抗高血压利尿剂治疗自发性高血压大鼠心房利钠肽和抗利尿素肾受体的改变。

T Ogura, N Nishida, H Watanabe, T Omiya, T Yamauchi, M Hosoya, H Hirata, N Kashihara, Z Ota
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引用次数: 0

摘要

为了研究抗高血压利尿剂治疗自发性高血压大鼠(SHR)控制高血压状态下肾房利钠肽(ANP)和精氨酸加压素(AVP)受体的变化,12周龄SHR每天服用抗高血压利尿剂、速尿、三氯甲氮肼或吲达帕胺,连续10天,并通过ANP和AVP的放射性标记受体测定(RRA)进行研究。降压利尿剂治疗组第3天尿量较未治疗组显著增加。同时使用三氯噻嗪和吲达帕胺治疗组的收缩压明显降低。肾ANP受体数量减少;亲和性仅在给予吲达帕胺的SHR组增加。肾脏AVP受体的亲和力也在该组下降。ANP和AVP受体的改变仅在吲达帕胺组观察到。这表明SHR肾内ANP和AVP受体的改变不仅是利尿或降压引起的,还与吲达帕胺的药理作用有关。
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Alteration of renal receptors for atrial natriuretic peptide and vasopressin in spontaneously hypertensive rats treated with antihypertensive diuretics.

To investigate the alteration of the renal atrial natriuretic peptide (ANP) and arginine vasopressin (AVP) receptors in the controlled hypertensive state of spontaneously hypertensive rat (SHR) treated with antihypertensive diuretics, 12 weeks old SHRs were administered an antihypertensive diuretic, furosemide, trichloromethiazide, or indapamide, daily for 10 days and investigated by radiolabeled receptor assay (RRA) of ANP and AVP. The urine volume was significantly increased in all groups treated with antihypertensive diuretics as compared with the untreated control group on day 3. Systolic blood pressure was significantly decreased in groups treated with both trichloromethiazide and indapamide. The number of renal ANP receptors decreased; affinity was increased only in the SHR administered indapamide. The affinity of the renal AVP receptor was also decreased in that group. Alteration of ANP and AVP receptors was observed only in the group treated with indapamide. This indicates that the ANP and AVP receptor in the kidney of SHR was changed not only by diuresis or reduction of blood pressure, but by the pharmacological action of indapamide.

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