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洛伐他汀对自发性高血压大鼠脑循环的影响。

Effect of lovastatin on cerebral circulation in spontaneously hypertensive rats.

作者信息

Régrigny O, Atkinson J, Capdeville-Atkinson C, Limiñana P, Chillon J M

机构信息

Laboratoire de Pharmacologie Cardiovasculaire, Faculté de Pharmacie, Nancy, France.

出版信息

Hypertension. 2000 May;35(5):1105-10. doi: 10.1161/01.hyp.35.5.1105.

Abstract

Statins, which are often given to hypertensive patients, reduce the incidence of stroke. However, their effects on the cerebral circulation have been scarcely studied, although lovastatin has been reported to reduce hypertension-induced renal arteriolar hypertrophy. We examined the structure and mechanics of cerebral arterioles and the lower limit of cerebral blood flow (CBF) autoregulation in spontaneously hypertensive rats (SHR) that were untreated (n=9) or treated for 1 month with lovastatin (n=12; 20 mg x kg(-1) x d(-1)) and in untreated Wistar-Kyoto rats (WKY; n=8). We studied the lower limit of CBF autoregulation by repeated measurement of CBF (arbitrary units; laser Doppler) and internal arteriolar diameter (microm; cranial window) at baseline and during stepwise hypotension. Stress-strain relationships were calculated from repeated measurement of internal arteriolar diameter during stepwise hypotension and cross-sectional area (CSA) of the vessel wall in maximally dilated cerebral arterioles (EDTA, 67 mmol/L). Lovastatin slightly reduced mean arterial pressure (treated, 153+/-3 versus untreated, 171+/-5 mm Hg, P<0.05; WKY, 106+/-3 mm Hg) and normalized CSA (treated, 826+/-52 versus untreated, 1099+/-16 microm(2), P<0. 05; WKY, 774+/-28 microm(2)). Stress-strain curves show that lovastatin also attenuated the increase in passive distensibility. Lovastatin had no effect on the external diameter of cerebral arterioles or the lower limit of CBF autoregulation. Our results show that although lovastatin has substantial effects on arteriolar mechanics and wall CSA, it has little effect on internal diameter. This phenomenon may explain its lack of effect on CBF autoregulation.

摘要

他汀类药物常用于高血压患者,可降低中风发生率。然而,尽管有报道称洛伐他汀可减轻高血压引起的肾小动脉肥大,但其对脑循环的影响却鲜有研究。我们研究了未治疗(n = 9)或用洛伐他汀治疗1个月(n = 12;20 mg·kg⁻¹·d⁻¹)的自发性高血压大鼠(SHR)以及未治疗的Wistar-Kyoto大鼠(WKY;n = 8)的脑小动脉结构和力学特性,以及脑血流量(CBF)自动调节的下限。我们通过在基线和逐步降低血压期间重复测量CBF(任意单位;激光多普勒)和小动脉内径(微米;颅骨开窗)来研究CBF自动调节的下限。通过在逐步降低血压期间重复测量小动脉内径以及最大扩张脑小动脉(EDTA,67 mmol/L)的血管壁横截面积(CSA)来计算应力-应变关系。洛伐他汀略微降低了平均动脉压(治疗组,153±3 vs未治疗组,171±5 mmHg,P<0.05;WKY,106±3 mmHg)并使CSA正常化(治疗组,826±52 vs未治疗组,1099±16 μm²,P<0.05;WKY,774±28 μm²)。应力-应变曲线表明,洛伐他汀还减弱了被动扩张性的增加。洛伐他汀对脑小动脉外径或CBF自动调节下限没有影响。我们的结果表明,尽管洛伐他汀对小动脉力学和血管壁CSA有显著影响,但对内径影响很小。这种现象可能解释了其对CBF自动调节缺乏影响的原因。

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