Dahl L K, Knudsen K D, Ohanian E V, Muirhead M, Tuthill R
J Exp Med. 1975 Sep 1;142(3):748-59. doi: 10.1084/jem.142.3.748.
In a genetically hypertension-prone (S) strain of rats it was observed previously that males generally developed hypertension more rapidly on a high salt diet than did females although final pressure ultimately were similar in both sexes. A genetic study had shown that there was no sex-linkage involved in setting blood pressure levels, so it was thought that the gonads might be involved. In the present work, castration of males had no effect on blood pressure but in the females it caused a rise in pressure that could not be distinguished from that in males, both on a high and low salt diet. Castration resulted in greater growth in females than in controls, whereas it had the opposite effect in males. It was speculated that these changes were due to influences on pituitary growth hormone with castration increasing the net output of growth hormone (or enhancing receptor sensitivity to it) in the female and the opposite in the male. From the work of others, there are some data compatible with such an interpretation. Experimentally, growth hormone will induce hypertension in rats. Therefore, it is conceivable that growth hormone is involved in the increment in hypertension observed in these castrate females. Because the effect on blood pressure was observed in castrate females on both high and low NaCl diets, it was considered unlikely that the blood pressure effect was simply due to increased NaCl intake in the food associated with greater growth. It was suggested that this rise in blood pressure with cessation of ovarian function might bear on the unsettled question of "menopausal" hypertension in women: in the genetically susceptible individual an increase in growth hormone associated with declining ovarian funtion in the menopause could provide the stimulus for the appearance of hypertension some years earlier than would otherwise have been the case.
在一种遗传性高血压易患(S)品系的大鼠中,先前观察到,雄性大鼠在高盐饮食下通常比雌性大鼠更快地发展为高血压,尽管最终两性的血压最终相似。一项遗传学研究表明,设定血压水平不存在性连锁关系,因此认为性腺可能参与其中。在目前的研究中,雄性大鼠去势对血压没有影响,但雌性大鼠去势会导致血压升高,无论是在高盐还是低盐饮食下,这种升高与雄性大鼠的情况无法区分。去势导致雌性大鼠比对照组生长得更多,而在雄性大鼠中则产生相反的效果。据推测,这些变化是由于对垂体生长激素的影响,去势增加了雌性大鼠生长激素的净输出(或增强了受体对其的敏感性),而在雄性大鼠中则相反。从其他人的研究工作来看,有一些数据与这种解释相符。实验表明,生长激素会诱发大鼠高血压。因此,可以想象生长激素参与了这些去势雌性大鼠中观察到的高血压增加。由于在高盐和低盐饮食的去势雌性大鼠中都观察到了对血压的影响,所以认为血压效应不太可能仅仅是由于与更大生长相关的食物中氯化钠摄入量增加所致。有人提出,随着卵巢功能停止而出现的血压升高可能与女性“绝经”期高血压这一未解决的问题有关:在遗传易感性个体中,与绝经后卵巢功能下降相关的生长激素增加可能会促使高血压在比其他情况更早的几年出现。