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二氢吡啶对妊娠大鼠肾上腺被膜制剂中醛固酮分泌的影响。

Effects of dihydropyridines on aldosterone secretion in adrenal capsule preparations from pregnant rats.

作者信息

Brochu M, Picard S, Jodoin S, St-Louis J

机构信息

Research Center, Sainte-Justine's Hospital, Montréal, Québec, Canada.

出版信息

Am J Physiol. 1997 Jan;272(1 Pt 1):E18-24. doi: 10.1152/ajpendo.1997.272.1.E18.

Abstract

The primary aim of this study was to determine when sensitivity in the aldosterone response to extracellular potassium (K+) decreases during pregnancy. Second, it tested the hypothesis that calcium channel alterations occur in the adrenal cortex during pregnancy. The decreased sensitivity to K+, observed at 22 days of gestation, was not evident at 15 days and between 18 and 36 h postpartum. Increases in extracellular calcium concentration heightened sensitivity to K+ in adrenal capsule preparations derived from nonpregnant rats but had no effect in pregnant animals. The influence of nifedipine and BAY K 8644 (blocker and activator, respectively, of voltage-operated calcium channels) on the aldosterone response to K+ and to adrenocorticotropic hormone (ACTH) was studied. Sensitivity to K+ in nonpregnant rats decreased in the presence of nifedipine and became similar to that in pregnant rats. Responses to ACTH were not affected by nifedipine. BAY K 8644 produced a larger increase in sensitivity in adrenal capsule preparations from pregnant than from nonpregnant rats, leading to superposition of the two dose-response curves to K+. These results indicate that voltage-operated calcium channels involved in aldosterone secretion are functionally impaired during pregnancy.

摘要

本研究的主要目的是确定孕期醛固酮对细胞外钾(K+)反应的敏感性何时降低。其次,它检验了孕期肾上腺皮质发生钙通道改变的假设。在妊娠22天时观察到的对K+敏感性降低,在妊娠15天时以及产后18至36小时并不明显。细胞外钙浓度升高会增强非妊娠大鼠肾上腺被膜制剂对K+的敏感性,但对妊娠动物没有影响。研究了硝苯地平(nifedipine)和BAY K 8644(分别为电压门控钙通道的阻滞剂和激活剂)对醛固酮对K+和促肾上腺皮质激素(ACTH)反应的影响。在硝苯地平存在的情况下,非妊娠大鼠对K+的敏感性降低,变得与妊娠大鼠相似。对ACTH的反应不受硝苯地平影响。与非妊娠大鼠相比,BAY K 8644使妊娠大鼠肾上腺被膜制剂的敏感性增加幅度更大,导致两条对K+的剂量反应曲线叠加。这些结果表明,参与醛固酮分泌的电压门控钙通道在孕期功能受损。

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