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氯沙坦对血管紧张素 II 高血压的阻断作用与对血管紧张素 II 快速升压作用的阻断作用的时间进程。

Time course of losartan blockade of angiotensin II hypertension versus blockade of angiotensin II fast pressor effects.

作者信息

Gorbea-Oppliger V J, Melaragno M G, Potter G S, Petit R L, Fink G D

机构信息

Department of Pharmacology and Toxicology, Michigan State University, East Lansing.

出版信息

J Pharmacol Exp Ther. 1994 Nov;271(2):804-10.

PMID:7965799
Abstract

This study investigated the ability of the selective angiotensin II (AII)-type (AT)1 receptor antagonist losartan to reverse the fast (< 30 sec) pressor effect of AII, and the hypertension produced by chronic (2 weeks) i.v. infusion of AII (AII hypertension). We hypothesized the following: if AII hypertension is caused solely by stimulation of AT1 receptors mediating the fast pressor effect, then the time course of the antihypertensive effect of losartan in AII hypertension should parallel the time course of losartan inhibition of pressor responses to acute, bolus injection of AII. Thus, in one group of rats, pressor responses to bolus injections of AII (10 ng, n = 10) were measured before and subsequently at numerous time points after losartan administration (3 mg.kg-1 i.v.). Other groups of rats received continuous infusions of AII i.v. for 15 days at 2 ng.min-1 (n = 8), 4 ng.min-1 (n = 8) or 10 ng.min-1 (n = 6). On days 2, 7 and 12 of the AII infusion, rats received a bolus injection of losartan (3 mg.kg-1, i.a.). Mean arterial pressure (MAP) was then measured at numerous time points after losartan administration. Within 5 min of administration, losartan caused almost complete inhibition of fast pressor responses to acute injections of AII, and the magnitude of this inhibition did not change for over 24 hr. On the other hand, in AII hypertension, losartan lowered MAP significantly within 5 min only in rats receiving 10 ng.min-1 AII, but in all three groups caused a slower decline in MAP that peaked around 2 hr after losartan injection.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究调查了选择性血管紧张素II(AII)1型(AT)受体拮抗剂氯沙坦逆转AII快速(<30秒)升压作用以及由慢性(2周)静脉输注AII所产生的高血压(AII高血压)的能力。我们做出如下假设:如果AII高血压完全是由介导快速升压作用的AT1受体刺激所引起,那么氯沙坦在AII高血压中的降压作用时程应与氯沙坦抑制对急性推注AII的升压反应的时程平行。因此,在一组大鼠中,在给予氯沙坦(3mg·kg-1静脉注射)之前以及之后的多个时间点测量对推注AII(10ng,n = 10)的升压反应。其他几组大鼠以2ng·min-1(n = 8)、4ng·min-1(n = 8)或10ng·min-1(n = 6)的速度静脉持续输注AII 15天。在AII输注的第2、7和12天,大鼠接受一次氯沙坦(3mg·kg-1,腹腔注射)推注。然后在给予氯沙坦后的多个时间点测量平均动脉压(MAP)。给药后5分钟内,氯沙坦几乎完全抑制了对急性注射AII的快速升压反应,且这种抑制程度在24小时以上未发生变化。另一方面,在AII高血压中,氯沙坦仅在接受10ng·min-1 AII的大鼠中在5分钟内显著降低MAP,但在所有三组中均导致MAP较缓慢下降,在氯沙坦注射后约2小时达到峰值。(摘要截断于250字)

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