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高盐与低盐饮食对临界高血压大鼠血压及血压变异性的交感神经控制

Sympathetic control of BP and BP variability in borderline hypertensive rats on high- vs. low-salt diet.

作者信息

Brown D R, Li S G, Lawler J E, Randall D C

机构信息

Center for Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40536, USA.

出版信息

Am J Physiol. 1999 Sep;277(3):R650-7. doi: 10.1152/ajpregu.1999.277.3.R650.

Abstract

This experiment tested the effect of a high-salt diet on the interaction between arterial blood pressure (BP) and sympathetic nerve activity (SNA) at rest and during a controlled behavioral stress at an early stage in the development of hypertension in borderline hypertensive rats (BHR). Ten rats were maintained on a high-salt diet (8% NaCl) while 14 were fed a low-salt diet (0.8% NaCl) for 8 wk. They were trained in a Pavlovian paradigm by following a conditional stimulus tone (CS+) with a 0.5-s shock. SNA and BP were measured by implanted electrodes around the left renal nerve and a catheter in the femoral artery, respectively. There were no detectable between-group differences in BP or in BP variability in the resting animal at the end of the 8-wk dietary treatment. Moreover, there were no significant between-group differences in the changes in SNA evoked by the CS+ tone. Conversely, the amplitude of the initial conditional increase in BP was significantly (P < 0.05) larger in the high-salt (6 +/- 0.6 mmHg; mean +/- SEM) compared with the low-salt (4 +/- 0.4 mmHg) group. In addition, the BP excursion (peak/trough) during CS+ was larger in the high (18.2 +/- 6.1 mmHg)- vs. low-salt (5.8 +/- 0.4 mmHg) diet-fed subjects. The ratio of the average percent change in mean BP to the average percent change in SNA at the beginning of CS+ was 0.029 +/- 0.004 for the low-salt group and 0.041 +/- 0.006 for the high-salt group. We find that, before the development of overt hypertension, the enhanced conditional BP response in the high-salt BHR appears to reside at the interface between changes in SNA and the effector response and not within the central nervous system. These observations help explain the increasing BP variability typically observed with the development of hypertension in humans.

摘要

本实验测试了高盐饮食对临界高血压大鼠(BHR)高血压发展早期静息状态及可控行为应激期间动脉血压(BP)与交感神经活动(SNA)之间相互作用的影响。10只大鼠维持高盐饮食(8%氯化钠),而14只大鼠喂食低盐饮食(0.8%氯化钠),持续8周。通过跟随0.5秒电击的条件刺激音(CS+),在巴甫洛夫范式中对它们进行训练。分别通过围绕左肾神经植入的电极和股动脉中的导管测量SNA和BP。在8周饮食治疗结束时,静息动物的BP或BP变异性在组间没有可检测到的差异。此外,CS+音诱发的SNA变化在组间没有显著差异。相反,高盐组(6±0.6 mmHg;平均值±标准误)初始条件性BP升高的幅度明显(P<0.05)大于低盐组(4±0.4 mmHg)。此外,CS+期间高盐(18.2±6.1 mmHg)饮食组的BP波动(峰值/谷值)大于低盐(5.8±0.4 mmHg)饮食组。在CS+开始时,低盐组平均BP平均百分比变化与SNA平均百分比变化的比值为0.029±0.004,高盐组为0.041±0.006。我们发现,在明显高血压发展之前,高盐BHR中增强的条件性BP反应似乎存在于SNA变化与效应器反应之间的界面,而非中枢神经系统内。这些观察结果有助于解释人类高血压发展过程中通常观察到的BP变异性增加。

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