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肾素-血管紧张素-醛固酮系统在感觉神经去神经支配诱导的盐敏感性高血压中的作用

Role of renin-angiotensin-aldosterone system in salt-sensitive hypertension induced by sensory denervation.

作者信息

Huang Y, Wang D H

机构信息

Department of Medicine, Michigan State University, East Lansing, Michigan 48824, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2001 Nov;281(5):H2143-9. doi: 10.1152/ajpheart.2001.281.5.H2143.

Abstract

To define the role of the renin-angiotensin-aldosterone system in a novel salt-sensitive model, neonatal Wistar rats were given capsaicin (50 mg/kg sc) on the first and second days of life. After weaning, male rats were divided into the following six groups and treated for 3 wk with: control + normal sodium diet (CON-NS), CON + high-sodium diet (CON-HS), CON + HS + spironolactone (50 mg x kg(-1) x day(-1), CON-HS-SP), capsaicin pretreatment + NS (CAP-NS), CAP-HS, and CAP-HS-SP. Radioimmunoassay shows that plasma renin activity (PRA) and plasma aldosterone level (PAL) were suppressed by HS, but they were higher in CAP-HS than in CON-HS and CON-HS-SP (P < 0.05). Both tail-cuff systolic blood pressure and mean arterial pressure were higher in CAP-HS than in all other groups (P < 0.05). Urine water and sodium excretion were increased with HS intake, but they were lower in CAP-HS than in CON-HS (P < 0.05). Western blot did not detect differences in adrenal AT1 receptor content. Therefore, insufficiently suppressed PRA and PAL in response to HS intake by sensory denervation may contribute to increased salt sensitivity and account for effectiveness of spironolactone in lowering blood pressure in this model.

摘要

为了确定肾素 - 血管紧张素 - 醛固酮系统在一种新型盐敏感模型中的作用,新生Wistar大鼠在出生后的第一天和第二天皮下注射辣椒素(50 mg/kg)。断奶后,将雄性大鼠分为以下六组,并进行3周的处理:对照组 + 正常钠饮食(CON-NS)、对照组 + 高钠饮食(CON-HS)、对照组 + 高钠饮食 + 螺内酯(50 mg·kg⁻¹·d⁻¹,CON-HS-SP)、辣椒素预处理 + 正常钠饮食(CAP-NS)、CAP-HS和CAP-HS-SP。放射免疫分析显示,高钠饮食抑制了血浆肾素活性(PRA)和血浆醛固酮水平(PAL),但CAP-HS组的PRA和PAL高于CON-HS组和CON-HS-SP组(P < 0.05)。CAP-HS组的尾袖收缩压和平均动脉压高于所有其他组(P < 0.05)。随着高钠饮食摄入,尿水和钠排泄增加,但CAP-HS组低于CON-HS组(P < 0.05)。蛋白质印迹法未检测到肾上腺AT1受体含量的差异。因此,感觉神经去支配后对高钠饮食摄入的PRA和PAL抑制不足可能导致盐敏感性增加,并解释了螺内酯在该模型中降低血压的有效性。

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