Muirhead E E, Brooks B, Byers L W
Department of Pathology and Medicine, University of Tennessee, Memphis 38163.
J Hypertens. 1994 Feb;12(2):155-8.
To determine whether secretion of medullipin I by the kidney is dependent on the cytochrome P-450 enzyme system in Sprague-Dawley and spontaneously hypertensive rats (SHR).
Isolated kidneys from Sprague-Dawley rats were perfused with 5% human albumin gassed with 95% O2 and 5% CO2 at 185 mmHg. The resultant renal venous effluent was tested in the SHR for medullipin I-type vasodepressor activity. The kidneys were then treated with ketoconazole, and inhibitor of the cytochrome P-450 enzyme system. After rinsing with 50 ml saline, the last 10 ml of which was saved for a control test (see below), the kidneys were reperfused with 50 ml human albumin and the resultant renal venous effluent was tested for vasodepressor activity. One milliliter of the saline rinse was administered to the SHR and the preketoconazole renal venous effluent was administered after 15 min. The medullipin I-type vasodepression occurred. Thus, inhibition of vasodepression after ketoconazole treatment was not due to residual ketoconazole in the post-treatment renal venous effluent.
Treatment of isolated kidneys with ketoconazole prevented secretion of medullipin I which had been induced by 5% human albumin.
The cytochrome P-450 enzyme system is involved in two major metabolic steps of the medullipin system: synthesis of medullipin I by the kidney and conversion of medullipin I to medullipin II by the liver as shown previously.
确定在斯普拉格-道利大鼠和自发性高血压大鼠(SHR)中,肾脏分泌髓质素I是否依赖于细胞色素P-450酶系统。
用含95%氧气和5%二氧化碳、压力为185 mmHg的气体对斯普拉格-道利大鼠的离体肾脏进行5%人白蛋白灌注。将所得肾静脉流出液在SHR中检测髓质素I型血管降压活性。然后用细胞色素P-450酶系统抑制剂酮康唑处理肾脏。用50 ml生理盐水冲洗后,保留最后10 ml用于对照试验(见下文),再用50 ml人白蛋白对肾脏进行再灌注,并检测所得肾静脉流出液的血管降压活性。给SHR注射1 ml生理盐水冲洗液,15分钟后注射酮康唑处理前的肾静脉流出液。出现了髓质素I型血管降压作用。因此,酮康唑处理后血管降压作用的抑制并非由于处理后肾静脉流出液中残留的酮康唑。
用酮康唑处理离体肾脏可阻止5%人白蛋白诱导的髓质素I分泌。
细胞色素P-450酶系统参与髓质素系统的两个主要代谢步骤:如先前所示,肾脏合成髓质素I以及肝脏将髓质素I转化为髓质素II。