Document Detail


Vascular renin-angiotensin system and neurotransmission in hypertensive persons.
MedLine Citation:
PMID:  1653766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The existence of a vascular renin-angiotensin system and its role in modulating sympathetic activity were evaluated in forearm arterioles of hypertensive individuals. Isoproterenol (0.03, 0.01, 0.3 microgram/100 ml/min for 5 minutes each; n = 5) was infused into the brachial artery, and active and inactive renin, angiotensin II, and norepinephrine forearm balance (venous-arterial differences corrected for forearm blood flow by strain-gauge plethysmography) were measured. Isoproterenol caused vasodilation and a dose-dependent active and inactive renin, angiotensin II, and norepinephrine outflow, an effect blunted by propranolol (10 micrograms/100 ml/min). To evaluate the role of local angiotensin II on beta-mediated norepinephrine overflow, the experiment was repeated with captopril (2.5 micrograms/100 ml/min for 10 minutes; n = 5), which abolished angiotensin II release and significantly reduced norepinephrine overflow. To test whether angiotensin II facilitates both prejunctional norepinephrine release and its postjunctional action, we evaluated the effect of exogenous angiotensin II, infused into the brachial artery at low concentrations (0.001 microgram/100 ml/min), on forearm vasoconstriction and norepinephrine release induced by endogenous sympathetic activation (application of a lower body negative pressure: -10 and -20 mm Hg for 5 minutes, n = 10) and on the vasoconstrictor effect of local norepinephrine (0.0015, 0.005, 0.015, 0.05, 0.15 micrograms/100 ml/min for 3 minutes each; n = 6). Although angiotensin II increased the vasoconstricting effect and the norepinephrine release induced by lower body negative pressure, it failed to affect norepinephrine-mediated vasoconstriction. Our data indicate the existence in hypertensive individuals of a vascular renin-angiotensin system that seems to modulate sympathetic activity through the presynaptic facilitation of norepinephrine release.
Authors:
S Taddei; S Favilla; P Duranti; N Simonini; A Salvetti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hypertension     Volume:  18     ISSN:  0194-911X     ISO Abbreviation:  Hypertension     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-10-11     Completed Date:  1991-10-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7906255     Medline TA:  Hypertension     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  266-77     Citation Subset:  IM    
Affiliation:
I Clinica Medica, University of Pisa, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiotensin II / pharmacology,  physiology
Angiotensin-Converting Enzyme Inhibitors / pharmacology
Blood Vessels / drug effects,  physiology*
Female
Humans
Hypertension / physiopathology*
Male
Middle Aged
Norepinephrine / metabolism
Receptors, Adrenergic, beta / physiology
Renin-Angiotensin System / physiology*
Sympathetic Nervous System / physiology
Synaptic Transmission / physiology*
Vasoconstriction / physiology
Chemical
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors; 0/Receptors, Adrenergic, beta; 11128-99-7/Angiotensin II; 51-41-2/Norepinephrine

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