Zhao X, White R, Huang B S, Van Huysse J, Leenen F H
Hypertension Unit, University of Ottawa Heart Institute, Ontario, Canada.
J Hypertens. 2001 Jan;19(1):89-98. doi: 10.1097/00004872-200101000-00012.
To assess changes in the activity of the brain renin-angiotensin system during (i) the development of salt-sensitive hypertension; and (ii) the prevention of salt-sensitive hypertension by blocking brain 'ouabain'.
In protocol I, angiotensin converting enzyme (ACE) mRNA and activity and angiotensin I and II levels were assessed in the hypothalamus and pons of Dahl salt-sensitive (Dahl S) and salt-resistant (Dahl R) rats on regular (120 micromol Na+ per g) or high (1370 micromol Na+ per g) salt diet from 4-6 weeks or 4-9 weeks of age. In protocol II, ACE mRNA and activity were assessed in the hypothalamus and pons in Dahl S on regular or high salt treated with intracerebroventricular (i.c.v.) Fab fragments blocking brain 'ouabain' or gamma-globulins, and in Dahl R on high or regular salt ACE mRNA was assessed by quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) assay and angiotensin I and II by radioimmunoassay after high-performance liquid chromatography. In protocol III, effects of i.c.v. angiotensin I and i.c.v. bradykinin on renal sympathetic nerve activity (RSNA), heart rate and blood pressure before and after i.c.v. captopril were assessed in Dahl S and R rats on regular or high salt intake from 4-8 weeks of age.
High salt diet caused a gradual, but marked increase in blood pressure in Dahl S but not Dahl R rats. Dahl S rats showed small but significant increases in ACE mRNA in the hypothalamus on regular salt diet. In Dahl S rats on high salt diet for 2 or 5 weeks ACE mRNA levels significantly increased in both hypothalamus and pons, compared with Dahl R rats on either diet or Dahl S rats on regular diet. After 5 weeks of high salt diet, ACE mRNA levels in the hypothalamus in Dahl S rats were almost three-fold higher and in the pons two-fold higher than in Dahl R rats on either diet or Dahl S on regular salt diet. High salt diet also increased ACE activity of the hypothalamus and pons in Dahl S but not Dahl R. Consistent with this increased ACE activity, central responses to angiotensin I were clearly enhanced and to bradykinin markedly diminished in Dahl S on high salt intake. Chronic blockade of brain 'ouabain' by i.c.v. Fab fragments prevented the increases in blood pressure, ACE mRNA and activity in the hypothalamus and pons by high salt intake in Dahl S rats. Angiotensin I levels in the hypothalamus and pons were similar in both groups of rats and there were no significant changes caused by high salt diet in Dahl S and R rats. On regular salt intake angiotensin II levels in the hypothalamus of Dahl S rats showed a significant decrease as compared with Dahl R rats on regular salt diet, and were similar in the pons of the two strains. High salt intake did not affect angiotensin II levels in either hypothalamus or pons in Dahl S and R rats.
These results indicate that high salt intake increases blood pressure, ACE expression and activity in the hypothalamus and pons of Dahl S rats without a parallel increase in angiotensin II levels. Effects of high salt intake on ACE mRNA and activity appear to be secondary to activation of brain 'ouabain'.
评估(i)盐敏感性高血压发展过程中;以及(ii)通过阻断脑“哇巴因”预防盐敏感性高血压过程中脑肾素-血管紧张素系统活性的变化。
在方案I中,对4至6周龄或4至9周龄的Dahl盐敏感(Dahl S)和盐抵抗(Dahl R)大鼠,给予常规(每克120微摩尔钠)或高盐(每克1370微摩尔钠)饮食,评估下丘脑和脑桥中血管紧张素转换酶(ACE)的mRNA和活性以及血管紧张素I和II的水平。在方案II中,对接受脑室内(i.c.v.)阻断脑“哇巴因”的Fab片段或γ球蛋白治疗的常规或高盐饮食的Dahl S大鼠,以及高盐或常规盐饮食的Dahl R大鼠,评估下丘脑和脑桥中的ACE mRNA和活性。通过定量逆转录聚合酶链反应(RT-PCR)测定ACE mRNA,通过高效液相色谱后放射免疫测定血管紧张素I和II。在方案III中,评估4至8周龄的常规或高盐摄入的Dahl S和R大鼠,在i.c.v.卡托普利前后,i.c.v.血管紧张素I和i.c.v.缓激肽对肾交感神经活性(RSNA)、心率和血压的影响。
高盐饮食导致Dahl S大鼠血压逐渐但显著升高,而Dahl R大鼠则无此现象。Dahl S大鼠在常规盐饮食时下丘脑ACE mRNA有小幅但显著的增加。与接受任何一种饮食的Dahl R大鼠或常规饮食的Dahl S大鼠相比,高盐饮食2周或5周的Dahl S大鼠下丘脑和脑桥中ACE mRNA水平显著升高。高盐饮食5周后,Dahl S大鼠下丘脑ACE mRNA水平几乎比接受任何一种饮食的Dahl R大鼠或常规盐饮食的Dahl S大鼠高三倍,脑桥中高两倍。高盐饮食还增加了Dahl S大鼠下丘脑和脑桥的ACE活性,但Dahl R大鼠没有。与这种增加的ACE活性一致,高盐摄入的Dahl S大鼠对血管紧张素I的中枢反应明显增强,对缓激肽的反应明显减弱。i.c.v. Fab片段对脑“哇巴因”的慢性阻断可防止高盐摄入导致Dahl S大鼠血压、下丘脑和脑桥中ACE mRNA及活性的升高。两组大鼠下丘脑和脑桥中的血管紧张素I水平相似,高盐饮食对Dahl S和R大鼠均未引起显著变化。在常规盐摄入时,与常规盐饮食的Dahl R大鼠相比,Dahl S大鼠下丘脑血管紧张素II水平显著降低,两品系大鼠脑桥中的血管紧张素II水平相似。高盐摄入对Dahl S和R大鼠下丘脑或脑桥中的血管紧张素II水平均无影响。
这些结果表明,高盐摄入可增加Dahl S大鼠下丘脑和脑桥的血压、ACE表达及活性,而血管紧张素II水平无相应升高。高盐摄入对ACE mRNA和活性的影响似乎继发于脑“哇巴因”的激活。