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在去氧皮质酮盐性高血压而非自发性高血压中,肾功能有助于血管加压素的降压作用。

Renal function contributes to antihypertensive effect of vasopressin in DOCA-salt but not spontaneous hypertension.

作者信息

Wang H, McNeill J R

机构信息

Department of Pharmacology, Faculty of Medicine, University of Saskatchewan, Saskatoon, Canada.

出版信息

Am J Physiol. 1994 Nov;267(5 Pt 2):H1842-50. doi: 10.1152/ajpheart.1994.267.5.H1842.

DOI:10.1152/ajpheart.1994.267.5.H1842
PMID:7977814
Abstract

The contribution of sodium losses to the dramatic fall in blood pressure that follows cessation of a 3-h intravenous infusion of vasopressin (20 ng.kg-1.min-1) in hypertensive rats was investigated. Cessation of the vasopressin infusion was associated with a large fall in pressure below preinfusion basal levels (30-50 mmHg) in both spontaneously hypertensive rats (SHR) and deoxycorticosterone acetate (DOCA)-salt-hypertensive rats. In contrast, pressure returned to control levels in normotensive rats. Sodium excretion rates increased markedly during the infusions of vasopressin in both SHR and DOCA-salt-hypertensive rats but also in their appropriate normotensive controls. An equinatriuretic dose of furosemide failed to induce any change in pressure in SHR or normotensive controls. In contrast, furosemide decreased pressure in the DOCA-salt-hypertensive group, although the decrease was not as large as with vasopressin. Replacement of the sodium losses that occurred during the vasopressin infusion failed to return pressure toward control levels in SHR but did increase pressure in the DOCA-salt-hypertensive group. The results indicate a major difference between the SHR and DOCA-salt-hypertensive models. In SHR, sodium losses do not contribute to the antihypertensive effect of vasopressin, but in contrast these losses do contribute significantly to this antihypertensive effect in the DOCA-salt-hypertensive model.

摘要

研究了钠流失对高血压大鼠停止3小时静脉输注血管加压素(20 ng·kg-1·min-1)后血压急剧下降的影响。在自发性高血压大鼠(SHR)和醋酸脱氧皮质酮(DOCA)-盐性高血压大鼠中,停止血管加压素输注均与血压大幅下降至输注前基础水平以下(30 - 50 mmHg)有关。相比之下,正常血压大鼠的血压恢复到对照水平。在SHR和DOCA-盐性高血压大鼠及其相应的正常血压对照中,血管加压素输注期间钠排泄率均显著增加。等钠利尿剂量的呋塞米未能使SHR或正常血压对照的血压发生任何变化。相比之下,呋塞米使DOCA-盐性高血压组的血压降低,尽管降低幅度不如血管加压素。补充血管加压素输注期间发生的钠流失未能使SHR的血压恢复到对照水平,但确实使DOCA-盐性高血压组的血压升高。结果表明SHR和DOCA-盐性高血压模型之间存在重大差异。在SHR中,钠流失对血管加压素的降压作用没有贡献,但相比之下,在DOCA-盐性高血压模型中,这些流失对这种降压作用有显著贡献。

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