Bilzer M, Paumgartner G, Gerbes A L
Second Department of Medicine, Klinikum Grosshadern, University of Munich, Germany.
Gastroenterology. 1995 Mar;108(3):803-11. doi: 10.1016/0016-5085(95)90454-9.
BACKGROUND/AIMS: Vasodilator hormones that regulate hepatic circulation at physiological concentrations have not been sufficiently identified. The presence of atrial natriuretic peptide (ANP) and its receptors in the hepatic vascular bed suggest such vasorelaxing potential.
Livers of male Sprague-Dawley rats were perfused in a flow-constant fashion. The selective alpha 1-adrenergic agonist phenylephrine (PE) (1.5 mumol/L) was infused from 30 to 36 minutes and again from 70 to 76 minutes after starting perfusion (n = 5). ANP (0.1 pmol/L to 200 nmol/L), des-(Gln18, Ser19, Gly20, Leu21, Gly22)-ANP fragment (C-ANP) (20 nmol/L), or 8-bromoguanosine 3',5'-cyclic monophosphate (8-Br-cGMP) (50 mumol/L) (each n = 4) were added from 20 to 40 minutes.
During the first infusion of PE, portal pressure increased from 3.7 +/- 0.5 to 12.1 +/- 0.8 cm H2O maximally (mean +/- SD) and increased again to 11.5 +/- 2.0 during the second PE infusion. ANP at physiological concentrations reduced both PE-induced increases of portal pressure in a dose-dependent fashion, reaching half-maximal effects around 20 pmol/L and maximal effects (about 50% inhibition of PE-induced vasoconstriction) at 40 pmol/L. The cGMP analogue 8-Br-cGMP showed the same long-lasting vasodilating effect as ANP. In contrast, C-ANP, which binds only to the ANP C-receptor, had no effects.
Physiological concentrations of ANP antagonize alpha 1-adrenergic vasoconstriction in the liver, suggesting an important function in the humoral regulation of hepatic circulation. The prolonged hemodynamic effect of ANP seems to be ANP A-receptor/guanylyl cyclase/cGMP-mediated.
背景/目的:在生理浓度下调节肝循环的血管舒张激素尚未得到充分鉴定。肝血管床中存在心房利钠肽(ANP)及其受体提示了这种血管舒张潜能。
以流量恒定的方式灌注雄性Sprague-Dawley大鼠的肝脏。在开始灌注后30至36分钟以及70至76分钟时输注选择性α1-肾上腺素能激动剂去氧肾上腺素(PE)(1.5μmol/L)(n = 5)。在20至40分钟时加入ANP(0.1 pmol/L至200 nmol/L)、去(Gln18,Ser19,Gly20,Leu21,Gly22)-ANP片段(C-ANP)(20 nmol/L)或8-溴鸟苷3',5'-环单磷酸(8-Br-cGMP)(50μmol/L)(每组n = 4)。
在首次输注PE期间,门静脉压力最大从3.7±0.5 cm H2O增加到12.1±0.8 cm H2O(平均值±标准差),在第二次输注PE期间再次增加到11.5±2.0。生理浓度的ANP以剂量依赖性方式降低了PE诱导的门静脉压力升高,在约20 pmol/L时达到半数最大效应,在40 pmol/L时达到最大效应(约抑制PE诱导的血管收缩的50%)。cGMP类似物8-Br-cGMP显示出与ANP相同的持久血管舒张作用。相比之下,仅与ANP C受体结合的C-ANP没有作用。
生理浓度的ANP拮抗肝脏中的α1-肾上腺素能血管收缩,提示其在肝循环的体液调节中具有重要作用。ANP的长期血流动力学效应似乎是由ANP A受体/鸟苷酸环化酶/cGMP介导的。