Jackson E K, Herzer W A
Center for Clinical Pharmacology, University of Pittsburgh, PA Medical Center 15261.
Hypertension. 1993 Nov;22(5):688-98. doi: 10.1161/01.hyp.22.5.688.
The purpose of this study was to compare the effects of prostaglandin I2 on several cardiovascular parameters and to compare the ability of prostaglandin I2 to modify angiotensin II-induced changes in these cardiovascular parameters in spontaneously hypertensive versus normotensive rats. Studies were conducted in adult, age-matched, indomethacin-, and captopril-pretreated spontaneously hypertensive and normotensive rats that had been prepared for assessment of arterial blood pressure, cardiac output (thermodilution), and renal and mesenteric blood flows (transit-time flow probes). In both normotensive and hypertensive rats, intravenous infusions of prostaglandin I2 (0.003, 0.03, 0.3, 1, 3, and 10 micrograms/kg per minute) dose-dependently reduced mean arterial blood pressure, total peripheral resistance, and mesenteric vascular resistance but not renal vascular resistance. Only minor differences were detected between normotensive versus hypertensive rats with regard to the effects of prostaglandin I2 on baseline cardiovascular parameters (ie, in the absence of angiotensin II). In both rat strains, an intravenous infusion of angiotensin II (300 ng/kg per minute) increased mean arterial blood pressure, total peripheral resistance, and renal and mesenteric vascular resistances, and these effects of angiotensin II were similar in the two strains in the absence of prostaglandin I2. In both strains, prostaglandin I2 inhibited angiotensin II-induced changes in mean arterial blood pressure, total peripheral resistance, and renal and mesenteric vascular resistances. However, in the renal, but not mesenteric, vasculature of hypertensive rats, the ability of prostaglandin I2 to attenuate angiotensin II-induced vasoconstriction was strikingly reduced. These results indicate that although in general spontaneously hypertensive rats respond normally to prostaglandin I2, in the kidney of spontaneously hypertensive rats the ability of prostaglandin I2 to attenuate angiotensin II-induced vasoconstriction is reduced. This selective renal defect may relate to the pathogenesis of high blood pressure in this genetic model of hypertension.
本研究的目的是比较前列腺素I2对几种心血管参数的影响,并比较前列腺素I2改变血管紧张素II诱导的自发性高血压大鼠与正常血压大鼠这些心血管参数变化的能力。研究在成年、年龄匹配、经吲哚美辛和卡托普利预处理的自发性高血压和正常血压大鼠中进行,这些大鼠已准备好用于评估动脉血压、心输出量(热稀释法)以及肾和肠系膜血流量(渡越时间血流探头)。在正常血压和高血压大鼠中,静脉输注前列腺素I2(0.003、0.03、0.3、1、3和10微克/千克每分钟)均剂量依赖性地降低平均动脉血压、总外周阻力和肠系膜血管阻力,但不降低肾血管阻力。在前列腺素I2对基线心血管参数的影响方面(即无血管紧张素II时),正常血压大鼠与高血压大鼠之间仅检测到微小差异。在两种大鼠品系中,静脉输注血管紧张素II(300纳克/千克每分钟)均升高平均动脉血压、总外周阻力以及肾和肠系膜血管阻力,并且在无前列腺素I2时,血管紧张素II的这些作用在两种品系中相似。在两种品系中,前列腺素I2均抑制血管紧张素II诱导的平均动脉血压、总外周阻力以及肾和肠系膜血管阻力的变化。然而,在高血压大鼠的肾血管系统而非肠系膜血管系统中,前列腺素I2减弱血管紧张素II诱导的血管收缩的能力显著降低。这些结果表明,虽然一般而言自发性高血压大鼠对前列腺素I2反应正常,但在自发性高血压大鼠的肾脏中,前列腺素I2减弱血管紧张素II诱导的血管收缩的能力降低。这种选择性的肾脏缺陷可能与这种高血压遗传模型中高血压的发病机制有关。