Arakawa M, Majima M, Nagai K, Goto F, Katori M
Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara, Japan.
Inflamm Res. 1996 Feb;45(2):75-82. doi: 10.1007/BF02265119.
In anesthetized, mechanically ventilated guinea pigs, infusion of captopril (1 mg/kg/h), an angiotensin converting enzyme inhibitor, significantly enhanced bronchoconstriction induced by intravenous injection of bradykinin (BK; 0.1-30 nmol/kg). Pretreatment of guinea pigs with capsaicin (100 mu g/kg) slightly suppressed the bronchoconstriction by BK alone and almost all of the enhancement of BK-induced bronchoconstriction by captopril was suppressed. Intravenous injection of substance P (SP; 0.1-100 nmol/kg), neurokinin A (NKA; 0.1-30 nmol/kg) and neurokinin B (NKB; 0.1-30 nmol/kg) also induced dose-dependent bronchoconstriction but captopril treatment enhanced only the bronchoconstriction induced by SP. BK degradation in bronchoalveolar lavage fluid (BALF) in vitro was significantly suppressed by captopril (p < 0.05). Captopril infusion to guinea pigs significantly increased the levels of BK, SP, and NKA in BALF after BK injection (p < 0.05). FK224, an NK1 and NK2 receptor antagonist and SR 48968, an NK2 receptor antagonist, significantly suppressed the bronchoconstriction induced by BK alone (p < 0.01 and p < 0.05, respectively) as well as the enhancement by captopril (p < 0.01). It can be concluded that the enhancement of BK-induced bronchoconstriction by captopril was attributable to inhibition of the degradation of BK itself and thereby enhanced release of NKA and partly of SP from sensory nerves by BK.
在麻醉并机械通气的豚鼠中,输注血管紧张素转换酶抑制剂卡托普利(1毫克/千克/小时)可显著增强静脉注射缓激肽(BK;0.1 - 30纳摩尔/千克)所诱导的支气管收缩。用辣椒素(100微克/千克)预处理豚鼠,可轻微抑制单独使用BK引起的支气管收缩,并且几乎完全抑制了卡托普利对BK诱导的支气管收缩的增强作用。静脉注射P物质(SP;0.1 - 100纳摩尔/千克)、神经激肽A(NKA;0.1 - 30纳摩尔/千克)和神经激肽B(NKB;0.1 - 30纳摩尔/千克)也可诱导剂量依赖性的支气管收缩,但卡托普利处理仅增强了SP诱导的支气管收缩。卡托普利可显著抑制体外支气管肺泡灌洗液(BALF)中BK的降解(p < 0.05)。向豚鼠输注卡托普利可显著增加BK注射后BALF中BK、SP和NKA的水平(p < 0.05)。NK1和NK2受体拮抗剂FK224以及NK2受体拮抗剂SR 48968可显著抑制单独使用BK诱导的支气管收缩(分别为p < 0.01和p < 0.05)以及卡托普利所引起的增强作用(p < 0.01)。可以得出结论,卡托普利增强BK诱导的支气管收缩是由于抑制了BK自身的降解,从而增强了BK从感觉神经释放NKA以及部分释放SP。