Buckley J P, Singh S, Steenberg M L, Jandhyala B S
Circ Res. 1977 May;40(5 Suppl 1):I62-6.
Intraventricular infusion of angiotensin II (50, 100, and 200 ng/kg per min) produced significant elevations of arterial blood pressure (20-25%) in alpha-chloralose-anesthetized cats. The pressor responses were not accompanied by significant changes in heart rate,cardiac output, or contractility and were chiefly due to significant increases in total peripheral resistance. In contrast, pressor responses to intravenous infusion of angiotensin II (100 ng/kg per min) were accompanied by reflex decrease in cardiac activity. While intravenous angiotensin II caused increases in the resistance of skeletal, mesenteric, and renal vasculature, the intraventricular administration of angiotensin II increased resistance only in the mesenteric and renal vasculature. Further, centrally administered angiotensin II significantly enhanced urinary output and the rate of Na+ excretion both in the intact as well as in the denervated kidneys. However, the diuretic and natriuretic effects were significantly greater in the intact than in the denervated kidneys, indicating a centrally mediated neurogenic mechanism. The significant increase in the urinary concentration of Na+ (mEq/liter) following intraventricular angiotensin appeared to be secondary to the elevation of arterial blood pressure, since this effect was unaltered by acute renal denervation. The results of this investigation are consistent with the hypothesis that an elevation in the concentration of angiotensin II within the cerebrospinal fluid may trigger neurogenic mechanisms resulting in the constriction of glomerular efferent arterioles. Such an effect would be expected to increase glomerular filtration pressure and filtration fraction, and may play a role in the diuretic and natriuretic effects noted.
在α-氯醛糖麻醉的猫中,脑室内输注血管紧张素II(50、100和200纳克/千克每分钟)可使动脉血压显著升高(20%-25%)。升压反应并未伴有心率、心输出量或心肌收缩力的显著变化,主要是由于总外周阻力显著增加。相比之下,静脉输注血管紧张素II(100纳克/千克每分钟)引起的升压反应伴有心脏活动的反射性降低。虽然静脉注射血管紧张素II会导致骨骼肌、肠系膜和肾血管阻力增加,但脑室内注射血管紧张素II仅增加肠系膜和肾血管的阻力。此外,中枢给予血管紧张素II可显著增加完整肾脏以及去神经支配肾脏的尿量和钠排泄率。然而,完整肾脏的利尿和利钠作用明显大于去神经支配的肾脏,表明存在中枢介导的神经源性机制。脑室内注射血管紧张素后尿钠浓度(毫当量/升)的显著升高似乎继发于动脉血压的升高,因为急性肾去神经支配并未改变这种作用。本研究结果与以下假设一致:脑脊液中血管紧张素II浓度升高可能触发神经源性机制,导致肾小球出球小动脉收缩。这种作用预计会增加肾小球滤过压和滤过分数,并可能在观察到的利尿和利钠作用中发挥作用。