This study was conducted to examine the role of bradykinin in the persistence of the renal vasodilator effect of captopril during angiotensin II receptor blockade. Blood pressure and renal blood flow were monitored in eight groups of pentobarbital-anesthetized rabbits. In group 4, captopril alone was administered, and it decreased blood pressure by 14 +/- 4 mm Hg and increased renal blood flow by 21 +/- 4 ml/min. After a bolus injection and a constant intravenous infusion of the imidazole derivative angiotensin II receptor antagonist DuP 753 (group 5), captopril decreased blood pressure by 9 +/- 2 mm Hg and increased renal blood flow by 8 +/- 1 ml/min (12 +/- 1% change in renal blood flow, p less than 0.05 versus group 4). In the presence of a constant intravenous infusion of saralasin (group 6), captopril decreased blood pressure by 13 +/- 5 mm Hg and increased renal blood flow by 7 +/- 2 ml/min (17 +/- 5% change in renal blood flow, p less than 0.05 versus group 4). These results did not differ from those in group 5. During a constant intrarenal arterial infusion of a B2 bradykinin receptor antagonist, DArg0, [Hyp3-Thi5,8-DPhe7]-bradykinin (BkA) (group 7), captopril decreased blood pressure by 14 +/- 4 mm Hg and increased renal blood flow by 10 +/- 4 ml/min. Combined administration of DuP 753 intravenously and BkA intra-arterially (group 8) eliminated the effect of captopril. In group 8, captopril caused insignificant changes in blood pressure and renal blood flow. The results indicate that DuP 753 and saralasin antagonize the renin-angiotensin system to a comparable extent in vivo. Although blockade of the latter system accounted for a significant part of the increase in renal blood flow caused by captopril, the remaining component was contributed by endogenous bradykinin.

译文

:本研究旨在检查缓激肽在血管紧张素II受体阻断期间卡托普利对肾脏血管舒张作用的持续作用中的作用。在八组戊巴比妥麻醉的兔子中监测血压和肾血流量。在第4组中,单独使用卡托普利,它使血压降低了14 4 mm Hg,并使肾血流量增加了21 4 ml / min。推注并持续静脉注射咪唑衍生物血管紧张素II受体拮抗剂DuP 753(第5组)后,卡托普利可使血压降低9 /-2 mm Hg,并使肾血流量增加8 /-1 ml / min(12 /-肾血流量变化1%,与第4组相比,p小于0.05。在持续不断地静脉注射撒拉辛(第6组)的情况下,卡托普利可使血压降低13 /-5 mm Hg,并使肾血流量增加7 /-2 ml / min(肾血流量变化17 /-5%) ,与第4组相比,p小于0.05)。这些结果与第5组没有差异。在恒定的肾动脉内输注B2缓激肽受体拮抗剂DArg0,[Hyp3-Thi5,8-DPhe7]-缓激肽(BkA)(第7组)期间,卡托普利可通过14 /-4 mm Hg和增加10 /-4 ml / min的肾血流量。静脉内联合DuP 753和动脉内BkA联合给药(第8组)消除了卡托普利的作用。在第8组中,卡托普利引起的血压和肾脏血流变化不明显。结果表明,DuP 753和aralasin在体内具有相当程度的拮抗肾素-血管紧张素系统的作用。尽管后一种系统的阻断在卡托普利引起的肾血流量增加中占了很大一部分,但其余成分是由内源性缓激肽引起的。

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