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氯沙坦和血管紧张素II通过对肾上腺内肾素-血管紧张素系统的不同作用来抑制无肾大鼠的醛固酮生成。

Losartan and angiotensin II inhibit aldosterone production in anephric rats via different actions on the intraadrenal renin-angiotensin system.

作者信息

Peters J, Obermüller N, Woyth A, Peters B, Maser-Gluth C, Kränzlin B, Gretz N

机构信息

Department of Pharmacology, University of Heidelberg, Germany.

出版信息

Endocrinology. 1999 Feb;140(2):675-82. doi: 10.1210/endo.140.2.6489.

DOI:10.1210/endo.140.2.6489
PMID:9927293
Abstract

Angiotensin II (ANG II) is a major stimulator of aldosterone biosynthesis. When investigating the relative contribution of circulating and locally produced ANG II, we were therefore surprised to find that ANG II, given chronically s.c. (200 ng/kg x min), markedly inhibits a nephrectomy (NX)-induced rise of aldosterone concentrations (from 10 +/- 2 to 465 +/- 90 ng/100 ml in vehicle infused, and from 9 +/- 2 to 177 +/- 35 in ANG II infused rats 55 h after NX and hemodialysis). We further observed, by in situ hybridization, that bilateral NX increases the number of adrenocortical cells expressing renin and that this rise was prevented by ANG II. Moreover, the rise of aldosterone levels was also inhibited by the AT1-receptor antagonist, losartan (10 microg/kg x min, chronically i.p. from 8 +/- 2 to 199 +/- 26 ng/100 ml), despite the absence of circulating renin and a reduction of ANG I to less than 10%. These data demonstrate that aldosterone production, after NX, is regulated by an intraadrenal renin-angiotensin system and that this system is physiologically suppressed by circulating angiotensin. Because the effects of losartan or ANG II on aldosterone production involved a latency period of at least 30 h after NX and were associated with a modulation or recruitment of renin-producing cells, we suggest that the intraadrenal renin-angiotensin system operates via regulation of cell differentiation on a long-term scale, rather than or additionally to its short-term effects on aldosterone synthase activity.

摘要

血管紧张素II(ANG II)是醛固酮生物合成的主要刺激物。因此,在研究循环系统和局部产生的ANG II的相对作用时,我们惊讶地发现,长期皮下注射(200 ng/kg×min)ANG II可显著抑制肾切除(NX)诱导的醛固酮浓度升高(在输注溶媒的大鼠中,醛固酮浓度从10±2 ng/100 ml升至465±90 ng/100 ml;在NX和血液透析55小时后输注ANG II的大鼠中,醛固酮浓度从9±2 ng/100 ml升至177±35 ng/100 ml)。我们通过原位杂交进一步观察到,双侧NX增加了表达肾素的肾上腺皮质细胞数量,而ANG II可阻止这种增加。此外,尽管循环肾素缺乏且ANG I降至不到10%,但AT1受体拮抗剂氯沙坦(10 μg/kg×min,长期腹腔注射)也可抑制醛固酮水平升高(从8±2 ng/100 ml降至199±26 ng/100 ml)。这些数据表明,NX后醛固酮的产生受肾上腺内肾素-血管紧张素系统调节,且该系统受到循环血管紧张素的生理性抑制。由于氯沙坦或ANG II对醛固酮产生的影响在NX后至少有30小时的潜伏期,且与产生肾素细胞的调节或募集有关,我们认为肾上腺内肾素-血管紧张素系统通过长期调节细胞分化起作用,而不是仅对醛固酮合酶活性产生短期影响,或者是在短期影响之外还通过长期调节细胞分化起作用。

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