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          action on tubules in the kidney and by   II and norepinephrine) are known to
                                                    stimulate endothelin release. Interestingly,
            promoting the release of aldosterone from
  VetBooks.ir  the adrenal cortex. The overall biologic   circulating vasoconstrictors tend to increase
                                                  the release of this locally produced
          effect of angiotensin II is to increase arte­
          rial pressure and blood volume.         vasoconstrictor.
            At rest, the plasma levels of epinephrine
          and norepinephrine are relatively low, so
          their effects on cardiac function and   Cardiovascular Function During
            vascular smooth muscle are relatively   Exercise and Hypovolemia
          minor. However, plasma levels can increase
          significantly in highly stressed animals or in   Increases in cardiac output and rate of
          response to severe reductions in blood pres­  blood flow to skeletal muscle are needed
          sure or blood volume. In these conditions,   during exercise to meet the increased
          circulating epinephrine and norepinephrine   metabolic needs of the active skeletal
          promote increases in cardiac function and     muscle. Several of the cardiovascular
          constrict vascular smooth muscle.       adjustments during exercise are learned
            Atrial natriuretic peptides (ANPs) are   responses or behavior responses that
          released from the atria of the heart in   begin just prior to or at the initiation of
          response to increases in blood volume and   exercise. These are apparently initiated by
          atrial filling. ANPs promote an increase in   the cerebral cortex, involve autonomic
          the urinary excretion of sodium and water   nerves, and include an increased heart
          by a direct action on tubules in the kidney.   rate and vasodilation of arterioles supply­
          ANPs also reduce TPR by relaxing arteri­  ing skeletal muscle. Increased circulating
          olar vascular smooth muscle that was    levels of epinephrine may also contribute
            constricted by vasoconstrictor agents.  to these changes. After exercise has begun,
                                                  appropriate vasodilation of arterioles sup­
          Paracrine Agents                        plying active skeletal muscles is primarily
                                                  maintained by local metabolites produced
          Endothelial cells lining many blood vessels   by the active   muscles. Typically, the
          produce and release  nitric oxide, a local   increase in cardiac function is greater than
          vasodilator. Nitric oxide release by    the degree of vasodilation, so arterial pres­
          endothelial cells is subject to regulation by   sure rises slightly. Vascular resistance
          a variety of agents, and the importance of   increases in other organs whose metabo­
          its overall role in the regulation of TPR in   lism is not increased during exercise, and
          normal animals is controversial. Bacterial   this prevents an increased blood flow
          endotoxins are lipopolysaccharide com-  to  these  organs.  During exercise,  the
          ponents of the bacterial cell wall that are   increased cardiac output (increased heart
          released when the cell is lysed. These   rate and contractility) is maintained by
          endotoxins   stimulate  macrophages     sympathetic stimulation of the heart.
          throughout an animal’s body to produce   This sympathetic stimulation is primarily
          and release unusually large amounts of   maintained by the mechanisms originat­
          nitric oxide. General overproduction of   ing in the cerebral cortex and by reflexes
          nitric oxide causes widespread vasodila-  based on afferent information originating
          tion and a severe drop in arterial blood   in the exercising skeletal muscle.
          pressure. These cardiovascular changes     Hypovolemia is abnormally decreased
          are part of a clinical syndrome,  endo-  circulating fluid volume (i.e., blood vol­
          toxic or septic shock.                  ume). It can occur rapidly, as a result of
            Endothelial cells also secrete a peptide,   hemorrhage, or slowly, as a result of dehy­
          endothelin, which constricts vascular   dration. Reduced blood volume results in
          smooth muscle of arterioles. As with nitric   reduced cardiac filling pressure and ven­
          oxide, a variety of agents (e.g., angiotensin   tricular  filling  (i.e.,  reduced  end‐diastolic
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