Van Overloop B, Pernot F, Dité C, Droy-Lefaix M T, Gairard A
CNRS URA 60, Faculté de Pharmacie, Université Louis-Pasteur, Illkirch-Graffenstaden.
Arch Mal Coeur Vaiss. 1995 Aug;88(8):1223-7.
Decreased response to vasopressor agents characterizes pregnancy. Endothelium-derived relaxing factors and vasodilating prostaglandins play an important role in the vascular tone during pregnancy. Since inhibition of nitric oxide (NO) biosynthesis induced by NO2-arginine enriched diet produced hypertension we measured in vivo cardiovascular responses to PGF2 alpha, L-arginine (L-arg) and cicletanine (Cic, IPSEN, France) which enhances PGI2 production. From day 13 to day 20 of gestation 4 groups of female Wistar rats were fed NO2-arg (31 mg/kg/d), NO2-arg+Cic (10 mg/kg/d), Cic enriched or control diet (C). Mean arterial pressure (MAP) was measured via a carotid catheter in anesthetized rats. Injection of PGF2 alpha (50 micrograms/kg) in jugular vein significantly increased MAP in the NO2-arg group versus, NO2-arg+Cic, Cic and C group (+23.5 +/- 3.3 vs +15.7 +/- 2.2, +15.8 +/- 2.2 and +17 +/- 1.85 mmHg; p < 0.01). Injection of L-arg (100 mg/kg) or Cic (1 mg/kg) 5 min before PGF2 alpha produced no modification in MAP in C and Cic group. Likewise in NO2-arg group injection of L-arg or Cic produced a diminished pressor response to PGF2 alpha (+23.5 +/- 3.3 vs -17.5 +/- 1.7 mmHg; p < 0.05 and +15.2 +/- 2.4 mmHg; p < 0.01 respectively). In NO2-arg+Cic group, only injection of Cic induced a diminished pressor response to PGF2 alpha which is more important without L-arg (+15.7 +/- 2.2 vs +9.1 +/- 1.3 mmHg; p < 0.001) or with L-arg (+13.6 +/- 1.5 vs +9.1 +/- 1.3 mmHg; p < 0.01). Cicletanine also significantly diminished the proteinuria in the NO2-arg+Cic group versus NO2-arg group (13.9 +/- 4.36 vs 63.4 +/- 21.6 mmHg; p < 0.01). IN CONCLUSION, chronic NO synthesis inhibition enhanced blood pressure and pressor responses to PGF2 alpha during pregnancy in rats. Chronic administration of cicletanine in Wistar pregnant rats decreases the response to vasopressor agents like PGF2 alpha. Moreover acute and chronic administration of cicletanine blunted the pressor effect, which was lower than in normal gestation.
对血管加压药反应降低是妊娠期的特征。内皮源性舒张因子和血管舒张性前列腺素在妊娠期血管张力中起重要作用。由于富含NO2-精氨酸的饮食诱导的一氧化氮(NO)生物合成抑制会导致高血压,我们测量了体内对PGF2α、L-精氨酸(L-arg)和西克莱他宁(Cic,法国IPSEN公司生产)的心血管反应,西克莱他宁可增强PGI2的产生。在妊娠第13天至第20天,将4组雌性Wistar大鼠分别喂食NO2-精氨酸(31mg/kg/天)、NO2-精氨酸+Cic(10mg/kg/天)、富含Cic的饮食或对照饮食(C)。通过颈动脉导管在麻醉的大鼠中测量平均动脉压(MAP)。与NO2-精氨酸+Cic组、Cic组和C组相比,在颈静脉注射PGF2α(50μg/kg)后,NO2-精氨酸组的MAP显著升高(+23.5±3.3 vs +15.7±2.2、+15.8±2.2和+17±1.85mmHg;p<0.01)。在PGF2α注射前5分钟注射L-精氨酸(100mg/kg)或Cic(1mg/kg),C组和Cic组的MAP没有变化。同样,在NO2-精氨酸组中,注射L-精氨酸或Cic会使对PGF2α的升压反应减弱(+23.5±3.3 vs -17.5±1.7mmHg;p<0.05和+15.2±2.4mmHg;p<0.01)。在NO2-精氨酸+Cic组中,仅注射Cic会使对PGF2α的升压反应减弱,在无L-精氨酸时更为明显(+15.7±2.2 vs +9.1±1.3mmHg;p<0.001)或有L-精氨酸时(+13.6±1.5 vs +9.1±1.3mmHg;p<0.01)。与NO2-精氨酸组相比,西克莱他宁还显著降低了NO2-精氨酸+Cic组的蛋白尿(13.9±4.36 vs 63.4±21.6mmHg;p<0.01)。总之,慢性NO合成抑制增强了大鼠妊娠期的血压和对PGF2α的升压反应。在Wistar妊娠大鼠中慢性给予西克莱他宁可降低对PGF2α等血管加压药的反应。此外,急性和慢性给予西克莱他宁会减弱升压作用,且低于正常妊娠时的水平。