首页> 美国卫生研究院文献>Proceedings of the National Academy of Sciences of the United States of America >Carotid-aortic and renal baroreceptors mediate the atrial natriuretic peptide release induced by blood volume expansion.
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Carotid-aortic and renal baroreceptors mediate the atrial natriuretic peptide release induced by blood volume expansion.

机译:颈动脉主动脉和肾压力感受器介导由血容量增加引起的心钠素释放。

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摘要

Our previous studies have shown that stimulation of the anteroventral third ventricle (AV3V) region of the brain increases atrial natriuretic peptide (ANP) release, whereas lesions of the AV3V region or median eminence of the tuber cinereum block the release of ANP caused by blood volume expansion. These results suggest that participation of the central nervous system is critical to this response. The role of baroreceptors in the response was evaluated in the current research by studying the response of plasma ANP to blood volume expansion induced by intravenous injection of hypertonic saline solution (0.3 M NaCl, 2 ml/100 g of body weight, over 1 min) in conscious, freely moving male rats. Plasma samples were assayed for ANP by radioimmunoassay. In sham-operated rats, blood volume expansion induced a rapid increase in plasma ANP: the concentration peaked at 5 min and remained elevated at 15 min after saline injection. One week after deafferentation of the carotid-aortic baroreceptors, basal plasma ANP concentrations were highly significantly decreased on comparison with values of sham-operated rats; plasma ANP levels 5 min after blood volume expansion in the deafferented rats were greatly reduced. Unilateral right vagotomy reduced resting levels of plasma ANP but not the response to blood volume expansion; resting concentrations of plasma ANP and responses to expansion were normal in bilaterally vagotomized rats. In rats that had undergone renal deafferentation, resting levels of ANP were normal but the response to blood volume expansion was significantly suppressed. The evidence indicates that afferent impulses via the right vagus nerve may be important under basal conditions, but they are not required for the ANP release induced by blood volume expansion. In contrast, baroreceptor impulses from the carotid-aortic sinus regions and the kidney are important pathways involved in the neuroendocrine control of ANP release. The evidence from these experiments and our previous stimulation and lesion studies indicates that the ANP release in response to volume expansion is mediated by afferent baroreceptor input to the AV3V region, which mediates the increased ANP release via activation of the hypothalamic ANP neuronal system.
机译:我们以前的研究表明,刺激大脑的前腹第三脑室(AV3V)区域会增加心房利钠肽(ANP)的释放,而AV3V区域的损害或块根灰质的中位隆起会阻止由血容量引起的ANP的释放扩张。这些结果表明中枢神经系统的参与对该反应至关重要。在当前的研究中,通过研究血浆ANP对静脉注射高渗盐溶液(0.3 M NaCl,2 ml / 100 g体重,超过1分钟)引起的血容量膨胀的反应,评估了压力感受器在反应中的作用。在有意识的,自由移动的雄性大鼠中。通过放射免疫测定法测定血浆样品的ANP。在假手术大鼠中,血容量的膨胀引起血浆ANP的快速增加:注射盐水后5min浓度达到峰值,并在15min时保持升高。颈动脉-主动脉压力感受器脱除心力后一周,与假手术大鼠相比,基础血浆ANP浓度显着降低。失血大鼠的血容量膨胀后5分钟血浆ANP水平大大降低。单侧右迷走神经切断术可降低血浆ANP的静息水平,但不能降低对血容量膨胀的反应;双侧迷走神经切断的大鼠血浆ANP的静息浓度和对扩张的反应正常。在经历了肾脏去除心力衰竭的大鼠中,ANP的静息水平正常,但对血容量膨胀的反应被明显抑制。有证据表明,在基础条件下,通过右迷走神经传入的冲动可能很重要,但由于血容量增加而引起的ANP释放并不需要。相反,来自颈动脉-主动脉窦区域和肾脏的压力感受器冲动是涉及ANP释放的神经内分泌控制的重要途径。这些实验以及我们以前的刺激和病变研究的证据表明,响应于体积扩张的ANP释放是由传入的压力感受器输入到AV3V区域介导的,AV3V区域通过激活下丘脑ANP神经系统介导增加的ANP释放。

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