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血管紧张素AT1和AT2受体在介导麻醉犬体内血管紧张素II的肾脏效应中的作用。

Role of angiotensin AT1 and AT2 receptors in mediating the renal effects of angiotensin II in the anaesthetized dog.

作者信息

Clark K L, Robertson M J, Drew G M

机构信息

Department of Cardiovascular and Respiratory Pharmacology, Glaxo Group Research Limited, Ware, Hertfordshire.

出版信息

Br J Pharmacol. 1993 May;109(1):148-56. doi: 10.1111/j.1476-5381.1993.tb13545.x.

Abstract
  1. Experiments were performed using the selective AT1 receptor antagonist, GR117289, and the selective AT2 receptor antagonist, PD123177, to assess the relative importance of AT1 versus AT2 receptors in mediating the renal effects of angiotensin II (AII) in vivo, in salt-replete pentobarbitone-anaesthetized dogs. 2. The AT1 receptor antagonist, GR117289 (0.5 mg kg-1 + 1 microgram kg-1 min-1, i.v.), caused renal vasodilatation, characterized by a mean increase of 21 +/- 5% in renal blood flow, 45 min post-dose. GR117289 also caused a fall in mean blood pressure (12 +/- 4%), but despite this, sodium and urine excretion were not reduced. Indeed, there was a tendency for urine output and sodium excretion to increase, although the changes were not statistically significant. GR117289 caused a reduction in plasma aldosterone levels (-35 +/- 16%) 45 min post-dose, despite increasing plasma renin activity (+ 173 +/- 42%). In contrast to GR117289, the AT2 receptor antagonist, PD123177 (20 micrograms kg-1 min-1 intra-renal artery; i.r.a.) caused no significant change in blood pressure, renal blood flow, or sodium and urine excretion, indicating that the renal effects of endogenous AII in these salt-replete animals are mediated predominantly by AT1 receptors. 3. Intra-renal artery infusion of AII (1-300 ng kg-1 min-1) caused dose-related renal vasoconstriction, and decreases in urine output, sodium excretion, fractional excretion of sodium, and glomerular filtration rate (GFR). The AT1 receptor antagonist, GRI 17289 (0.5 mg kg-1 + 1 microg kg-1 min-1, i.v.)antagonized these renal effects of AII, causing 15-38 fold rightward displacements of mean dose response curves for these parameters. In contrast, PD123177 (20 microg kg-1 min-1, i.r.a.) failed to antagonize the renal haemodynamic and excretory effects of lower doses of All (1-10 ng kg-1 min-1,i.r.a.). However, at higher doses of AII (30-300 ng kg-l min-1, i.r.a.), while PD123177 still failed to antagonize the effects of the peptide on urine output, sodium excretion and GFR, it did cause a small,but significant, degree of inhibition of All-induced renal vasoconstriction. In addition, at a higher dose(50 microg kg-1 min-1, i.r.a.), PD123177 caused a greater degree of antagonism of AII-induced renal vasoconstriction, while renal excretory responses to AII remained unaffected.4. This study shows that the renal haemodynamic and excretory effects of AII in salt-replete anaesthetized dogs are mainly mediated by angiotensin AT1 receptors. However, the inhibitory effect of PD123177 on renal vasoconstrictor responses to high doses of AII, raises the possibility that functionally important AT2 receptors are present in the canine renal vasculature.
摘要
  1. 实验使用选择性AT1受体拮抗剂GR117289和选择性AT2受体拮抗剂PD123177,在体内对盐充足的戊巴比妥麻醉犬进行,以评估AT1与AT2受体在介导血管紧张素II(AII)肾脏效应中的相对重要性。2. AT1受体拮抗剂GR117289(0.5mg/kg + 1μg/kg·min-1,静脉注射)引起肾血管舒张,给药后45分钟肾血流量平均增加21±5%。GR117289还导致平均血压下降(12±4%),但尽管如此,钠和尿排泄并未减少。实际上,尿量和钠排泄有增加的趋势,尽管变化无统计学意义。GR117289给药后45分钟导致血浆醛固酮水平降低(-35±16%),尽管血浆肾素活性增加(+173±42%)。与GR117289相反,AT2受体拮抗剂PD123177(20μg/kg·min-1肾动脉内注射;i.r.a.)对血压、肾血流量或钠和尿排泄无显著影响,表明在这些盐充足的动物中内源性AII的肾脏效应主要由AT1受体介导。3. 肾动脉内输注AII(1 - 300ng/kg·min-1)引起剂量相关的肾血管收缩,并导致尿量、钠排泄、钠分数排泄和肾小球滤过率(GFR)降低。AT1受体拮抗剂GRI 17289(0.5mg/kg + 1μg/kg·min-1,静脉注射)拮抗AII的这些肾脏效应,使这些参数的平均剂量反应曲线向右位移15 - 38倍。相反,PD123177(20μg/kg·min-1,i.r.a.)未能拮抗低剂量AII(1 - 10ng/kg·min-1,i.r.a.)的肾脏血流动力学和排泄效应。然而,在较高剂量的AII(30 - 300ng/kg·min-1,i.r.a.)时,虽然PD123177仍未能拮抗该肽对尿量、钠排泄和GFR的影响,但它确实对AII诱导的肾血管收缩产生了轻微但显著的抑制作用。此外,在较高剂量(50μg/kg·min-1,i.r.a.)时,PD123177对AII诱导的肾血管收缩产生了更大程度的拮抗作用,而对AII的肾脏排泄反应仍无影响。4. 本研究表明,在盐充足的麻醉犬中,AII的肾脏血流动力学和排泄效应主要由血管紧张素AT1受体介导。然而,PD123177对高剂量AII肾血管收缩反应的抑制作用,增加了犬肾血管系统中存在功能重要的AT2受体的可能性。

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