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一氧化氮的中枢降压作用在遗传性高血压中不足。

Central depressor action of nitric oxide is deficient in genetic hypertension.

作者信息

Cabrera C L, Bealer S L, Bohr D F

机构信息

University of Michigan, Ann Arbor 48109-0622, USA.

出版信息

Am J Hypertens. 1996 Mar;9(3):237-41. doi: 10.1016/0895-7061(95)00292-8.

Abstract

Inhibition of NO synthase (NOS) in the central nervous system (CNS) causes a pressor response. This observation indicates that NO is normally produced at CNS site(s) where it has a tonic blood pressure lowering effect. The current study tests the hypothesis that a deficient NOS activity in the CNS may contribute to the pressure elevation in genetically hypertensive rats. NO administered intracerebroventricularly (ICV) caused a greater fall in mean arterial pressure (MAP; femoral artery) in hypertensive (SHRSP) than in normotensive (WKY) rats, -66.1 +/- 3.4 mm Hg v -23.7 +/- 3.9 mm Hg, respectively. Yet when endogenous NO was increased by stimulating NOS with ICV calcium, the depressor response was less in SHRSP than in WKY, 13.7 +/- 1.1 mm Hg v 26.7 +/- 1.9 mm Hg. Likewise, when NOS was blocked with N omega- nitro-L-arginine methyl ester (L-NAME), the resultant pressor response was less in SHRSP than in WKY, 13.8 +/- 1.1 mm Hg v 22.2 +/- 1.1 mm Hg. Blockade of the action of cGMP, a mediator of the action of NO, caused a pressor response of 6.0 +/- 2.8 mm Hg and 22.6 +/- 8.7 mm Hg (P < .01) in the hypertensive and normotensive rats, respectively. Electrolytic ablation of the anteroventral third cerebral ventricle (AV3V) did not alter blood pressure responses to NO or to agents that alter NOS activity. We conclude that a deficit in NOS activity in some other central cardiovascular regulatory area may contribute to the elevated arterial pressure of these genetically hypertensive rats.

摘要

抑制中枢神经系统(CNS)中的一氧化氮合酶(NOS)会引起升压反应。这一观察结果表明,NO通常在中枢神经系统的某些部位产生,在这些部位它具有持续性的血压降低作用。当前的研究检验了这样一个假设,即中枢神经系统中NOS活性不足可能导致遗传性高血压大鼠的血压升高。脑室内(ICV)给予NO后,高血压(SHRSP)大鼠的平均动脉压(MAP;股动脉)下降幅度比正常血压(WKY)大鼠更大,分别为-66.1±3.4 mmHg和-23.7±3.9 mmHg。然而,当通过脑室内注射钙刺激NOS来增加内源性NO时,SHRSP大鼠的降压反应比WKY大鼠小,分别为13.7±1.1 mmHg和26.7±1.9 mmHg。同样,当用Nω-硝基-L-精氨酸甲酯(L-NAME)阻断NOS时,SHRSP大鼠产生的升压反应比WKY大鼠小,分别为13.8±1.1 mmHg和22.2±1.1 mmHg。阻断NO作用的介质cGMP的作用,在高血压大鼠和正常血压大鼠中分别引起6.0±2.8 mmHg和22.6±8.7 mmHg(P<.01)的升压反应。电解损毁前腹侧第三脑室(AV3V)并未改变对NO或改变NOS活性的药物的血压反应。我们得出结论,其他一些中枢心血管调节区域的NOS活性不足可能导致这些遗传性高血压大鼠的动脉血压升高。

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