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慢性卡托普利治疗对SHR大鼠循环及组织肾素-血管紧张素系统的影响。

Effect of chronic captopril treatment on circulating and tissue renin-angiotensin system in SHR rats.

作者信息

Hu W Y, Chen D G, Chen S C, Jin X Q, Wang H J

机构信息

Hypertension Division, First Affiliated Hospital, Fujian Medical College, Fuzhou, China.

出版信息

Zhongguo Yao Li Xue Bao. 1996 Nov;17(6):507-12.

PMID:9863143
Abstract

AIM

To study the effect of captopril treatment and its withdrawal on the circulating and tissue peptidyl-dipeptidase A, angiotensinogen (AGT), and angiotensin II (A II), in relation to left ventricular hypertrophy (LVH) and systolic blood pressure (SBP).

METHODS

SHR male rats were given captopril 100 mg.kg-1.d-1 [SHRcap, number (n) = 43] orally in mixture with milk powder as vehicle from intrautero period of 16 wk of age. Rats were killed at 16 (n = 19) and 40 (n = 24) wk of age, respectively. Male, age-matched untreated SHR and WKY rats served as controls. SBP, left ventricular mass/body weight (LVM/BW) ratio, left ventricular (LV) myocardium and plasma A II concentration, aortic and serum peptidyl-dipeptidase A activity, AGT mRNA level in kidney and liver, renal renin mRNA level were determined.

RESULTS

Captopril treatment decreased SBP and reduced LVM/BW at 16 and 40 wk of age, and persistently inhibited LV myocardium A II, aortic peptidyl-dipeptidase A activity, and AGT gene expression in kidney even after the treatment was removed. Nevertheless, no changes were found in plasma A II concentration, serum peptidyl-dipeptidase A activity, and AGT mRNA level in liver by captopril therapy. Renal renin mRNA level was low in SHR and WKY rats, but it was increased by captopril treatment. Tissue renin-angiotensin system (RAS) such as AGT mRNA in kidney, aortic peptidyl-dipeptidase A activity, and LV myocardium A II, rather than circulating RAS (AGT mRNA in liver, renin mRNA in kidney, serum peptidyl-dipeptidase A activity and plasma A II), were persistently inhibited by early captopril treatment, even after the withdrawal of the treatment.

CONCLUSION

The long-term inhibition of tissue RAS is one of the mechanisms of the persistent hypotensive effect of captopril treatment.

摘要

目的

研究卡托普利治疗及其撤药对循环及组织肽基二肽酶A、血管紧张素原(AGT)和血管紧张素II(A II)的影响,并探讨其与左心室肥厚(LVH)和收缩压(SBP)的关系。

方法

从16周龄的子宫内发育期开始,将SHR雄性大鼠以100 mg·kg-1·d-1的剂量口服卡托普利[SHRcap,数量(n)=43],与作为赋形剂的奶粉混合。大鼠分别在16周龄(n = 19)和40周龄(n = 24)时处死。年龄匹配的未治疗的雄性SHR和WKY大鼠作为对照。测定SBP、左心室质量/体重(LVM/BW)比值、左心室(LV)心肌和血浆A II浓度、主动脉和血清肽基二肽酶A活性、肾脏和肝脏中AGT mRNA水平、肾脏肾素mRNA水平。

结果

卡托普利治疗在16周龄和40周龄时降低了SBP并降低了LVM/BW,即使在撤药后仍持续抑制左心室心肌A II、主动脉肽基二肽酶A活性以及肾脏中的AGT基因表达。然而,卡托普利治疗对血浆A II浓度、血清肽基二肽酶A活性和肝脏中AGT mRNA水平没有影响。SHR和WKY大鼠的肾脏肾素mRNA水平较低,但卡托普利治疗使其升高。早期卡托普利治疗即使在撤药后仍持续抑制组织肾素-血管紧张素系统(RAS),如肾脏中的AGT mRNA、主动脉肽基二肽酶A活性和左心室心肌A II,而不是循环RAS(肝脏中的AGT mRNA、肾脏中的肾素mRNA、血清肽基二肽酶A活性和血浆A II)。

结论

长期抑制组织RAS是卡托普利治疗持续降压作用的机制之一。

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