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内毒素血症对清醒大鼠血管紧张素II和精氨酸加压素升压及血管收缩作用的不同影响。

Differential effects of endotoxaemia on pressor and vasoconstrictor actions of angiotensin II and arginine vasopressin in conscious rats.

作者信息

Tarpey S B, Bennett T, Randall M D, Gardiner S M

机构信息

Department of Physiology and Pharmacology, University of Nottingham Medical School, Queen's Medical Centre.

出版信息

Br J Pharmacol. 1998 Apr;123(7):1367-74. doi: 10.1038/sj.bjp.0701751.

Abstract
  1. Regional haemodynamic responses to arginine vasopressin (AVP; 0.5, 1.0, 5.0 pmol i.v.) and angiotensin II (AII; 5.0, 10.0, 50.0 pmol i.v.) were measured in conscious Long Evans rats at various times (0, 2, 6 and 24 h) during infusion of lipopolysaccharide (LPS, 150 microg kg(-1) h(-1), i.v., n=9) or saline (n=9). Additional experiments were performed in vasopressin-deficient (Brattleboro) rats infused with LPS (n=7) or saline (n=8) to determine whether or not, in the absence of circulating vasopressin, responses to the exogenous peptides differed from those in Long Evans rats. 2. In the Long Evans rats, during the 24 h infusion of LPS, there was a changing haemodynamic profile with renal vasodilatation from 2 h onwards, additional mesenteric vasodilatation at 6 h, and a modest hypotension (reduction in mean arterial blood pressure (MAP) from 103+/-1 to 98+/-2 mmHg) associated with renal and hindquarters vasodilatation at 24 h. 3. In the Brattleboro rats, the changes in regional haemodynamics during LPS infusion were more profound than in the Long Evans rats. At 2 h and 6 h, there was a marked fall in MAP (from 103+/-3 mmHg; to 65+/-3 mmHg at 2 h, and to 82+/-4 mmHg at 6 h) associated with vasodilatation in all three vascular beds. After 24 h infusion of LPS, the hypotension was less although still significant (from 103+/-3 mmHg; to 93+/-4 mmHg, a change of 10+/-4 mmHg), and there was renal and hindquarters vasodilatation, but mesenteric vasoconstriction. 4. During infusion of LPS, at each time point studied, and in both strains of rat, pressor responses to AII and AVP were reduced, but the changes were less marked at 6 h than at 2 h or 24 h. The reduced pressor responses were not accompanied by generalized reductions in the regional vasoconstrictor responses. Thus, in the Long Evans rats, the renal vasoconstrictor responses to both peptides were enhanced (at 6 h and 24 h for AVP; at all times for AII), whereas the mesenteric vasoconstrictor response to AVP was unchanged at 2 h, enhanced at 6 h and reduced at 24 h. The mesenteric vasoconstrictor response to AII was reduced at 2 h, normal at 6 h and reduced at 24 h. The small hindquarters vasoconstrictor responses to both peptides were reduced at 2 h and 6 h, but normal at 24 h. 5. In the Brattleboro rats, the renal vasoconstrictor responses to both peptides were reduced at 2 h and enhanced at 6 h and 24 h, whereas the mesenteric vasoconstrictor response to AVP was normal at 2 h and 6 h, and reduced at 24 h. The response to AII was reduced at 2 h, normal at 6 h and reduced again at 24 h. There were no reproducible hindquarters vasoconstrictions to AVP in the Brattleboro rats. The small hindquarters vasoconstrictor responses to AII were unchanged at 2 h and enhanced at 6 h and 24 h. 6. In isolated perfused mesenteric vascular beds, removed after 24 h of LPS infusion in vivo, there was an increase in the potency of AVP in both strains (Long Evans, ED50 saline: 56.9+/-15.0 pmol, ED50 LPS: 20.4+/-4.8 pmol, Brattleboro, ED50 saline: 38.6+/-4.2, ED50 LPS: 19.6+/-2.9 pmol), but no change in the responses to AII. 7. These findings indicate that a reduced pressor response to a vasoconstrictor challenge during LPS infusion is not necessarily associated with a reduced regional vasoconstriction. The data obtained in the Brattleboro rats indicate a potentially important role for vasopressin in maintaining haemodynamic status during LPS infusion in Long Evans rats. However, it is unlikely that the responses to exogenous AVP (or AII) are influenced by changes in the background level of endogenous vasopressin, since the patterns of change were similar in Long Evans and Brattleboro rats. 8. The results obtained in isolated perfused mesenteric vascular beds differed from those in vivo, possibly due to the conditions pertaining with in vitro perfusion.
摘要
  1. 在清醒的Long Evans大鼠中,于静脉输注脂多糖(LPS,150μg kg⁻¹ h⁻¹,静脉注射,n = 9)或生理盐水(n = 9)的不同时间点(0、2、6和24小时),测量对精氨酸加压素(AVP;0.5、1.0、5.0 pmol静脉注射)和血管紧张素II(AII;5.0、10.0、50.0 pmol静脉注射)的局部血流动力学反应。在输注LPS(n = 7)或生理盐水(n = 8)的加压素缺乏(Brattleboro)大鼠中进行了额外实验,以确定在缺乏循环加压素的情况下,对外源肽的反应是否与Long Evans大鼠不同。2. 在Long Evans大鼠中,在24小时输注LPS期间,血流动力学特征发生变化,从2小时起肾血管舒张,6小时出现额外的肠系膜血管舒张,24小时出现适度低血压(平均动脉血压(MAP)从103±1降至98±2 mmHg),伴有肾和后肢血管舒张。3. 在Brattleboro大鼠中,LPS输注期间局部血流动力学变化比Long Evans大鼠更显著。在2小时和6小时,MAP显著下降(从103±3 mmHg;2小时时降至65±3 mmHg,6小时时降至82±4 mmHg),伴有所有三个血管床的血管舒张。输注LPS 24小时后,低血压程度较轻但仍显著(从103±3 mmHg;降至93±4 mmHg,变化10±4 mmHg),存在肾和后肢血管舒张,但肠系膜血管收缩。4. 在输注LPS期间,在研究的每个时间点,以及在两种品系的大鼠中,对AII和AVP的升压反应均降低,但6小时时的变化不如2小时或24小时时明显。升压反应降低并未伴有局部血管收缩反应的普遍降低。因此,在Long Evans大鼠中,对两种肽的肾血管收缩反应增强(AVP在6小时和24小时;AII在所有时间),而对AVP的肠系膜血管收缩反应在2小时不变,6小时增强,24小时降低。对AII的肠系膜血管收缩反应在2小时降低,6小时正常,24小时降低。对两种肽的小后肢血管收缩反应在2小时和6小时降低,但24小时正常。5. 在Brattleboro大鼠中,对两种肽的肾血管收缩反应在2小时降低,6小时和24小时增强,而对AVP的肠系膜血管收缩反应在2小时和6小时正常,24小时降低。对AII的反应在2小时降低,6小时正常,24小时再次降低。Brattleboro大鼠中对AVP没有可重复的后肢血管收缩。对AII的小后肢血管收缩反应在2小时不变,6小时和24小时增强。6. 在体内输注LPS 24小时后取出的离体灌注肠系膜血管床中,两种品系(Long Evans,生理盐水ED50:56.9±15.0 pmol,LPS ED50:20.4±4.8 pmol;Brattleboro,生理盐水ED50:38.6±4.2,LPS ED50:19.6±2.9 pmol)中AVP的效力均增加,但对AII的反应无变化。7. 这些发现表明,在LPS输注期间对血管收缩剂刺激的升压反应降低不一定与局部血管收缩降低相关。在Brattleboro大鼠中获得的数据表明,加压素在维持Long Evans大鼠LPS输注期间的血流动力学状态中可能起重要作用。然而,对外源AVP(或AII)的反应不太可能受内源性加压素背景水平变化的影响,因为Long Evans和Brattleboro大鼠的变化模式相似。8. 在离体灌注肠系膜血管床中获得的结果与体内结果不同,可能是由于体外灌注的相关条件所致。

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