Hirth-Dietrich C, Stasch J P, Ganten D, Luft F C
Institut für Herzkreislauf-und Arterioskleroseforschung, Bayer AG, Wuppertal, FRG.
Hypertension. 1994 May;23(5):626-31. doi: 10.1161/01.hyp.23.5.626.
We investigated the acute effects of captopril and nitrendipine on renal function and sodium excretion in hypertensive, male, heterozygous transgenic rats harboring a mouse renin gene [TGR (mRen-2)27]. Both drugs reduced blood pressure dose dependently in conscious transgenic rats. The oral ED20 for captopril was 0.5 mg/kg and 2.7 mg/kg for nitrendipine. In orally salt-loaded (20 mL/kg saline) transgenic rats captopril (0.3 to 3.0 mg/kg) reduced sodium excretion by approximately 90% in the 6 hours after administration, whereas equally antihypertensive doses of nitrendipine increased sodium excretion by approximately 100%. The antinatriuretic effect of captopril was accompanied by a reduction in creatinine clearance and a decrease in the excretion of cyclic GMP. In orally water-loaded (20 mL/kg water) transgenic rats captopril also reduced sodium excretion by more than 90%, and nitrendipine slightly increased sodium excretion. In control Sprague-Dawley rats the effects were opposite; namely, captopril tended to increase natriuresis, and nitrendipine caused a small but distinct decrease in sodium excretion. Intravenous captopril in anesthetized transgenic rats caused an antinatriuresis with a decrease in inulin clearance but not in Sprague-Dawley rats. To control for non-renin-related effects of captopril, we gave transgenic rats oral losartan. Losartan also decreased urinary sodium excretion. The results suggest a role for the renin-angiotensin system in the maintenance of glomerular filtration rate and sodium excretion in transgenic TGR (mRen-2)27 rats.
我们研究了卡托普利和尼群地平对携带小鼠肾素基因的高血压雄性杂合转基因大鼠[TGR (mRen - 2)27]肾功能和钠排泄的急性影响。两种药物在清醒的转基因大鼠中均剂量依赖性地降低血压。卡托普利的口服ED20为0.5 mg/kg,尼群地平为2.7 mg/kg。在口服盐负荷(20 mL/kg盐水)的转基因大鼠中,卡托普利(0.3至3.0 mg/kg)在给药后6小时内使钠排泄减少约90%,而同等降压剂量的尼群地平使钠排泄增加约100%。卡托普利的利钠作用伴有肌酐清除率降低和环磷酸鸟苷排泄减少。在口服水负荷(20 mL/kg水)的转基因大鼠中,卡托普利也使钠排泄减少超过90%,而尼群地平使钠排泄略有增加。在对照的斯普拉格 - 道利大鼠中,作用相反;即卡托普利倾向于增加利钠作用,而尼群地平使钠排泄有小幅但明显的减少。麻醉的转基因大鼠静脉注射卡托普利导致利钠作用减弱,菊粉清除率降低,但在斯普拉格 - 道利大鼠中未出现这种情况。为了控制卡托普利与肾素无关的作用,我们给转基因大鼠口服氯沙坦。氯沙坦也降低了尿钠排泄。结果表明肾素 - 血管紧张素系统在转基因TGR (mRen - 2)27大鼠肾小球滤过率和钠排泄的维持中起作用。