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兔体内的β肾上腺素能受体阻滞可抑制AT1受体拮抗剂氯沙坦的肾素释放作用。

Beta adrenoceptor blockade in rabbit inhibits the renin-releasing effect of AT1 receptor antagonist losartan.

作者信息

Hajj-Ali A F, Wong P C

机构信息

DuPont Merck Pharmaceutical Company, Wilmington, Delaware.

出版信息

J Pharmacol Exp Ther. 1993 Dec;267(3):1423-7.

PMID:7903389
Abstract

The objective of this study was to evaluate the mechanisms of the renin secretion response to the angiotensin II (AII) receptor type 1 (AT1) antagonist losartan (DuP 753) in anesthetized rabbits. All receptor blockade with losartan (4 mg/kg bolus and 2 mg/kg/hr i.v.) decreased blood pressure (BP) and increased plasma renin activity (PRA) and heart rate (HR) significantly, whereas the beta-1 adrenoceptor antagonist atenolol (0.02 mg/kg/min i.v.) caused significant reductions in these parameters. Atenolol blocked HR and PRA responses but not the effect of losartan on BP. Cyclooxygenase inhibition with indomethacin (5 mg/kg bolus and 40 micrograms/kg/min i.v.) did not result in significant effects, and the coadministration of indomethacin and losartan resulted in a greater PRA effect than with losartan alone. These results preclude the involvement of prostaglandins, such as PGE2 and PGI2, in the renin response to losartan. The PRA response to atenolol alone suggests that renin release in anesthetized rabbits is under tonic control by beta adrenergic receptors. Furthermore, the discrepancy in the PRA responses to equipotent hypotensive doses of hydralazine and losartan indicates that beta adrenoceptor activation in the kidney, probably the result of blockade of AII-mediated inhibition of renin secretion, contributes to the renin-releasing effect of the AT1 receptor antagonist losartan.

摘要

本研究的目的是评估在麻醉兔中肾素分泌对1型血管紧张素II(AII)受体拮抗剂氯沙坦(DuP 753)反应的机制。用氯沙坦(4mg/kg静脉推注和2mg/kg/小时静脉输注)完全阻断受体可显著降低血压(BP),增加血浆肾素活性(PRA)和心率(HR),而β1肾上腺素能受体拮抗剂阿替洛尔(0.02mg/kg/分钟静脉输注)可使这些参数显著降低。阿替洛尔阻断了HR和PRA反应,但未阻断氯沙坦对BP的作用。用吲哚美辛(5mg/kg静脉推注和40μg/kg/分钟静脉输注)抑制环氧化酶未产生显著影响,吲哚美辛与氯沙坦合用比单独使用氯沙坦对PRA的影响更大。这些结果排除了前列腺素如PGE2和PGI2参与肾素对氯沙坦反应的可能性。单独使用阿替洛尔时的PRA反应表明,麻醉兔中的肾素释放受β肾上腺素能受体的紧张性控制。此外,对等效降压剂量的肼屈嗪和氯沙坦的PRA反应存在差异,这表明肾脏中的β肾上腺素能受体激活,可能是AII介导的肾素分泌抑制被阻断的结果,促成了AT1受体拮抗剂氯沙坦的肾素释放作用。

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