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急性内皮源性舒张因子阻断的肾脏效应并非由血管紧张素II介导。

Renal effects of acute endothelial-derived relaxing factor blockade are not mediated by angiotensin II.

作者信息

Baylis C, Engels K, Samsell L, Harton P

机构信息

Department of Physiology, West Virginia University, Morgantown.

出版信息

Am J Physiol. 1993 Jan;264(1 Pt 2):F74-8. doi: 10.1152/ajprenal.1993.264.1.F74.

Abstract

The renal responses to acute blockade of the endothelial-derived relaxing factor (EDRF) resemble the renal actions of angiotensin II (ANG II), and the present studies were conducted to establish what role, if any, the endogenous renin-angiotensin system plays in mediating the renal response to acute EDRF blockade. These studies were conducted in the conscious chronically catheterized rat. In control experiments we observed that acute blockade of ANG II synthesis with converting-enzyme inhibition (CEI) led to a fall in blood pressure (BP) and a slight renal vasodilation but no significant change in glomerular filtration rate (GFR) or renal plasma flow (RPF). Urine flow and sodium excretion were unchanged by CEI. Use of the nonpeptide ANG II receptor antagonist losartan had no effect on BP, renal vascular resistance (RVR), GFR, or RPF; however, urine flow and sodium excretion did rise significantly. Because of the high specificity of losartan, this suggests that, in the normal conscious rat, endogenous ANG II does not control renal vascular tone but does enhance renal sodium reabsorption. ANG II blockade with either CEI or losartan had little effect on BP and no effect on the renal hemodynamic responses to acute EDRF blockade. The marked natriuretic and diuretic response to acute EDRF blockade persists during concomitant losartan but is abolished by CEI. These studies suggest that in the conscious rat the renal hemodynamic response to EDRF blockade is not mediated by endogenous ANG II.

摘要

肾脏对内皮源性舒张因子(EDRF)急性阻断的反应类似于血管紧张素II(ANG II)的肾脏作用,本研究旨在确定内源性肾素-血管紧张素系统在介导肾脏对急性EDRF阻断反应中是否发挥作用(若有作用,则确定其作用是什么)。这些研究是在清醒的慢性插管大鼠中进行的。在对照实验中,我们观察到用转换酶抑制(CEI)急性阻断ANG II合成会导致血压(BP)下降和轻微的肾血管舒张,但肾小球滤过率(GFR)或肾血浆流量(RPF)无显著变化。CEI对尿流量和钠排泄无影响。使用非肽类ANG II受体拮抗剂氯沙坦对BP、肾血管阻力(RVR)、GFR或RPF无影响;然而,尿流量和钠排泄确实显著增加。由于氯沙坦的高特异性,这表明在正常清醒大鼠中,内源性ANG II不控制肾血管张力,但确实增强肾钠重吸收。用CEI或氯沙坦阻断ANG II对BP影响很小,对肾脏对急性EDRF阻断的血流动力学反应无影响。在同时使用氯沙坦期间,对急性EDRF阻断的显著利钠和利尿反应持续存在,但被CEI消除。这些研究表明,在清醒大鼠中,肾脏对EDRF阻断的血流动力学反应不是由内源性ANG II介导的。

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