Tateishi J, Mitani Y, Iwasaki T
First Department of Internal Medicine, Hyogo College of Medicine, Japan.
Clin Exp Hypertens. 1993 Jan;15(1):15-43. doi: 10.3109/10641969309041610.
The effects of alpha-hANP (0.3 micrograms/kg body weight/min) on the baroreflex system were studied in anesthetized dogs according to three different protocols. In the first protocol, the effects of alpha-hANP on an open-loop gain (G(AP)) of the overall baroreflex system and a gain (GHR) of the baroreflex heart rate control system during quick mild hemorrhage and blood infusion were studied. G(AP) was decreased from 7.6 +/- 0.6 to 2.8 +/- 0.5 by alpha-hANP with hemorrhage. G(AP) decreased 7.4 +/- 0.8 to 2.9 +/- 0.4 by alpha-hANP with blood infusion. G(AP) was restored nearly to the control levels one hour after alpha-hANP administration. GHR did not change by alpha-hANP administration. In the second and third protocol, a site of action of alpha-hANP was analysed. alpha-hANP inhibited the responses of systemic vascular resistance to quick mild hemorrhage and blood infusion, but did not affect the responses of cardiac output to quick mild hemorrhage and blood infusion in the second protocol. After carotid sinus denervation and vagotomy, alpha-hANP inhibited an arterial pressure responses to phenylephrine and nitroglycerin bolus injection in the third protocol. These findings suggest that alpha-hANP has mainly an effect on the peripheral vascular system to decrease its responsiveness, resulting in a decrease in G(AP).
按照三种不同方案,研究了α-人心房钠尿肽(0.3微克/千克体重/分钟)对麻醉犬压力感受性反射系统的影响。在第一个方案中,研究了α-人心房钠尿肽在快速轻度失血和输血期间对整个压力感受性反射系统的开环增益(G(AP))以及压力感受性反射心率控制系统的增益(GHR)的影响。失血时,α-人心房钠尿肽使G(AP)从7.6±0.6降至2.8±0.5。输血时,α-人心房钠尿肽使G(AP)从7.4±0.8降至2.9±0.4。给予α-人心房钠尿肽1小时后,G(AP)几乎恢复到对照水平。给予α-人心房钠尿肽后GHR未改变。在第二个和第三个方案中,分析了α-人心房钠尿肽的作用部位。在第二个方案中,α-人心房钠尿肽抑制全身血管阻力对快速轻度失血和输血的反应,但不影响心输出量对快速轻度失血和输血的反应。在第三个方案中,切断颈动脉窦神经和迷走神经后,α-人心房钠尿肽抑制了对去氧肾上腺素和硝酸甘油推注的动脉压反应。这些发现表明,α-人心房钠尿肽主要对外周血管系统有作用,降低其反应性,导致G(AP)降低。