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长期阿替洛尔治疗对自发性高血压大鼠动脉舒张功能的增强作用。

Enhancement of arterial relaxation by long-term atenolol treatment in spontaneously hypertensive rats.

作者信息

Kähönen M, Mäkynen H, Arvola P, Pörsti I

机构信息

Department of Biomedical Sciences, University of Tampere, Finland.

出版信息

Br J Pharmacol. 1994 Jul;112(3):925-33. doi: 10.1111/j.1476-5381.1994.tb13169.x.

Abstract
  1. The effects of long-term atenolol (25 mg kg-1 day-1) therapy on arterial function were studied in spontaneously hypertensive rats (SHR) and Wistar-Kyoto (WKY) rats. The 14-week treatment attenuated the increase in blood pressure by approximately 30 mmHg in SHR, but did not affect blood pressure in WKY rats. 2. Responses of mesenteric arterial rings in vitro were examined at the end of the study. The relaxation to acetylcholine was similar in WKY rats and atenolol-treated SHR and more pronounced than in untreated SHR, whereas the relaxation to the nitric oxide donor 3-morpholinosydnonimine (SIN-1) was comparable in all study groups. Moreover, after maximal relaxations to acetylcholine, marked recontractions developed in untreated SHR but not in the other groups. Vasorelaxation to isoprenaline was also attenuated in SHR and was moderately improved by the atenolol therapy. 3. Arterial relaxation induced by return of potassium to the organ bath upon precontractions elicited by potassium-free solution were used to evaluate vascular smooth muscle Na+, K+-ATPase. The rate of potassium relaxation was fastest in WKY rats and was also faster in atenolol-treated than in untreated SHR. 4. The ability of vascular smooth muscle to sequester calcium was evaluated by eliciting responses to caffeine or noradrenaline after loading periods in different organ bath calcium concentrations. The subsequent contractions were lower in untreated SHR than in WKY rats, and augmented in SHR by the atenolol treatment. 5. Smooth muscle contractions to noradrenaline were comparable in SHR and WKY rats, while atenolol treatment slightly increased the maximal response to this agonist in SHR. Responses to potassium chloride were not affected by atenolol and contractions following cumulative re-addition of calcium to the organ bath after precontraction with potassium chloride and noradrenaline in calcium free solution were comparable in all study groups.6. In conclusion, the moderate antihypertensive effect of atenolol in SHR was accompanied by enhancement of beta-adrenoceptor-mediated and normalization of endothelium-dependent arterial relaxation.Furthermore, ability to sequester calcium into cellular stores, and function of Na+,K+-ATPase were augmented in vascular smooth muscle. Therefore, the present results suggest that the long-term blood pressure-lowering action of atenolol in this type of genetic hypertension is accompanied by improved arterial relaxation and normalization of endothelial function.
摘要
  1. 研究了长期阿替洛尔(25毫克/千克/天)治疗对自发性高血压大鼠(SHR)和Wistar-Kyoto(WKY)大鼠动脉功能的影响。14周的治疗使SHR的血压升高幅度降低了约30毫米汞柱,但对WKY大鼠的血压没有影响。2. 在研究结束时检测了体外肠系膜动脉环的反应。WKY大鼠和阿替洛尔治疗的SHR对乙酰胆碱的舒张反应相似,且比未治疗的SHR更明显,而对一氧化氮供体3-吗啉代辛二亚胺(SIN-1)的舒张反应在所有研究组中相当。此外,在用乙酰胆碱达到最大舒张后,未治疗的SHR出现明显的再收缩,而其他组未出现。SHR对异丙肾上腺素的血管舒张作用也减弱,阿替洛尔治疗使其有一定改善。3. 用无钾溶液预收缩后向器官浴中加入钾引起的动脉舒张来评估血管平滑肌钠钾ATP酶。钾舒张速率在WKY大鼠中最快,在阿替洛尔治疗的SHR中也比未治疗的SHR快。4. 通过在不同器官浴钙浓度下加载后对咖啡因或去甲肾上腺素的反应来评估血管平滑肌摄取钙的能力。未治疗的SHR随后的收缩低于WKY大鼠,阿替洛尔治疗使SHR的收缩增强。5. SHR和WKY大鼠对去甲肾上腺素的平滑肌收缩相当,而阿替洛尔治疗使SHR对该激动剂的最大反应略有增加。对氯化钾的反应不受阿替洛尔影响,在无钙溶液中用氯化钾和去甲肾上腺素预收缩后向器官浴中累积重新添加钙后的收缩在所有研究组中相当。6. 总之,阿替洛尔在SHR中的中度降压作用伴随着β-肾上腺素能受体介导的增强和内皮依赖性动脉舒张的正常化。此外,血管平滑肌摄取钙进入细胞内储存的能力以及钠钾ATP酶的功能增强。因此,目前的结果表明,阿替洛尔在这种遗传性高血压中的长期降压作用伴随着动脉舒张改善和内皮功能正常化。

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