Kawano Y, Yoshida K, Matsuoka H, Omae T
Division of Hypertension and Nephrology, National Cardiovascular Center, Osaka, Japan.
Am J Hypertens. 1994 Jun;7(6):536-42. doi: 10.1093/ajh/7.6.536.
To clarify the role of endogenous angiotensin II (AngII) in the hypertension of spontaneously hypertensive rats (SHR), we examined the chronic effects of central and systemic administration of losartan, an angiotensin AT1 receptor antagonist, on blood pressure and arterial baroreceptor reflex. The SHR and Wistar-Kyoto rats (WKY), aged 12 to 16 weeks, received subcutaneous infusions of losartan at a dose of 10 mg/kg/day, or intracerebroventricular infusions of losartan at doses of 1 or 10 mg/kg/day for 14 days. Control groups received either isotonic saline solution subcutaneously or intracerebroventricular artificial cerebrospinal fluid. On day 14, baroreflex control of heart rate was determined by intravenous phenylephrine, and pressor response to intravenous AngII (100 ng/kg) was investigated in conscious rats. Blood pressure was higher and the sensitivity of the baroreflex control of heart rate was lower in vehicle-treated SHR than in WKY. Chronic subcutaneous administration of losartan lowered the blood pressure throughout the infusion period in both SHR and WKY, but the hypotensive effects were significantly greater in SHR. Losartan also sensitized the impaired baroreflex in SHR. Chronic intracerebroventricular losartan at a dose of 1 mg/kg/day did not alter the blood pressure or the baroreflex control of the heart rate in either strain. The effects of 10 mg/kg/day of intracerebroventricular losartan on blood pressure and the baroreflex were similar to those of the same dose administered subcutaneously. The pressor response to intravenous AngII was similarly inhibited by intracerebroventricular and subcutaneous losartan doses of 10 mg/kg/day.(ABSTRACT TRUNCATED AT 250 WORDS)
为阐明内源性血管紧张素II(AngII)在自发性高血压大鼠(SHR)高血压中的作用,我们研究了血管紧张素AT1受体拮抗剂氯沙坦中枢和全身给药对血压及动脉压力感受器反射的慢性影响。12至16周龄的SHR和Wistar-Kyoto大鼠(WKY)接受皮下注射氯沙坦,剂量为10mg/kg/天,或脑室内注射氯沙坦,剂量为1或10mg/kg/天,持续14天。对照组皮下注射等渗盐溶液或脑室内注射人工脑脊液。在第14天,通过静脉注射去氧肾上腺素测定心率的压力反射控制,并在清醒大鼠中研究静脉注射AngII(100ng/kg)的升压反应。与WKY相比,给予赋形剂的SHR血压更高,心率的压力反射控制敏感性更低。氯沙坦慢性皮下给药在整个输注期降低了SHR和WKY的血压,但在SHR中降压作用明显更大。氯沙坦还使SHR受损的压力反射敏感化。剂量为1mg/kg/天的氯沙坦慢性脑室内给药对两种品系的血压或心率的压力反射控制均无改变。剂量为10mg/kg/天的氯沙坦脑室内给药对血压和压力反射的影响与皮下给予相同剂量的影响相似。剂量为10mg/kg/天的氯沙坦脑室内和皮下给药对静脉注射AngII的升压反应的抑制作用相似。(摘要截断于250字)