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妊娠对心房利钠因子血管减压反应的影响。

Effect of pregnancy on the vasodepressor response to atrial natriuretic factor.

作者信息

Castro L C, Allen R J, Arora C P, Hobel C J, Platt L D

机构信息

Department of Obstetrics and Gynecology, Cedars-Sinai Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048.

出版信息

Am J Obstet Gynecol. 1993 Mar;168(3 Pt 1):979-84. doi: 10.1016/s0002-9378(12)90856-x.

Abstract

OBJECTIVE

We attempted to determine whether pregnancy alters the vasodepressor response to both physiologic and pharmacologic infusions of atrial natriuretic factor 99-126.

STUDY DESIGN

Ten virgin and 10 pregnant (17 +/- 1 days of gestation) conscious, unrestrained Sprague-Dawley rats with chronic indwelling vascular catheters were studied. Mean arterial pressure and heart rate were measured in response to steady-state infusions of either saline solution or increasing concentrations of atrial natriuretic factor (range 5 to 2560 ng.kg-1.min-1).

RESULTS

Basal mean arterial pressure was significantly lower in pregnant rats than in virgin rats (89 +/- 3 vs 97 +/- 2 mm Hg, p < 0.02). Atrial natriuretic factor induced significant dose-dependent decreases in mean arterial pressure and heart rate in virgin and pregnant rats (p < 0.001). The hypotensive effects of atrial natriuretic factor were blunted in the pregnant rats only in response to the highest concentrations of atrial natriuretic factor administered (-27 +/- 3 mm Hg in pregnant rats vs -43 +/- 3 mm Hg in virgin rats, p < 0.005).

CONCLUSIONS

The vasodepressor response to physiologic infusions of atrial natriuretic factor was not affected by pregnancy status. However, pharmacologic infusions of atrial natriuretic factor resulted in a blunted vasodepressor response in the pregnant animals. This may be due to alterations in vascular atrial natriuretic factor receptors, changes in the clearance rate of atrial natriuretic factor, or the modulating effects of other vasoactive hormones.

摘要

目的

我们试图确定妊娠是否会改变对心房利钠因子99 - 126生理和药理输注的血管减压反应。

研究设计

对10只未孕和10只怀孕(妊娠17±1天)的清醒、不受约束的慢性留置血管导管的Sprague-Dawley大鼠进行研究。测量平均动脉压和心率,以响应生理盐水或递增浓度心房利钠因子(范围5至2560 ng·kg⁻¹·min⁻¹)的稳态输注。

结果

怀孕大鼠的基础平均动脉压显著低于未孕大鼠(89±3 vs 97±2 mmHg,p<0.02)。心房利钠因子在未孕和怀孕大鼠中均引起平均动脉压和心率显著的剂量依赖性降低(p<0.001)。仅在给予最高浓度心房利钠因子时,怀孕大鼠中心房利钠因子的降压作用减弱(怀孕大鼠中为-27±3 mmHg,未孕大鼠中为-43±3 mmHg,p<0.005)。

结论

对心房利钠因子生理输注的血管减压反应不受妊娠状态影响。然而,心房利钠因子的药理输注在怀孕动物中导致血管减压反应减弱。这可能是由于血管心房利钠因子受体的改变、心房利钠因子清除率的变化或其他血管活性激素的调节作用。

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