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心房利钠肽(ANP)通过ANP(A)受体抑制其自身分泌:实验性高血压中的效应改变。

Atrial natriuretic peptide (ANP) inhibits its own secretion via ANP(A) receptors: altered effect in experimental hypertension.

作者信息

Leskinen H, Vuolteenaho O, Toth M, Ruskoaho H

机构信息

Department of Physiology, University of Oulu, Finland.

出版信息

Endocrinology. 1997 May;138(5):1893-902. doi: 10.1210/endo.138.5.5120.

Abstract

Three atrial natriuretic peptide (ANP) receptors, ANP(A), ANP(B), and ANP(C), have been identified in the heart, suggesting that natriuretic peptides may have direct effects on cardiac function. To characterize the possible role of atrial natriuretic peptide (ANP) in the regulation of its own secretion, we studied here the effects of ANP (greater affinity for ANP(A) than for ANP(B) receptors) and C-type natriuretic peptide (CNP), a potent activator of ANP(B) receptors, on the release of atrial peptides under basal conditions and during acute volume expansion in conscious normotensive Sprague-Dawley rats. The effects of HS-142-1, a nonpeptide ANP(A) and ANP(B) receptor antagonist, on volume load-induced atrial peptide release in 1-yr-old conscious normotensive Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) were also studied. As an index of secretion of atrial peptides from the heart, plasma levels of N-terminal fragment of pro-ANP (NT-ANP) were measured. In Sprague-Dawley rats, i.v. infusion of ANP for 30 min in doses of 0.3 and 1.0 microg/kg x min blocked the plasma immunoreactive NT-ANP (IR-NT-ANP) response to volume load (P < 0.001), whereas CNP had no significant effect. Neither ANP nor CNP infusion had any effect on plasma IR-NT-ANP levels under basal conditions. Bolus administration of HS-142-1 increased baseline plasma IR-ANP concentrations in both WKY and SHR strains (WKY: 3 mg/kg, 46 +/- 8 pmol/liter, P < 0.001; SHR: 1 mg/kg, 26 +/- 9 pmol/liter, P < 0.01; SHR: 3 mg/kg, 40 +/- 12 pmol/liter, P < 0.01). The corresponding increases in plasma IR-NT-ANP concentrations in the SHR in response to administration of HS-142-1 were 0.17 +/- 0.06 nmol/liter (P < 0.01) and 0.40 +/- 0.14 nmol/liter (P < 0.01). Moreover, HS-142-1 (3 mg/kg) augmented plasma IR-ANP and IR-NT-ANP responses to acute volume load in WKY rats. In contrast, HS-142-1 did not enhance the plasma IR-ANP response to acute volume load in SHR and resulted in a smaller increase in the plasma IR-NT-ANP concentration in SHR than in WKY rats. In conclusion, the findings that ANP, but not CNP, inhibited volume expansion-stimulated NT-ANP release and that HS-142-1, an antagonist of guanylate cyclase-linked natriuretic peptide receptors, increased plasma ANP and NT-ANP concentrations show that endogenous ANP directly modulates its own release via ANP(A) receptors in vivo. Furthermore, this modulation of acute volume expansion-induced atrial peptide release appears to be altered in experimental hypertension.

摘要

在心脏中已鉴定出三种心房利钠肽(ANP)受体,即ANP(A)、ANP(B)和ANP(C),这表明利钠肽可能对心脏功能有直接影响。为了阐明心房利钠肽(ANP)在调节其自身分泌中的可能作用,我们在此研究了ANP(对ANP(A)受体的亲和力高于对ANP(B)受体)和C型利钠肽(CNP),一种ANP(B)受体的有效激活剂,对清醒正常血压的Sprague-Dawley大鼠在基础状态下以及急性容量扩张期间心房肽释放的影响。还研究了非肽类ANP(A)和ANP(B)受体拮抗剂HS-142-1对1岁清醒正常血压的Wistar-Kyoto(WKY)大鼠和自发性高血压大鼠(SHR)容量负荷诱导的心房肽释放的影响。作为心脏心房肽分泌的指标,测量了前ANP(NT-ANP)N端片段的血浆水平。在Sprague-Dawley大鼠中,以0.3和1.0μg/kg·min的剂量静脉输注ANP 30分钟可阻断血浆免疫反应性NT-ANP(IR-NT-ANP)对容量负荷的反应(P<0.001),而CNP无显著影响。在基础状态下,输注ANP和CNP均对血浆IR-NT-ANP水平无任何影响。静脉推注HS-142-1可增加WKY和SHR品系的基线血浆IR-ANP浓度(WKY:3mg/kg,46±8pmol/L,P<0.001;SHR:1mg/kg,26±9pmol/L,P<0.01;SHR:3mg/kg,40±12pmol/L,P<0.01)。SHR中给予HS-142-1后血浆IR-NT-ANP浓度相应增加分别为0.17±0.06nmol/L(P<0.01)和0.40±0.14nmol/L(P<0.01)。此外,HS-142-1(3mg/kg)增强了WKY大鼠对急性容量负荷的血浆IR-ANP和IR-NT-ANP反应。相反,HS-142-1并未增强SHR对急性容量负荷的血浆IR-ANP反应,且与WKY大鼠相比,SHR中血浆IR-NT-ANP浓度的增加较小。总之,ANP而非CNP抑制容量扩张刺激的NT-ANP释放以及鸟苷酸环化酶连接的利钠肽受体拮抗剂HS-142-1增加血浆ANP和NT-ANP浓度的结果表明,内源性ANP在体内通过ANP(A)受体直接调节其自身释放。此外,急性容量扩张诱导的心房肽释放的这种调节在实验性高血压中似乎发生了改变。

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