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自发性高血压大鼠的内皮功能:喹那普利治疗的影响

Endothelial function in spontaneously hypertensive rats: influence of quinapril treatment.

作者信息

Kähönen M, Mäkynen H, Wu X, Arvola P, Pörsti I

机构信息

Medical School, Department of Pharmacology, University of Tampere, Finland.

出版信息

Br J Pharmacol. 1995 Jul;115(5):859-67. doi: 10.1111/j.1476-5381.1995.tb15012.x.

DOI:10.1111/j.1476-5381.1995.tb15012.x
PMID:8548188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1908522/
Abstract
  1. Angiotensin converting enzyme (ACE) inhibition has been shown to restore the impaired endothelial function in hypertension, but the mediators underlying the promoted endothelium-dependent dilatation have not been fully characterized. Therefore, we investigated the effects of 10-week-long quinapril therapy (10 mg kg-1 day-1) on responses of mesenteric arterial rings in vitro from spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto (WKY) rats. 2. Endothelium-dependent relaxations of noradrenaline (NA)-precontracted rings to acetylcholine (ACh) and adenosine 5'-diphosphate (ADP) were similar in WKY rats and quinapril-treated SHR and more pronounced than in untreated SHR. The nitric oxide (NO) synthase inhibitor NG-nitro-L-arginine methyl ester (L-NAME) attenuated the relaxations in both WKY groups and quinapril-treated SHR, and completely inhibited them in untreated SHR. When endothelium-dependent hyperpolarization was prevented by precontraction of the preparations with potassium chloride (KCl), no differences were found in relaxations to ACh and ADP between the study groups. In addition, in NA-precontracted rings the L-NAME- and indomethacin-resistant relaxations to ACh were partially prevented by apamin, an inhibitor of calcium-activated potassium channels. 3. Interestingly, in quinapril-treated SHR but not in the other groups, exogenous bradykinin potentiated the relaxations to ACh in both NA- and KCl-precontracted arterial rings. 4. Contractile sensitivity of endothelium-intact rings to NA was reduced in SHR by quinapril, and was more effectively increased by L-NAME in quinapril-treated than untreated SHR. 5. In conclusion, since the relaxations to ACh and ADP in quinapril-treated SHR were augmented in the absence and presence of NO synthesis inhibition but not under conditions which prevented hyperpolarization, enhanced endothelium-dependent relaxation after long-term ACE inhibition can be attributed to increased endothelium-dependent hyperpolarization. However, the potentiation of the response to ACh by exogenous bradykinin in quinapril-treated SHR, as well as the increased attenuating effect of the endothelium on NA-induced contractions in these animals appear to result from enhanced endothelium-derived NO release.
摘要
  1. 血管紧张素转换酶(ACE)抑制已被证明可恢复高血压患者受损的内皮功能,但促进内皮依赖性舒张的介质尚未完全明确。因此,我们研究了为期10周的喹那普利治疗(10毫克/千克/天)对自发性高血压大鼠(SHR)和正常血压的Wistar-Kyoto(WKY)大鼠肠系膜动脉环体外反应的影响。2. 在WKY大鼠和喹那普利治疗的SHR中,去甲肾上腺素(NA)预收缩环对乙酰胆碱(ACh)和腺苷5'-二磷酸(ADP)的内皮依赖性舒张相似,且比未治疗的SHR更明显。一氧化氮(NO)合酶抑制剂NG-硝基-L-精氨酸甲酯(L-NAME)减弱了WKY组和喹那普利治疗的SHR中的舒张反应,并在未治疗的SHR中完全抑制了它们。当用氯化钾(KCl)预收缩制剂阻止内皮依赖性超极化时,研究组之间对ACh和ADP的舒张反应没有差异。此外,在NA预收缩环中,钙激活钾通道抑制剂蜂毒明肽部分阻止了对ACh的L-NAME和吲哚美辛抗性舒张。3. 有趣的是,在喹那普利治疗的SHR中,但在其他组中未观察到,外源性缓激肽增强了NA和KCl预收缩动脉环中对ACh的舒张反应。4. 喹那普利降低了SHR中内皮完整环对NA的收缩敏感性,并且在喹那普利治疗的SHR中,L-NAME比未治疗的SHR更有效地增加了收缩敏感性。5. 总之,由于在喹那普利治疗的SHR中,在不存在和存在NO合成抑制的情况下,对ACh和ADP的舒张反应均增强,但在阻止超极化的条件下未增强,长期ACE抑制后增强的内皮依赖性舒张可归因于内皮依赖性超极化增加。然而,喹那普利治疗的SHR中外源性缓激肽对ACh反应的增强,以及这些动物中内皮对NA诱导收缩的增强减弱作用似乎是由于内皮源性NO释放增加所致。

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本文引用的文献

1
Quinapril treatment and arterial smooth muscle responses in spontaneously hypertensive rats.喹那普利治疗与自发性高血压大鼠的动脉平滑肌反应
Br J Pharmacol. 1993 Apr;108(4):980-90. doi: 10.1111/j.1476-5381.1993.tb13495.x.
2
Effects of quinapril, a new angiotensin-converting enzyme inhibitor, on vasoconstrictor activity in the isolated, perfused mesenteric vasculature of hypertensive rats.新型血管紧张素转换酶抑制剂喹那普利对高血压大鼠离体灌注肠系膜血管收缩活性的影响。
J Pharmacol Exp Ther. 1993 Apr;265(1):187-93.
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Endothelium-dependent relaxation of hypertensive resistance arteries is not impaired under all conditions.高血压阻力血管的内皮依赖性舒张并非在所有情况下都会受损。
Circ Res. 1993 Feb;72(2):290-6. doi: 10.1161/01.res.72.2.290.
4
Endothelium-derived contracting factors in resistance arteries of young spontaneously hypertensive rats before development of overt hypertension.明显高血压发生之前年轻自发性高血压大鼠阻力动脉中内皮衍生收缩因子
Hypertension. 1993 Mar;21(3):280-8. doi: 10.1161/01.hyp.21.3.280.
5
ACE inhibitors are endothelium dependent vasodilators of coronary arteries during submaximal stimulation with bradykinin.在使用缓激肽进行次最大刺激时,血管紧张素转换酶抑制剂是冠状动脉的内皮依赖性血管扩张剂。
Cardiovasc Res. 1993 Feb;27(2):312-7. doi: 10.1093/cvr/27.2.312.
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Age-related changes in endothelium-dependent hyperpolarization in the rat mesenteric artery.大鼠肠系膜动脉中内皮依赖性超极化的年龄相关变化。
Am J Physiol. 1993 Aug;265(2 Pt 2):H509-16. doi: 10.1152/ajpheart.1993.265.2.H509.
7
A non-cyclo-oxygenase, non-nitric oxide relaxing factor is present in resistance arteries of normotensive but not spontaneously hypertensive rats.一种非环氧化酶、非一氧化氮舒张因子存在于正常血压大鼠而非自发性高血压大鼠的阻力动脉中。
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Long-term low-dose angiotensin converting enzyme inhibitor treatment increases vascular cyclic guanosine 3',5'-monophosphate.长期低剂量血管紧张素转换酶抑制剂治疗可增加血管环磷酸鸟苷。
Hypertension. 1993 Nov;22(5):682-7. doi: 10.1161/01.hyp.22.5.682.
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