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Opioid Peptides and Blood Pressure Control - 11th Scientific Meeting of the International Society of Hypertension Satellite Symposium * Bonn * September 6-7, 1986 (Paperback)
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Opioid Peptides and Blood Pressure Control - 11th Scientific Meeting of the International Society of Hypertension Satellite Symposium * Bonn * September 6-7, 1986 (Paperback)
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A. !, FADEN, K. KRAFr, and K. O. STUMPE Following the discovery of
the pentapeptide enkephalins in 1975, a number of endogenous opioid
peptides and opiate receptors have been identified. Endogenous
opioids and opiate-receptor mechanisms have been implicated in a
variety of regulat- ory and dysregulatory functions including
analgesia, cardiovascular regulation, shock, hypertension,
traumatic spinal cord and brain injury, stroke, immune func- tion,
feeding behavior, diuresis, gastrointestinal motility, and
respiratory control, among others. Over the past 10 years, many
studies have demonstrated a relationship between endogenous opioids
and the cardiovascular system under both homeostatic and
pathophysiological conditions. Opioids and opiate receptors have
been found in various cardioregulatory sites within the brain and
spinal cord, as well as in peripheral tissues such as sympathetic
ganglia, adrenal gland, and heart. Both endogenous opioids and
exogenous opiates have been shown to produce potent cardiovascular
effects following central nervous system or systemic
administration. Opiate-receptor antagonists have been demonstrated
to reverse hypotension from sepsis, hypo- volemia, and anaphylaxis;
such studies have been used to infer activity of endogenous opioid
systems in shock. Changes in tissue concentrations of endogenous
opioids and! or opiate receptors have been found after shock and
hypertension, further implying a role for opioid systems in the
etiology of these conditions. In addition, modification of opiate
receptor regulation, receptor binding, or opioid metabolism has
also been used to establish a potential role for endogenous opioid
systems in cardiovascular control and dyscontrol.
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