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血管紧张素II可延长大鼠内脏神经介导的十二指肠黏膜碱性分泌抑制作用。

ANG II prolongs splanchnic nerve-mediated inhibition of duodenal mucosal alkaline secretion in the rat.

作者信息

Johansson B, Holm M, Chen L, Pettersson A, Jönson C, Fändriks L

机构信息

Department of Physiology, Göteborg University, Sweden.

出版信息

Am J Physiol. 1997 Sep;273(3 Pt 2):R942-6. doi: 10.1152/ajpregu.1997.273.3.R942.

Abstract

Hypovolemia inhibits duodenal mucosal alkaline (HCO-3) secretion by activation of sympathoadrenergic nerves. A possible involvement of the renin-angiotensin system was investigated. Experiments were performed on chloralose-anesthetized rats. The mucosal alkaline output by a duodenal segment was measured using in situ pH-stat titration equipment. A modest hypovolemia was induced by bleeding the animals approximately 10% of the total blood volume. This procedure decreased duodenal mucosal alkaline secretion to a sustained level of approximately 50% of baseline and reduced mean arterial pressure by approximately 20 mmHg. Intravenous pretreatment with the angiotensin-converting enzyme (ACE) inhibitor enalaprilate (0.7 mg/kg) or the angiotensin II-receptor antagonist losartan (10 mg/kg) altered the response to hypovolemia to a transient one, and alkaline secretion returned to the control level within 40-50 min. When exogenous angiotensin II was administered intravenously (0.25 and 0.75 microgram.kg-1.h-1), a hypovolemia-induced sustained depression of the secretion was observed even during ACE inhibition. Direct electrical stimulation (3 Hz, 5 V, 5 ms, bilaterally) of the peripheral splanchnic nerves decreased duodenal mucosal alkaline secretion to approximately 60% of the control level and increased mean arterial pressure by approximately 20 mmHg. However, in enalaprilate-pretreated animals, the inhibition of alkaline secretion due to splanchnic nerve stimulation was transient, a response that became sustained on angiotensin II substitution. These results suggest that the renin-angiotensin system prolongs the sympathoadrenergic inhibition of duodenal mucosal alkaline secretion and that angiotensin II, in this regard, acts mainly on the peripheral sympathetic efferents.

摘要

低血容量通过激活交感肾上腺素能神经抑制十二指肠黏膜碱性(HCO-3)分泌。研究了肾素-血管紧张素系统可能的参与情况。实验在氯醛糖麻醉的大鼠身上进行。使用原位pH-stat滴定设备测量十二指肠段的黏膜碱性输出。通过放血使动物血容量减少约总血容量的10%来诱导适度的低血容量。该操作使十二指肠黏膜碱性分泌降至基线水平的约50%并持续,平均动脉压降低约20 mmHg。用血管紧张素转换酶(ACE)抑制剂依那普利拉(0.7 mg/kg)或血管紧张素II受体拮抗剂氯沙坦(10 mg/kg)进行静脉预处理,将对低血容量的反应改变为短暂反应,碱性分泌在40 - 50分钟内恢复到对照水平。当静脉注射外源性血管紧张素II(0.25和0.75微克·kg-1·h-1)时,即使在ACE抑制期间也观察到低血容量诱导的分泌持续抑制。直接电刺激(3 Hz,5 V,5 ms,双侧)外周内脏神经使十二指肠黏膜碱性分泌降至对照水平的约60%,平均动脉压升高约20 mmHg。然而,在依那普利拉预处理的动物中,内脏神经刺激引起的碱性分泌抑制是短暂的,在用血管紧张素II替代后该反应变为持续。这些结果表明,肾素-血管紧张素系统延长了交感肾上腺素能对十二指肠黏膜碱性分泌的抑制,并且在这方面,血管紧张素II主要作用于外周交感传出神经。

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