Susic D, Varagic J, Frohlich E D
Hypertension Research Laboratory, Alton Ochsner Medical Foundation, New Orleans, LA 70121, USA.
Hypertension. 2001 Mar;37(3):894-7. doi: 10.1161/01.hyp.37.3.894.
The objective of this study was to determine whether there were differences in hemodynamic responses of different vascular beds to systemic administration of dipyridamole between spontaneously hypertensive (SHR) and normotensive Wistar-Kyoto (WKY) rats. To this end, systemic hemodynamics and organ blood flows (using labeled microspheres) were determined in conscious rats before and 10 minutes after dipyridamole (4 mg. kg(-1). min(-1)) infusion. In both the normotensive and hypertensive rats, the dipyridamole infusion reduced arterial pressure by approximately 20 mm Hg, associated with a decreased total peripheral resistance and an increased cardiac output. Renal blood flow decreased significantly in SHR after dipyridamole but remained unchanged or increased slightly in the WKY rats. There were no other differences in regional hemodynamics, including those of brain, liver, skin, and muscle, between the WKY and SHR. Antihypertensive treatment completely restored normal renal vascular response to dipyridamole. Previous reports had demonstrated an abnormal coronary hemodynamic response of the SHR. Our data demonstrate that, as with coronary hemodynamics, hypertension selectively induced alterations in renal vasculature. These findings may be of importance in identifying the earliest hemodynamic evidence of developing hypertensive nephrosclerosis.
本研究的目的是确定自发性高血压大鼠(SHR)和正常血压的Wistar-Kyoto大鼠(WKY)在全身给予双嘧达莫后不同血管床的血流动力学反应是否存在差异。为此,在清醒大鼠中,于输注双嘧达莫(4 mg·kg⁻¹·min⁻¹)前及输注后10分钟,测定全身血流动力学和器官血流量(使用标记微球)。在正常血压和高血压大鼠中,双嘧达莫输注均使动脉压降低约20 mmHg,同时总外周阻力降低,心输出量增加。双嘧达莫输注后,SHR的肾血流量显著降低,而WKY大鼠的肾血流量保持不变或略有增加。WKY和SHR之间在包括脑、肝、皮肤和肌肉在内的局部血流动力学方面没有其他差异。抗高血压治疗完全恢复了肾血管对双嘧达莫的正常反应。先前的报道已证明SHR存在异常的冠状动脉血流动力学反应。我们的数据表明,与冠状动脉血流动力学一样,高血压选择性地诱导了肾血管系统的改变。这些发现对于识别高血压性肾硬化发展的最早血流动力学证据可能具有重要意义。