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氯沙坦与内皮素拮抗剂SB 209670对清醒转基因((mRen-2)27)高血压大鼠的血流动力学影响

Haemodynamic effects of losartan and the endothelin antagonist, SB 209670, in conscious, transgenic ((mRen-2)27), hypertensive rats.

作者信息

Gardiner S M, March J E, Kemp P A, Mullins J J, Bennett T

机构信息

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

出版信息

Br J Pharmacol. 1995 Oct;116(4):2237-44. doi: 10.1111/j.1476-5381.1995.tb15059.x.

Abstract
  1. Hypertensive transgenic (TGR(mRen-2)27) (abbreviated to TG) rats (n = 6) and their normotensive Sprague-Dawley (SD) control strain (n = 7) were chronically instrumented for the measurement of cardiac haemodynamics. The hypertension in TG rats (mean blood pressure 181 +/- 9 mmHg) was entirely attributable to a reduction in total peripheral conductance (TG rats = 169 +/- 7, SD rats = 292 +/- 15 microliters min-1 mmHg-1 100g-1) since cardiac index was not different in the two strains (TG rats = 30.5 +/- 1.2, SD rats = 29.5 +/- 1.6 ml min-1 100g-1). 2. In other animals instrumented for the assessment of regional haemodynamics, the extent of peripheral vasoconstriction was similar in renal, mesenteric and hindquarters vascular beds in the TG rats (reduction in vascular conductance relative to SD rats = 42%, 46% and 49%, respectively). 3. During an 8 h observation period with saline infusion, or following injection of losartan (10 mg kg-1) in SD rats there was no hypotension or regional vasodilation. With infusion of the endothelin antagonist, SB 209670 (10 micrograms kg-1 min-1), there was a slight hypotension, but no significant vasodilation; co-administration of losartan and SB 209670 caused a similar profile of effect, although the hypotension was increased. 4. With the same experimental protocol in TG rats, losartan caused a biphasic, progressive fall in mean arterial blood pressure accompanied by renal, mesenteric and hindquarters vasodilation. Although the response to SB 209670 was not biphasic, its hypotensive and vasodilator effects were not different from those of losartan after 8 h. In the combined presence of losartan and SB 209670, mean arterial blood pressure (116 +/- 5 mmHg) was significantly lower than with SB 209670 (132+/-4 mmHg) or losartan(136 +/- 6 mmHg) alone, and renal, mesenteric and hindquarters vascular conductances (61 +/- 3, 90+/-14 and 52+/-4 [kHz nmHg-1]103, respectively) were higher than the corresponding values following either SB 209670 (49 +/- 4, 52 +/- 4 and 34 +/- 3 [kHz mmHg- 1]103, respectively) or losartan (43 +/- 5, 59 +/- 13 and 35+/-4 [kHz mmHg-1]103, respectively) alone. These results indicate the maintenance of hypertension inTG rats is dependent upon renal, mesenteric and hindquarters vasoconstriction, mediated by angiotensinII (AII) and endothelin (ET). Since we found that plasma ET-1 levels in TG rats (12.06+/-2.87 pmol 1-1)were lower than in SD rats (21.53 +/- 3.94 pmol 1-1), then it is possible that locally-generated, rather than circulating ET-l contributes to the widespread vasoconstriction in TG rats.
摘要
  1. 对高血压转基因(TGR(mRen-2)27)(简称TG)大鼠(n = 6)及其正常血压的斯普拉格-道利(SD)对照品系大鼠(n = 7)进行长期植入,以测量心脏血流动力学。TG大鼠的高血压(平均血压181±9 mmHg)完全归因于总外周血管传导率降低(TG大鼠 = 169±7,SD大鼠 = 292±15微升·分钟⁻¹·mmHg⁻¹·100g⁻¹),因为两品系的心脏指数无差异(TG大鼠 = 30.5±1.2,SD大鼠 = 29.5±1.6毫升·分钟⁻¹·100g⁻¹)。2. 在其他用于评估局部血流动力学的动物中,TG大鼠肾、肠系膜和后肢血管床的外周血管收缩程度相似(相对于SD大鼠,血管传导率降低分别为42%、46%和49%)。3. 在生理盐水输注的8小时观察期内,或给SD大鼠注射氯沙坦(10毫克·千克⁻¹)后,未出现低血压或局部血管舒张。输注内皮素拮抗剂SB 209670(10微克·千克⁻¹·分钟⁻¹)后,出现轻微低血压,但无明显血管舒张;氯沙坦与SB 209670联合给药产生类似的效应,尽管低血压有所加重。4. 在TG大鼠中采用相同的实验方案,氯沙坦导致平均动脉血压出现双相、渐进性下降,并伴有肾、肠系膜和后肢血管舒张。尽管对SB 209670的反应不是双相的,但其降压和血管舒张作用在8小时后与氯沙坦无差异。在氯沙坦和SB 209670同时存在的情况下,平均动脉血压(116±5 mmHg)显著低于单独使用SB 209670(132±4 mmHg)或氯沙坦(136±6 mmHg)时,肾、肠系膜和后肢血管传导率(分别为61±3、90±14和52±4 [kHz·mmHg⁻¹]×10³)高于单独使用SB 209670(分别为49±4、52±4和34±3 [kHz·mmHg⁻¹]×10³)或氯沙坦(分别为43±5、59±13和35±4 [kHz·mmHg⁻¹]×10³)后的相应值。这些结果表明,TG大鼠高血压的维持依赖于由血管紧张素II(AII)和内皮素(ET)介导的肾、肠系膜和后肢血管收缩。由于我们发现TG大鼠血浆ET-1水平(12.06±2.87皮摩尔·升⁻¹)低于SD大鼠(21.53±3.94皮摩尔·升⁻¹),那么有可能是局部产生而非循环的ET-1导致了TG大鼠广泛的血管收缩。

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