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血管紧张素AT1受体拮抗剂GR138950的降压特性及肾性高血压大鼠潜在稳态代偿机制的影响。

The antihypertensive profile of the angiotensin AT1 receptor antagonist, GR138950, and the influence of potential homeostatic compensatory mechanisms in renal hypertensive rats.

作者信息

Anderson I K, Drew G M

机构信息

Disease Sciences, Glaxo Wellcome Medicines Research Centre, Stevenage, Hertfordshire.

出版信息

Br J Pharmacol. 1998 Nov;125(6):1236-46. doi: 10.1038/sj.bjp.0702187.

Abstract

The cardiovascular profile of the angiotensin AT1 receptor antagonist, GR138950, and the influence of potential compensatory homeostatic mechanisms on this profile, were investigated in renal artery ligated hypertensive (RALH) rats. GR138950 caused a marked reduction in blood pressure associated with immediate tachycardia in conscious RALH rats. The antihypertensive action of GR138950 appeared biphasic; an immediate fall in blood pressure, which plateaued within 1 h, and which was followed by a further slow decline that reached maximum between 5-7 h after administration. The tachycardia caused by GR138950 was attenuated by atenolol and was abolished by combined pretreatment with atenolol and atropine methyl nitrate. However, the antihypertensive profile of GR138950 was unchanged by these pretreatments. The resting blood pressure and the antihypertensive effect of GR138950, in RALH rats, were unaffected by the vasopressin V1 receptor antagonist, [beta-mercapto-beta,beta-cyclopentamethylene propionyl(1)-O-Me-Tyr2,Arg8]-vasopressin. Thus, vasopressinergic mechanisms are not involved in either maintaining blood pressure in RALH rats, or in compensating for the fall in blood pressure caused by GR138950. In anaesthetized RALH rats, GR138950 caused a marked fall in blood pressure that was accompanied by an increase in heart rate along with sustained increases in renal and splanchnic sympathetic nerve activity. In summary, the biphasic fall in blood pressure evoked by GR138950 in RALH rats can not be explained on the basis of changes in autonomic control of the heart, alteration of vasopressin-mediated vasoconstrictor mechanisms or overall suppression of central sympathetic outflow. Rather, increased vasoconstrictor tone might serve to oppose the initial fall in blood pressure.

摘要

在肾动脉结扎性高血压(RALH)大鼠中,研究了血管紧张素AT1受体拮抗剂GR138950的心血管特征以及潜在的代偿性稳态机制对该特征的影响。GR138950可使清醒RALH大鼠的血压显著降低,并伴有即刻心动过速。GR138950的降压作用呈双相性:血压即刻下降,1小时内趋于平稳,随后进一步缓慢下降,给药后5 - 7小时达到最大降幅。GR138950引起的心动过速被阿替洛尔减弱,且联合阿替洛尔和硝酸甲基阿托品预处理可消除该心动过速。然而,这些预处理并未改变GR138950的降压特征。在RALH大鼠中,GR138950的静息血压和降压作用不受血管加压素V1受体拮抗剂[β-巯基-β,β-环戊亚甲基丙酰基(1)-O-甲基-Tyr2,Arg8]-血管加压素的影响。因此,血管加压素能机制既不参与维持RALH大鼠的血压,也不参与补偿GR138950引起的血压下降。在麻醉的RALH大鼠中,GR138950可使血压显著下降,同时伴有心率增加以及肾和内脏交感神经活动持续增加。总之,GR138950在RALH大鼠中引起的双相性血压下降,不能基于心脏自主控制的变化、血管加压素介导的血管收缩机制的改变或中枢交感神经输出的整体抑制来解释。相反,血管收缩张力增加可能起到对抗初始血压下降的作用。

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