Marque V, Kieffer P, Atkinson J, Lartaud-Idjouadiene I
Laboratoire de Pharmacologie Cardiovasculaire, Faculté de Pharmacie, Université Henri Poincaré-Nancy 1, Nancy, France.
Hypertension. 1999 Sep;34(3):415-22. doi: 10.1161/01.hyp.34.3.415.
We hypothesized that age-linked changes in the composition and elastic properties of the arterial wall occur earlier in hypertensive than in normotensive rats. We evaluated the consequences of hypertension and aging on aortic mechanics, geometry, and composition in 3-, 9-, and 15-month-old awake Wistar-Kyoto rats (WKY) (normotensive) and spontaneously hypertensive rats (SHR) (hypertensive). The elastic modulus of the thoracic aorta, calculated from aortic pulse wave velocity and geometry, was higher in young and adult SHR than in age-matched WKY, as was wall stress; however, isobaric pulse wave velocity and pulse wave velocity-pressure curves were similar. Elastic modulus, isobaric pulse wave velocity, and the slope of the pulse wave velocity-pressure curve dramatically increased in old SHR compared with age-matched WKY; there was no further elevation of blood pressure or wall thickness. Fibrosis did not develop with age in SHR, and the ratio of elastin to collagen decreased in a similar fashion with aging in both strains. In conclusion, although elastic properties of the aortic wall are not intrinsically modified in young and adult SHR in comparison to age-matched WKY, aging is associated with a dramatic stiffening of the aortic wall in old SHR but not in WKY. Changes in blood pressure, aortic wall geometry, or scleroprotein composition do not appear to explain this age-linked aortic stiffening in SHR, suggesting that other mechanisms of disorganization of the media may be involved.
我们推测,与正常血压大鼠相比,动脉壁成分和弹性特性的年龄相关变化在高血压大鼠中出现得更早。我们评估了高血压和衰老对3个月、9个月和15个月大的清醒Wistar-Kyoto大鼠(WKY,正常血压)和自发性高血压大鼠(SHR,高血压)主动脉力学、几何形状和成分的影响。根据主动脉脉搏波速度和几何形状计算得出的胸主动脉弹性模量,在年轻和成年SHR中高于年龄匹配的WKY,壁应力也是如此;然而,等压脉搏波速度和脉搏波速度-压力曲线相似。与年龄匹配的WKY相比,老年SHR的弹性模量、等压脉搏波速度和脉搏波速度-压力曲线的斜率显著增加;血压和壁厚没有进一步升高。SHR中纤维化不会随年龄发展,两种品系中弹性蛋白与胶原蛋白的比例随衰老以相似方式降低。总之,尽管与年龄匹配的WKY相比,年轻和成年SHR的主动脉壁弹性特性没有内在改变,但衰老与老年SHR而非WKY的主动脉壁显著硬化有关。血压、主动脉壁几何形状或硬蛋白成分的变化似乎无法解释SHR中这种与年龄相关的主动脉硬化,这表明可能涉及中膜紊乱的其他机制。