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AT1受体拮抗剂氯沙坦和EXP 3174对缺水型Brattleboro大鼠局部血流动力学影响的比较。

Comparison of the regional haemodynamic effects of the AT1-receptor antagonists, losartan and EXP 3174, in water-deprived Brattleboro rats.

作者信息

Widdop R E, Gardiner S M, Kemp P A, Bennett T

机构信息

Department of Physiology and Pharmacology, University of Nottingham Medical School, Queen's Medical Centre.

出版信息

Br J Pharmacol. 1993 Mar;108(3):684-8. doi: 10.1111/j.1476-5381.1993.tb12861.x.

Abstract
  1. Two separate groups (n = 8) of Brattleboro rats, chronically instrumented for the measurement of regional haemodynamics, underwent a 2-stage experimental protocol. Initially, animals had their drinking water removed and cardiovascular recordings were made every 30 min for the following 6 h. Then animals received either the AT1-receptor antagonist, losartan (3 mg kg-1, i.v., n = 8), or an initially equi-hypotensive dose of its active metabolite, EXP 3174 (1 mg kg-1, i.v., n = 8), and the resultant cardiovascular changes were monitored for a further 2 h. A third group of Brattleboro rats (n = 8) was water-deprived for 8 h to serve as a time control. 2. In all 3 groups of animals, mesenteric and hindquarters vasoconstriction (beginning approximately 30 and 120 min, respectively, after water was removed) occurred much earlier than changes in blood pressure, since increases in blood pressure were significant only after 5-6 h of water deprivation; renal perfusion was largely unchanged. The observation of a differential onset of haemodynamic changes (i.e. mesenteric > hindquarters >> renal) extends our previous findings, in which measurements were made only at the end of a 14 h period of water-deprivation. 3. When given after 6 h of water deprivation, losartan and EXP 3174 produced directionally similar, but temporally disparate, haemodynamic effects. EXP 3174 caused a depressor response associated with marked renal, mesenteric and hindquarters vasodilatations which were well maintained over 2 h. Losartan evoked similar changes to EXP 3174 in the first 5 min, but in contrast to EXP 3174, blood pressure showed some recovery and all 3 vascular conductance values returned to baseline (i.e. pre-drug)levels over the following 10-20 min. Thereafter, hypotension and renal, mesenteric and hindquarters vasodilatation again occurred, and these changes were maintained for the rest of the 2 h. However,compared with losartan, EXP 3174 caused significantly greater mesenteric and hindquarters vasodilatation,even at times when both compounds lowered blood pressure to the same extent.4. The biphasic cardiovascular response caused by losartan is consistent with the conversion of the parent compound to EXP 3174. Whether or not the enhanced vasodilator effect of EXP 3174 over losartan is related to pharmacodynamic differences (i.e., noncompetitive versus competitive antagonism,respectively), and/or to differences in the amount of EXP 3174 generated from losartan is not known at present.
摘要
  1. 两组分别为8只的遗传性高血压大鼠(Brattleboro rats),长期植入测量局部血流动力学的仪器,接受两阶段实验方案。最初,动物的饮用水被移除,在接下来的6小时内每隔30分钟进行一次心血管记录。然后,动物接受AT1受体拮抗剂氯沙坦(3mg/kg,静脉注射,n = 8),或其活性代谢物EXP 3174的初始等降压剂量(1mg/kg,静脉注射,n = 8),并在接下来的2小时内监测由此产生的心血管变化。第三组遗传性高血压大鼠(n = 8)禁水8小时作为时间对照。2. 在所有3组动物中,肠系膜和后肢血管收缩(分别在移除水后约30分钟和120分钟开始)比血压变化出现得早得多,因为血压升高仅在禁水5 - 6小时后才显著;肾灌注基本未变。血流动力学变化的不同起始观察结果(即肠系膜>后肢>>肾脏)扩展了我们之前的发现,之前的测量仅在14小时禁水期结束时进行。3. 在禁水6小时后给予氯沙坦和EXP 3174,产生了方向相似但时间上不同的血流动力学效应。EXP 3174引起降压反应,伴有明显的肾脏、肠系膜和后肢血管舒张,在2小时内保持良好。氯沙坦在最初5分钟内引起与EXP 3174相似的变化,但与EXP 3174不同的是,血压在接下来的10 - 20分钟内有所恢复,所有3个血管电导值恢复到基线(即给药前)水平。此后,再次出现低血压以及肾脏、肠系膜和后肢血管舒张,这些变化在2小时的剩余时间内持续存在。然而,与氯沙坦相比,即使在两种化合物将血压降低到相同程度时,EXP 3174引起的肠系膜和后肢血管舒张也明显更大。4. 氯沙坦引起的双相心血管反应与母体化合物转化为EXP 3174一致。目前尚不清楚EXP 3174比氯沙坦增强的血管舒张作用是否与药效学差异(即分别为非竞争性与竞争性拮抗作用)和/或氯沙坦产生的EXP 3174量的差异有关。

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