依那普利和卡托普利在体内外增强缓激肽的心脏抑制和降压作用。

M Prostran, R Samardzić, Z Todorović, D Jovanović-Mićić, N Japundzić, B D Beleslin
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引用次数: 8

摘要

1. 缓激素(累积浓度为0.007-0.09微克ml-1)对豚鼠离体自发跳动心房的等距收缩产生剂量相关的抑制,但在统计学上不显著。相同浓度的缓激肽没有改变心房率,但有轻微降低的趋势。2. 依那普利(4.06或13.54 μ mol l-1),产生了一种剂量相关的增强效应,即最高浓度的缓激肽对等长收缩的影响。3.卡托普利(等摩尔浓度)也增强了最高浓度缓激肽对等长收缩的影响。卡托普利的这种作用与剂量无关。4. 依那普利和卡托普利均未改变缓激肽对心率的影响。5. 缓激肽在麻醉猫中引起剂量相关的降压反应(0.03-1.0微克/千克体重,静脉注射),并有心动过缓的倾向。6. 依那普利(0.3和1.0 mg/kg体重,静脉注射)显著增强缓激肽诱导的低血压和心动过缓。然而,依那普利的增强作用不具有剂量依赖性。7. 卡托普利(0.1、0.3和1.0 mg/kg体重,静脉注射)显著增强缓激肽诱导的低血压和心动过缓。此外,卡托普利的增强作用不具有剂量依赖性。8. ACE抑制剂不能以剂量依赖的方式增强缓激肽的心脏抑制和降压作用,这可以用一些独立于ACE抑制的其他机制来解释。
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The potentiation of cardiodepressant and hypotensive effects of bradykinin by enalapril and captopril both in vitro and in vivo.

1. Bradykinin (cumulative concentrations of 0.007-0.09 micrograms ml-1) produced a dose-related, but statistically insignificant depression of the isometric contraction of the isolated, spontaneously beating atria of the guinea-pig. The same concentrations of bradykinin did not change the atrial rate, but a tendency to a slight decrease was observed. 2. Enalapril (4.06 or 13.54 mumol l-1), produced a dose-related potentiation of the effect of the highest concentration of bradykinin on the isometric contraction. 3. Captopril (equimolar concentrations) also potentiated the effect of the highest concentration of bradykinin on the isometric contraction. This effect of captopril was not dose-related. 4. Both enalapril and captopril did not change the effect of bradykinin on the heart rate. 5. Bradykinin induced dose-related hypotensive responses in anaesthetized cats (0.03-1.0 microgram/kg b.w., i.v.) with a tendency towards bradycardia. 6. Enalapril (0.3 and 1.0 mg/kg b.w., i.v.) significantly potentiated bradykinin-induced hypotension and bradycardia. However, the potentiating effect of enalapril was not dose-dependent. 7. Captopril (0.1, 0.3 and 1.0 mg/kg b.w., i.v.) significantly potentiated bradykinin-induced hypotension and bradycardia. Also, the potentiating effect of captopril was not dose-dependent. 8. The failure of ACE inhibitors to potentiate the cardiodepressant and hypotensive effects of bradykinin in a dose-dependent manner is explained with some other mechanism(s) independent of ACE inhibition.

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