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[奥布齐旦单药治疗对高血压患者淋巴细胞腺苷酸环化酶系统β2-肾上腺素能受体的影响]

[The effect of obzidan monotherapy on the beta 2-adrenoreceptors of the lymphocyte adenylate cyclase system in hypertension patients].

作者信息

Parfenova E V, Krasnikova T L, Aripova N A, Nauman E, D'iakonova E G, Masenko V P, Mazaev A V

出版信息

Ter Arkh. 1993;65(4):49-52.

PMID:7914713
Abstract

Obsidan (propranolol) monotherapy was investigated for the effect on the density of lymphocytic beta2-adrenoreceptors (B max), the activity of lymphocytic homogenates adenylate cyclase (AC), plasma renin activity (PRA), aldosterone concentration (A) and plasma catecholamines (CA). Obsidan treatment brought about a 40% increase in B max without a significant changes in AC activity. Contrary to a significant fall in PRA, A and norepinephrine in plasma reduced insignificantly. Changes in B max correlated with its baseline level (r = -0.56, p < 0.01), PRA (r = 0.57, p < 0.01) and A level in plasma (r = 0.62, p < 0.01). No significant correlations appeared between hypotensive effect of the drug and drug-related changes in B max and AC activity, while PRA and A concentrations showed such dependence. B max and before treatment mass of the left ventricular myocardium correlated significantly (r = = 0.595, p < 0.01). A small decrease in the myocardial mass followed obsidan administration, being related to B max (r = = 0.497, p < 0.05). It is concluded that obsidan-induced changes in lymphocytic beta 2-adrenoreceptors correlate with alterations in the activity of renin-angiotensin-aldosterone system and myocardial hypertrophy dynamics.

摘要

研究了心得安(普萘洛尔)单一疗法对淋巴细胞β2 - 肾上腺素能受体密度(Bmax)、淋巴细胞匀浆腺苷酸环化酶(AC)活性、血浆肾素活性(PRA)、醛固酮浓度(A)和血浆儿茶酚胺(CA)的影响。心得安治疗使Bmax增加了40%,而AC活性无显著变化。与PRA显著下降相反,血浆中的A和去甲肾上腺素仅略有降低。Bmax的变化与其基线水平(r = -0.56,p < 0.01)、PRA(r = 0.57,p < 0.01)和血浆A水平(r = 0.62,p < 0.01)相关。药物的降压作用与Bmax和AC活性的药物相关变化之间无显著相关性,而PRA和A浓度显示出这种依赖性。Bmax与治疗前左心室心肌质量显著相关(r = 0.595,p < 0.01)。服用心得安后心肌质量略有下降,与Bmax相关(r = 0.497,p < 0.05)。结论是,心得安引起的淋巴细胞β2 - 肾上腺素能受体变化与肾素 - 血管紧张素 - 醛固酮系统活性改变和心肌肥大动态变化相关。

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