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血管紧张素 II 对肾神经活动和心率有不同的作用。

Angiotensin II exerts differential actions on renal nerve activity and heart rate.

作者信息

Kumagai K, Reid I A

机构信息

Department of Physiology, University of California, San Francisco 94143-0444.

出版信息

Hypertension. 1994 Oct;24(4):451-6. doi: 10.1161/01.hyp.24.4.451.

DOI:10.1161/01.hyp.24.4.451
PMID:8088910
Abstract

Angiotensin II (Ang II) exerts complex actions on sympathetic nerve activity and heart rate, but these actions are incompletely understood. We performed three series of experiments in conscious rabbits to analyze the actions of exogenous and endogenous Ang II on renal sympathetic nerve activity and heart rate. (1) Graded intravenous doses of phenylephrine and Ang II suppressed renal sympathetic nerve activity to the same degree, whereas Ang II decreased heart rate much less than phenylephrine. (2) Ang II infusion at 10 ng/kg per minute increased mean arterial pressure by 13 +/- 2 mm Hg (P < .01) and decreased renal sympathetic nerve activity by 67 +/- 13% (P < .01) but did not change heart rate. In the same rabbits, nitroprusside and phenylephrine infusions were used to generate baroreceptor reflex curves. Ang II shifted the heart rate-mean arterial pressure curve to the right but did not alter the renal nerve activity-mean arterial pressure curve. (3) The Ang II type 1 receptor antagonist losartan decreased mean arterial pressure by 8 +/- 3 mm Hg (P < .01) and increased renal sympathetic nerve activity by 63 +/- 15% (P < .05) but did not change heart rate. Losartan shifted the heart rate-mean arterial pressure curve to the left but did not alter the renal nerve activity-mean arterial pressure curve. These results demonstrate that whereas exogenous Ang II resets the baroreceptor reflex control of heart rate to a higher pressure, it does not increase resting renal sympathetic nerve activity or alter the baroreceptor reflex control of renal nerve activity.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

血管紧张素II(Ang II)对交感神经活动和心率具有复杂的作用,但这些作用尚未完全明确。我们在清醒兔身上进行了三组实验,以分析外源性和内源性Ang II对肾交感神经活动和心率的作用。(1)静脉注射不同剂量的去氧肾上腺素和Ang II对肾交感神经活动的抑制程度相同,但Ang II对心率的降低作用远小于去氧肾上腺素。(2)以每分钟10 ng/kg的剂量输注Ang II可使平均动脉压升高13±2 mmHg(P<.01),肾交感神经活动降低67±13%(P<.01),但心率未改变。在同一批兔子中,输注硝普钠和去氧肾上腺素以绘制压力感受器反射曲线。Ang II使心率-平均动脉压曲线右移,但未改变肾神经活动-平均动脉压曲线。(3)血管紧张素II 1型受体拮抗剂氯沙坦可使平均动脉压降低8±3 mmHg(P<.01),肾交感神经活动增加63±15%(P<.05),但心率未改变。氯沙坦使心率-平均动脉压曲线左移,但未改变肾神经活动-平均动脉压曲线。这些结果表明,外源性Ang II可将压力感受器对心率的反射控制重置为更高的压力水平,但不会增加静息肾交感神经活动,也不会改变压力感受器对肾神经活动的反射控制。(摘要截取自250字)

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