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雌激素通过改变肾素-血管紧张素系统的血管收缩-血管舒张平衡来保护转基因高血压大鼠。

Estrogen protects transgenic hypertensive rats by shifting the vasoconstrictor-vasodilator balance of RAS.

作者信息

Brosnihan K B, Li P, Ganten D, Ferrario C M

机构信息

Hypertension Center, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27157-1032, USA.

出版信息

Am J Physiol. 1997 Dec;273(6):R1908-15. doi: 10.1152/ajpregu.1997.273.6.R1908.

DOI:10.1152/ajpregu.1997.273.6.R1908
PMID:9435644
Abstract

In pursuit of the hypothesis that estrogen shifts the vasoconstrictor-vasodilator balance of the renin-angiotensin system, we investigated the cardiovascular responses to administration of angiotensin-(1-7) [ANG-(1-7)] and angiotensin II (ANG II) in female transgenic (mRen2)27-positive [Tg(+)] and -negative [Tg(-)] rats in the presence and absence of 3 wk of estrogen replacement therapy. Fifty-three female Tg(-) and Tg(+) rats were oophorectomized and received either 17 beta-estradiol (1.5 mg/rat s.c. for 3 wk) or vehicle. At the end of 3 wk of estrogen treatment, mean blood pressure was lowered in freely moving chronically cannulated Tg(+) (159 +/- 4 vs. 145 +/- 5 mmHg, P < 0.05) and Tg(-) (119 +/- 4 vs. 108 +/- 2 mmHg, P < 0.05) rats. Moreover, the magnitude of the depressor component of the biphasic response to ANG-(1-7) was significantly enhanced in estrogen-treated Tg(+) rats, whereas the pressor component to ANG-(1-7) was attenuated in both Tg(+) and Tg(-) rats. Estrogen replacement significantly attenuated the pressor response to ANG II in both Tg(+) and Tg(-) rats. In addition, estrogen replacement therapy significantly reduced plasma ANG-converting enzyme activity in association with a reduction in circulating levels of ANG II. Tissue levels (kidney and aorta) of ANG-converting enzyme were also reduced with chronic estrogen replacement therapy. On the other hand, estrogen augmented the levels of plasma ANG-(1-7) in Tg(+) animals. Plasma renin activity was unchanged with estrogen treatment. These findings provide the first evidence demonstrating that estrogen is protective against hypertension, possibly by amplifying the vasodilator contributions of ANG-(1-7), while reducing the formation and vasoconstrictor actions of ANG II.

摘要

为了验证雌激素会改变肾素 - 血管紧张素系统的血管收缩 - 血管舒张平衡这一假说,我们研究了在接受和未接受3周雌激素替代疗法的情况下,雌性转基因(mRen2)27阳性[Tg(+)]和阴性[Tg(-)]大鼠对给予血管紧张素-(1 - 7)[ANG-(1 - 7)]和血管紧张素II(ANG II)的心血管反应。53只雌性Tg(-)和Tg(+)大鼠接受了卵巢切除术,并分别接受17β - 雌二醇(1.5mg/大鼠,皮下注射,共3周)或赋形剂。在雌激素治疗3周结束时,自由活动的长期插管的Tg(+)大鼠(159±4 vs. 145±5 mmHg,P<0.05)和Tg(-)大鼠(119±4 vs. 108±2 mmHg,P<0.05)的平均血压降低。此外,在雌激素处理的Tg(+)大鼠中,对ANG-(1 - 7)双相反应的降压成分的幅度显著增强,而在Tg(+)和Tg(-)大鼠中,对ANG-(1 - 7)的升压成分均减弱。雌激素替代在Tg(+)和Tg(-)大鼠中均显著减弱了对ANG II的升压反应。此外,雌激素替代疗法与ANG II循环水平降低相关,显著降低了血浆血管紧张素转换酶活性。长期雌激素替代疗法也降低了血管紧张素转换酶的组织水平(肾脏和主动脉)。另一方面,雌激素增加了Tg(+)动物血浆ANG-(1 - 7)的水平。雌激素治疗后血浆肾素活性未改变。这些发现首次证明,雌激素可能通过增强ANG-(1 - 7)的血管舒张作用,同时减少ANG II的形成和血管收缩作用,从而对高血压具有保护作用。

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