缓激肽抑制麻醉大鼠颈动脉窦压力感受器反射

在36只隔离灌流左侧颈动脉窦区的麻醉大鼠上观察了缓激肽(bradykinin,BK)对颈动脉窦压力感受器反射的影响.结果如下:(1)以BK (1.0μmol/L)隔离灌流大鼠颈动脉窦区时,压力感受器机能曲线向右上方移位,曲线的最大斜率(peak slope,PS)由0.44±0.14降至0.31±0.01(P<0.01),反射性血压下降幅度(reflex decrease,RD)由6.85±0.18 kPa降至4.46±0.16 kPa (P<0.01),阈压(TP)由7.76±0.20增至10.04±0.09kPa (P<0.05),其中RD,PS和TP的变化呈明显的剂量依赖性.(2)用环氧酶抑制剂消炎痛(indomethacin,10 μmol/L)预处理后,对BK (1.0μmol/L)抑制压力感受器的作用无影响; (3)预先灌流NO合酶阻断剂(L-NAME,100μmol/L),则可完全消除BK (1.0μmol/L)对压力感受器反射的抑制效应; (4)预先给予转换酶抑制剂(captopril,20μmol/L),可加强BK对压力感受器反射的抑制作用.以上结果表明:BK对大鼠颈动脉窦压力感受器反射有抑制作用,此作用系BK引起血管内皮细胞生成NO所致.

Bradykinin inhibits carotid sinus baroreflex in anesthetized rats

The effects of bradykinin (BK) on the carotid baroreflex were examined in 36 anesthetized rats with isolated carotid sinus perfusion. The results obtained are as follows. (1) By perfusing the isolated carotid sinus with BK (1.0 mumol/L), the functional curve of baroreflex was shifted to the right and upward, its peak slope (PS) decreasing from 0.44 +/- 0.14 to 0.31 +/- 0.01 kPa (P < 0.01) and the reflex decrease in mean arterial pressure (RD) was lowered from 6.85 +/- 0.18 to 4.46 +/- 0.16 kPa (P < 0.05), while the threshold pressure (TP), equilibrium pressure (EP) and saturation pressure (SP) were significantly enhanced from 7.76 +/- 0.20 to 10.04 +/- 0.09 kPa (P < 0.001), 12.72 +/- 0.29 to 13.74 +/- 0.31 kPa (P < 0.05) and 23.28 +/- 0.24 to 25.31 +/- 0.20 kPa (P < 0.01), respectively. Among the functional parameters of carotid baroreflex, the changes in RD, PS and TP induced by BK were dose-dependent. (2) By pretreatment with indomethacin (10 mumol/L), an inhibitor of prostaglandin synthesis, the above-mentioned effects of BK on carotid baroreflex were not affected. (3) Preperfusion with an inhibitor of NO synthase L-NAME (100 mumol/L) could completely eliminate the effects of BK. (4) Pretreatment with angiotensin-converting enzyme inhibitor captopril (20 mumol/L) could potentiate the effects of BK. Taken together, it is indicated that BK may cause vascular endothelium to release NO, thereby inhibiting the carotid baroreflex.