Nomura N, Shimamoto K, Ura N, Iwata M, Aoyama T, Takagawa Y, Iimura O
Second Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan.
Clin Exp Hypertens. 1995 Nov;17(8):1219-31. doi: 10.3109/10641969509037405.
To further elucidate the renal effects of NEP inhibition, we employed NEP inhibitor UK 73967 (UK), with or without a kinin receptor antagonist Hoe 140 (Hoe), in Sprague-Dawley normotensive rats and DOCA-salt hypertensive rats. In Sprague-Dawley rats: 1) injected UK significantly decreased NEP, and increased kinins, urine volume (UV) and urinary sodium excretion (UNaV), while none of the variables changed with vehicle treatment; 2) no difference was found in plasma ANP between the vehicle and UK groups; and 3) Hoe canceled the increases of UV and UNaV caused by UK. In DOCA-salt rats: 1) infused UK significantly decreased NEP, and increased UV and UNaV, while UV and UNaV were slightly decreased, and NEP did not change with vehicle treatment; 2) plasma ANP was significantly higher in UK group than in the vehicle group; and 3) Hoe could not abolish the increase of UV and UNaV induced by UK. These data indicate that the contributions of renal kinins and plasma ANP to the diuretic and natriuretic mechanisms of NEP inhibition may differ between Sprague-Dawley normotensive rats and DOCA-salt hypertensive rats.
为了进一步阐明中性肽链内切酶(NEP)抑制的肾脏效应,我们在正常血压的Sprague-Dawley大鼠和去氧皮质酮-盐(DOCA-盐)高血压大鼠中,使用NEP抑制剂UK 73967(UK),同时或不同时使用激肽受体拮抗剂Hoe 140(Hoe)。在Sprague-Dawley大鼠中:1)注射UK可显著降低NEP,并增加激肽、尿量(UV)和尿钠排泄(UNaV),而用赋形剂处理时这些变量均未改变;2)赋形剂组和UK组之间的血浆心房钠尿肽(ANP)无差异;3)Hoe可消除UK引起的UV和UNaV增加。在DOCA-盐大鼠中:1)输注UK可显著降低NEP,并增加UV和UNaV,而用赋形剂处理时UV和UNaV略有下降,NEP未改变;2)UK组的血浆ANP显著高于赋形剂组;3)Hoe不能消除UK诱导的UV和UNaV增加。这些数据表明,在正常血压的Sprague-Dawley大鼠和DOCA-盐高血压大鼠中,肾脏激肽和血浆ANP对NEP抑制的利尿和利钠机制的作用可能不同。