Thunhorst R L, Morris M, Johnson A K
Department of Psychology, University of Iowa, Iowa City 52242-1407.
Am J Physiol. 1994 Nov;267(5 Pt 2):R1168-73. doi: 10.1152/ajpregu.1994.267.5.R1168.
Simultaneous administration of the diuretic furosemide (10 mg/kg) and a low dose of the angiotensin-converting enzyme (ACE) inhibitor captopril (5 mg/kg) results in short-latency thirst and sodium appetite (i.e., the rapid ingestion of water and NaCl solution). To elucidate potential mechanisms for mediating this behavior, changes in plasma levels of key hormones involved in fluid intake and balance were characterized in rats subjected to this treatment protocol. Rats treated jointly with furosemide and low-dose captopril had exaggerated increases in plasma renin activity and angiotensin I but equivalent increases in plasma aldosterone compared with rats treated with either agent alone. Treatment with furosemide plus low-dose captopril increased plasma vasopressin but not plasma oxytocin. The administration of a higher dose of captopril (100 mg/kg) with furosemide, a combination of drugs that does not stimulate fluid intake (29), further increased plasma renin activity and angiotensin I but prevented the rise in plasma vasopressin. The results support the hypothesis that thirst and salt appetite generated by this protocol depend on angiotensin II formed within brain circumventricular organs rather than the systemic circulation.
同时给予利尿剂呋塞米(10毫克/千克)和低剂量的血管紧张素转换酶(ACE)抑制剂卡托普利(5毫克/千克)会导致短潜伏期口渴和钠食欲(即快速摄入水和氯化钠溶液)。为了阐明介导这种行为的潜在机制,对接受该治疗方案的大鼠体内参与液体摄入和平衡的关键激素的血浆水平变化进行了表征。与单独使用任一药物治疗的大鼠相比,联合使用呋塞米和低剂量卡托普利治疗的大鼠血浆肾素活性和血管紧张素I的增加更为显著,但血浆醛固酮的增加相当。呋塞米加低剂量卡托普利治疗可增加血浆血管加压素,但不增加血浆催产素。给予更高剂量的卡托普利(100毫克/千克)与呋塞米联合使用,这是一种不刺激液体摄入的药物组合(29),进一步增加了血浆肾素活性和血管紧张素I,但阻止了血浆血管加压素的升高。结果支持这样的假设,即该方案产生的口渴和盐食欲取决于脑室内器官内形成的血管紧张素II,而非体循环。