Effect of Antihypertensive Drugs on the Renin-Angiotensin System

作者: C.I. Johnston

DOI: 10.2165/00003495-197612040-00003

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摘要: Renin release from the kidneys is controlled by four major mechanisms - renal baroreceptors, macula densa, sympathetic nervous system and other humoral ionic influences. Recently, importance of in modulating renin for a variety stimuli has become apparent. The adrenergic nerves act on specific beta-receptor to stimulate kidney. Those antihypertensive drugs that inhibit nerve transmission tend therefore lower plasma renin. beta-Adrenoreceptor blocking also generally inhibition both animals humans. Diuretics vasodilators contrast elevate levels. Plasma levels hypertensive patients are net result many diverse influences, similarly treated with level often opposing return towards normal after treatment patients. may offer guide more rational basis therapy future. However, primary aim patient should be his blood pressure, independent effect

参考文章(174)
G. Jerums, A. E. Doyle, Sodium balance, plasma renin, and aldosterone in hypertension. Circulation Research. ,vol. 27, pp. 267- 275 ,(1970)
J. I. S. Robertson, A. F. Lever, D. L. Davies, J. J. Brown, VARIATIONS IN PLASMA RENIN CONCENTRATION IN SEVERAL PHYSIOLOGICAL AND PATHOLOGICAL STATES. Canadian Medical Association Journal. ,vol. 90, pp. 201- 206 ,(1964)
P. J. Lewis, M. R. Lee, Renin release in the rabbit produced by ergometrine infusion. British journal of experimental pathology. ,vol. 53, pp. 150- 152 ,(1972)
Fritz R. Bühler, John H. Laragh, E. Darracott Vaughan, Hans R. Brunner, Haralambos Gavras, Leslie Baer, Antihypertensive action of propranolol The American Journal of Cardiology. ,vol. 32, pp. 511- 522 ,(1973) , 10.1016/S0002-9149(73)80043-8
Alfred F. Fasola, B. L. Martz, Oscar M. Helmer, Plasma renin activity during supine exercise in offspring of hypertensive parents Journal of Applied Physiology. ,vol. 25, pp. 410- 415 ,(1968) , 10.1152/JAPPL.1968.25.4.410
J. P. Coghlan, J. R. Blair-West, D. A. Denton, B. A. Scoggins, R. D. Wright, Perspectives in aldosterone and renin control. Australian and New Zealand Journal of Medicine. ,vol. 1, pp. 178- 197 ,(1971) , 10.1111/J.1445-5994.1971.TB02287.X
J.J. Brown, A.F. Lever, J.I.S. Robertson, Plasma renin concentration in human hypertension American Heart Journal. ,vol. 74, pp. 413- 418 ,(1967) , 10.1016/0002-8703(67)90083-X
P. Meyer, J. Ménard, N. Papanicolaou, P. Milliez, Re-evaluation of the role of hypovolemia on the release of renin. Cellular and Molecular Life Sciences. ,vol. 25, pp. 498- 499 ,(1969) , 10.1007/BF01900780
RICHARD F. SPARK, Aldosteronism in Hypertension Annals of Internal Medicine. ,vol. 69, pp. 685- 691 ,(1968) , 10.7326/0003-4819-69-4-685