Woods R L
Baker Medical Research Institute, Prahran, Victoria 3181, Australia.
Am J Physiol. 1998 Dec;275(6):R1822-32. doi: 10.1152/ajpregu.1998.275.6.R1822.
Intravenous atrial natriuretic peptide (ANP) usually results in splanchnic vasoconstriction in humans or experimental animals that is accompanied by falls in blood pressure and/or cardiac output. To determine direct in vivo effects in the present study, ANP was infused (12 ng. kg-1. min-1) directly into the mesenteric (iMA) and hepatic (iHA) arterial beds of anesthetized dogs, thereby minimizing changes in blood pressure. Over the first 2 min of iMA infusion, rate of change in mesenteric vascular resistance was 19.6 +/- 5.4 mmHg. l-1. min-1/min, reaching a maximum increase in resistance of 22 +/- 4% compared with baseline after approximately 10 min. There was no evidence of vasodilatation at any stage. The mesenteric response was similar whether ANP was infused iMA, iHA, or via the femoral vein (30 ng. kg-1. min-1). In contrast, hepatic vasoconstrictor response to ANP infusion iHA or into the portal vein was only evident after approximately 5 min, reaching a maximum increase in hepatic vascular resistance of 11 +/- 6% after approximately 15 min iHA infusion. When preinfused through the gut vasculature (iMA), ANP increased hepatic vascular resistance earlier and reached similar levels (14 +/- 3%), despite a lower arterial concentration of ANP. It is proposed that a vasoconstrictor agent from the intestinal circulation contributed to ANP-induced splanchnic vasoconstriction.
静脉注射心房利钠肽(ANP)通常会导致人类或实验动物的内脏血管收缩,同时伴有血压下降和/或心输出量降低。为了在本研究中确定其直接的体内效应,将ANP(12纳克·千克⁻¹·分钟⁻¹)直接注入麻醉犬的肠系膜动脉床(iMA)和肝动脉床(iHA),从而最大程度地减少血压变化。在iMA输注的最初2分钟内,肠系膜血管阻力的变化率为19.6±5.4毫米汞柱·升⁻¹·分钟⁻¹/分钟,在大约10分钟后与基线相比阻力最大增加22±4%。在任何阶段均未发现血管舒张的证据。无论ANP是通过iMA、iHA还是股静脉(30纳克·千克⁻¹·分钟⁻¹)输注,肠系膜的反应都是相似的。相比之下,肝动脉输注ANP或门静脉输注ANP后,肝血管收缩反应仅在大约5分钟后明显,在iHA输注大约15分钟后肝血管阻力最大增加11±6%。当通过肠道血管系统(iMA)预先输注时,尽管动脉中ANP浓度较低,但ANP能更早地增加肝血管阻力并达到相似水平(14±3%)。有人提出,来自肠道循环的一种血管收缩剂促成了ANP诱导的内脏血管收缩。