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在急性高碳酸血症期间,血管加压素会抑制清醒犬类中血管紧张素对通气的驱动作用。

During acute hypercapnia vasopressin inhibits an angiotensin drive to ventilation in conscious dogs.

作者信息

Walker J K, Jennings D B

机构信息

Department of Physiology, Queen's University, Kingston, Ontario, Canada.

出版信息

J Appl Physiol (1985). 1995 Sep;79(3):786-94. doi: 10.1152/jappl.1995.79.3.786.

Abstract

Intravenous infusion of arginine vasopressin (AVP) depresses the slope of the ventilatory response to CO2 during acute hypercapnia. We therefore tested the hypothesis that AVP V1-receptor blockade would increase the slope of the ventilatory response to CO2. After a 20-min control period, an AVP V1-receptor antagonist (d(CH2)5[Tyr(Me)2]AVP) was injected into six conscious resting dogs. Thirty minutes after AVP V1-receptor blockade, dogs were exposed to sequential 20-min periods of 5 and 6.5% inspired CO2 in air. A second protocol (no AVP V1-receptor blockade) was conducted as a control. As predicted, AVP V1-receptor blockade enhanced ventilation during inhalation of 6.5% CO2 in association with an increased metabolic rate and increased plasma angiotensin II (ANG II). In eupneic dogs, stimulation of respiration by AVP V1-receptor blockade is mediated by ANG II. A third protocol with ANG II-receptor blockade (intravenous infusion of saralasin) combined with AVP V1-receptor blockade indicated that ANG II mediated the increase in metabolism and the augmented ventilation during inhalation of 6.5% CO2. We conclude that during acute hypercapnia of sufficient magnitude, and perhaps duration, AVP inhibits an ANG II-mediated stimulation of metabolism and respiration.

摘要

静脉输注精氨酸加压素(AVP)会在急性高碳酸血症期间降低对二氧化碳的通气反应斜率。因此,我们检验了以下假设:AVP V1受体阻断会增加对二氧化碳的通气反应斜率。在20分钟的对照期后,向6只清醒静息犬注射AVP V1受体拮抗剂(d(CH2)5[Tyr(Me)2]AVP)。在AVP V1受体阻断30分钟后,让犬依次暴露于含5%和6.5%吸入二氧化碳的空气中各20分钟。作为对照,进行了第二个方案(未进行AVP V1受体阻断)。如预期的那样,AVP V1受体阻断在吸入6.5%二氧化碳期间增强了通气,同时代谢率增加且血浆血管紧张素II(ANG II)升高。在平静呼吸的犬中,AVP V1受体阻断对呼吸的刺激由ANG II介导。第三个方案是将ANG II受体阻断(静脉输注沙拉新)与AVP V1受体阻断相结合,结果表明ANG II介导了吸入6.5%二氧化碳期间代谢的增加和通气的增强。我们得出结论,在足够程度且可能持续一定时间的急性高碳酸血症期间,AVP会抑制ANG II介导的对代谢和呼吸的刺激。

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