.74±2.32 ng Ang I/mL每小时),差异均无统计学意义。麻醉的高血压大鼠脑脊液中的血管紧张素原浓度较高(36.4±3.0与26.0±2.4 ng Ang I/mL,P<.05),清醒的高血压大鼠动脉壁中的血管紧张素原浓度也较高(103.1±10.3与75.2±7.8 ng Ang I/g,P<.05)。(摘要截短至250字)