AIM:The effects of losartan on blood pressure and on renal function have mainly been attributed to AT1 receptor blockade. Experimental evidence suggests that these effects could also be related to the actions of angiotensin II through AT2 receptors or to vasodilatory systems. The present study was therefore designed to investigate the manner in which the acute effects of losartan on renal excretory function are affected during simultaneous administration of an AT2 receptor antagonist, a kinin B2 receptor antagonist, a cyclo-oxygenase inhibitor or a nitric oxide synthesis inhibitor.

MATERIALS AND METHODS:The AT2 receptor antagonist PD 123319 (10 mg/kg), the bradykinin B2 receptor antagonist Hoe 140 (30 mu g/kg), the cyclo-oxygenase inhibitor meclofenamate (5 mg/kg) and the nitric oxide synthesis inhibitor NG-monomethyl-L-arginine (1 mu g/kg per min) were administered separately with acute intravenous losartan (1 mg/kg) to spontaneously hypertensive rats and the effects on mean arterial pressure and renal excretory function were assessed.

RESULTS:Losartan reduced mean arterial pressure by 11.1 +/- 5.7 mmHg and increased the glomerular filtration rate, urine flow and sodium excretion rate. The decrease in mean arterial pressure was blocked in the presence of NG-monomethyl-L-arginine but not during concurrent administration of PD 123319, Hoe 140 or meclofenamate. The increase in glomerular filtration rate induced by losartan was blunted by Hoe 140, meclofenamate and NG-monomethyl-L-arginine. Co-administration of PD 123319, Hoe 140 or meclofenamate, but not of NG-monomethyl-L-arginine, partially blunted the diuresis and natriuresis induced by losartan.

CONCLUSIONS:Nitric oxide participates in the antihypertensive action of losartan. Kinins, prostaglandins and nitric oxide appear to be involved in the effects of losartan on the glomerular filtration rate. The increases in urine flow and sodium excretion rate induced by losartan depend partially on AT2 receptors, kinins and prostaglandins.

译文

目的 : 氯沙坦对血压和肾功能的影响主要归因于AT1受体阻滞。实验证据表明,这些作用也可能与血管紧张素II通过AT2受体的作用或血管舒张系统有关。因此,本研究旨在研究在同时施用AT2受体拮抗剂 (激肽B2受体拮抗剂) 期间影响氯沙坦对肾脏排泄功能的急性作用的方式,环加氧酶抑制剂或一氧化氮合成抑制剂。材料和方法: AT2受体拮抗剂PD 123319 (10 mg/kg),缓激肽B2受体拮抗剂Hoe 140 (30 μ g/kg),将环加氧酶抑制剂甲氯芬那酯 (5 mg/kg) 和一氧化氮合成抑制剂NG-单甲基-L-精氨酸 (1 μ g/kg/min) 与急性静脉氯沙坦 (1 mg/kg) 分别给予自发性高血压大鼠,并评估了对平均动脉压和肾脏排泄功能的影响。
结果 : 氯沙坦可使平均动脉压降低11.1/- 5.7 mmHg,并增加肾小球滤过率,尿液流量和钠排泄率。在存在NG-单甲基-L-精氨酸的情况下,平均动脉压的降低被阻断,但在同时施用PD 123319,Hoe 140或甲氯芬酯期间不被阻断。氯沙坦引起的肾小球滤过率的增加被140,甲氯芬酯和NG-单甲基-L-精氨酸抑制。同时使用PD 123319,Hoe 140或甲氯芬那酯,但不使用NG-单甲基-L-精氨酸,部分减弱了氯沙坦诱导的利尿和利尿。
结论 : 一氧化氮参与氯沙坦的降压作用。激肽,前列腺素和一氧化氮似乎与氯沙坦对肾小球滤过率的影响有关。氯沙坦诱导的尿液流量和钠排泄率的增加部分取决于AT2受体,激肽和前列腺素。

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