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喷气应激后神经介导的抗利尿和抗钠尿作用受血管紧张素II调节。

Nerve-mediated antidiuresis and antinatriuresis after air-jet stress is modulated by angiotensin II.

作者信息

Veelken R, Hilgers K F, Stetter A, Siebert H G, Schmieder R E, Mann J F

机构信息

Department of Medicine-Nephrology, University of Erlangen-Nürnberg, FRG.

出版信息

Hypertension. 1996 Nov;28(5):825-32. doi: 10.1161/01.hyp.28.5.825.

Abstract

A putative interaction between angiotensin II (Ang II) and the sympathetic nervous system within the kidney has been reported. We tested the hypothesis in conscious rats that endogenous Ang II modulates the renal effects of a stress-induced increase in sympathetic nerve activity. We recorded mean arterial blood pressure, heart rate, renal sympathetic nerve activity, renal hemodynamics, urine volume, and urinary sodium content in conscious rats. We used the Ang II type 1 receptor blocker ZD 7155 to inhibit the effects of endogenous Ang II. Ten minutes of air-jet stress increased renal sympathetic nerve activity by 98 +/- 4% (n = 6) without changing systemic hemodynamics. Air-jet stress reduced urine volume (from 31 +/- 3 to 8 +/- 4 microL/min per gram kidney weight, P < .05, n = 12) and sodium excretion (from 4.3 +/- 0.9 to 1.2 +/- 0.3 mumol/min per gram kidney weight, P < .05, n = 12). After renal denervation, air-jet stress had no effect on either parameter. Six micrograms of the Ang II type 1 receptor inhibitor ZD 7155 blunted the decrease in urine volume and sodium excretion in response to air-jet stress, although the increase in renal sympathetic nerve activity during air-jet stress and the pressor response to exogenous Ang II were not affected. Glomerular filtration rate and renal plasma flow were also not affected. Higher doses of 30 and 60 micrograms ZD 7155 inhibited the pressor response to exogenous Ang II and abolished the changes in urine volume and sodium excretion in response to air-jet stress. None of the ZD 7155 doses affected urinary sodium excretion permanently. Hence, the Ang II type 1 receptor antagonist ZD 7155 impaired or abolished the renal nerve-mediated antinatriuresis and anitidiuresis in response to air-jet stress. We conclude that endogenous Ang II modulates the renal effects of centrally mediated changes of sympathetic nerve activity in conscious rats.

摘要

已有报道称,血管紧张素II(Ang II)与肾脏内的交感神经系统之间存在一种假定的相互作用。我们在清醒大鼠中检验了以下假设:内源性Ang II可调节应激诱导的交感神经活动增加对肾脏的影响。我们记录了清醒大鼠的平均动脉血压、心率、肾交感神经活动、肾血流动力学、尿量和尿钠含量。我们使用1型Ang II受体阻滞剂ZD 7155来抑制内源性Ang II的作用。10分钟的喷气应激使肾交感神经活动增加了98±4%(n = 6),而全身血流动力学未发生改变。喷气应激使尿量(从每克肾脏重量31±3微升/分钟降至8±4微升/分钟,P <.05,n = 12)和钠排泄量(从每克肾脏重量4.3±0.9微摩尔/分钟降至1.2±0.3微摩尔/分钟,P <.05,n = 12)减少。肾去神经支配后,喷气应激对这两个参数均无影响。6微克的1型Ang II受体抑制剂ZD 7155减弱了喷气应激引起的尿量和钠排泄量的减少,尽管喷气应激期间肾交感神经活动的增加以及对外源性Ang II的升压反应未受影响。肾小球滤过率和肾血浆流量也未受影响。30微克和60微克的较高剂量ZD 7155抑制了对外源性Ang II的升压反应,并消除了喷气应激引起的尿量和钠排泄量的变化。所有ZD 7155剂量均未永久性影响尿钠排泄。因此,1型Ang II受体拮抗剂ZD 7155削弱或消除了肾神经介导的、对喷气应激的利钠和利尿作用。我们得出结论,内源性Ang II可调节清醒大鼠中交感神经活动的中枢介导变化对肾脏的影响。

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