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脑室内注射血管紧张素II对清醒绵羊的全身和局部血流动力学的长期影响。

Prolonged systemic and regional haemodynamic effects of intracerebroventricular angiotensin II in conscious sheep.

作者信息

May C N

机构信息

Howard Florey Institute of Experimental Physiology and Medicine, University of Melbourne, Parkville, Victoria, Australia.

出版信息

Clin Exp Pharmacol Physiol. 1996 Oct-Nov;23(10-11):878-84. doi: 10.1111/j.1440-1681.1996.tb01137.x.

DOI:10.1111/j.1440-1681.1996.tb01137.x
PMID:8911729
Abstract
  1. The haemodynamic mechanisms by which infusion of angiotensin II (AngII), either into the lateral cerebral ventricles (i.c.v.) or intravenously (i.v.), increased arterial pressure were studied in conscious sheep. 2. Sheep were previously fitted with flow probes for measurement of cardiac output and coronary, mesenteric, renal and iliac blood flows. 3. Intracerebroventricular AngII (10 nmol/h for 1 h) increased arterial pressure by 11 +/- 4 mmHg (P < 0.001) due to vasoconstriction, predominantly in the mesentric vasculature. These effects developed over 30 min and took 2 h to return to control. Following the infusion renal conductance increased continuously for 3 h, resulting in a parallel increase in renal blood flow (to 75 +/- 18 mL/min above control, P < 0.001). 4. Intracerebroventricular AngII increased plasma vasopressin from 0.8 +/- 0.3 to 7.2 +/- 1.8 pg/mL (P, 0.01), and reduced plasma renin concentration from 0.9 +/- 0.3 to < 0.4 nmol/L/h. 5. The pressor effect of i.v. AngII (5, 10, 25, 50 nmol/h) also depended on peripheral vasoconstriction, but the pattern of responses was different. The greatest degree of vasoconstriction occurred in the renal, followed by the mesentric and iliac vascular beds; these effects were rapid in onset and offset. 6. In conclusion, the pressor responses to both i.c.v. and i.v. angiotensin depended on peripheral vasoconstriction, but there were contrasting regional haemodynamic changes. ICV AngII caused a prolonged pressor response, mainly due to mesentric vasoconstriction possibly partly due to vasopressin release, and following the infusion there was a pronounced, long-lasting renal vasodilatation. In contrast, i.v. AngII caused vasoconstriction preferentially in the renal vascular bed and its effects were short lasting.
摘要
  1. 我们在清醒绵羊中研究了向侧脑室(脑室内)或静脉内注射血管紧张素II(AngII)升高动脉血压的血流动力学机制。2. 绵羊先前已安装流量探头,用于测量心输出量以及冠状动脉、肠系膜、肾和髂血管的血流量。3. 脑室内注射AngII(10 nmol/h,持续1小时)使动脉血压升高11±4 mmHg(P<0.001),这是由于血管收缩,主要发生在肠系膜血管系统。这些效应在30分钟内出现,2小时后恢复到对照水平。注射后肾电导持续增加3小时,导致肾血流量平行增加(比对照高75±18 mL/min,P<0.001)。4. 脑室内注射AngII使血浆血管加压素从0.8±0.3升高至7.2±1.8 pg/mL(P<0.01),并使血浆肾素浓度从0.9±0.3降低至<0.4 nmol/L/h。5. 静脉注射AngII(5、10、25、50 nmol/h)的升压作用也依赖于外周血管收缩,但反应模式不同。最大程度的血管收缩发生在肾血管,其次是肠系膜和髂血管床;这些效应起效和消退都很快。6. 总之,对脑室内和静脉内注射血管紧张素的升压反应均依赖于外周血管收缩,但存在不同的局部血流动力学变化。脑室内注射AngII引起持久的升压反应,主要是由于肠系膜血管收缩,可能部分归因于血管加压素释放,注射后有明显的、持久的肾血管舒张。相比之下,静脉注射AngII优先引起肾血管床收缩,且其作用持续时间短。

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