Contribution of hemodynamic variables to the lowering of blood pressure by substance P in the anesthetized rat.

J C Hancock, D B Hoover, R H Orcutt, T W Smith
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Abstract

The radioactive microsphere technique was used to determine the contribution of acute changes in systemic hemodynamic variables to the lowering of blood pressure caused by substance P in rats anesthetized with urethane. Infusion of 0.74 nmol/kg/min of substance P caused a decrease of blood pressure, cardiac output, stroke volume and blood flow to most tissues. Total and regional vascular resistances were not affected. Heart rate was increased. These results suggest that the lowering of blood pressure caused by substance P occurs as a result of the decreased stroke volume and cardiac output. The most likely explanation for the decreased stroke volume is a decreased venous return. Several studies have shown that substance P has a direct effect to dilate peripheral arteries. Since substance P dilates arteries, one would expect a decrease of peripheral vascular resistance. The results of this study suggest, however, that counter-regulatory processes, elicited in response to the vasodilatation and direct effects of substance P on sympathetic ganglia to increase the sympathetic nervous system activity, offset the direct effect of substance P on arteries that would otherwise cause a decrease of peripheral vascular resistance.

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P物质麻醉大鼠血流动力学变量对血压降低的贡献。
用放射性微球技术测定了氨基甲酸乙酯麻醉大鼠P物质引起的全身血流动力学指标的急性变化对血压降低的贡献。P物质输注0.74 nmol/kg/min后,血压、心输出量、脑卒中量和大部分组织血流量均下降。总血管阻力和局部血管阻力不受影响。心率增加。这些结果表明,P物质引起的血压降低是由于卒中量和心输出量的减少。最可能的解释是卒中容量减少是静脉回流减少。多项研究表明,P物质具有直接扩张外周动脉的作用。由于P物质使动脉扩张,人们预期外周血管阻力会降低。然而,本研究结果表明,P物质对交感神经节的直接作用引起的血管舒张反应和反调节过程增加了交感神经系统的活性,抵消了P物质对动脉的直接作用,否则会导致外周血管阻力降低。
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