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遗传性高血压和高甘油三酯血症大鼠主要血管升压和血管降压系统的平衡改变。

Altered balance of main vasopressor and vasodepressor systems in rats with genetic hypertension and hypertriglyceridaemia.

作者信息

Kunes Jaroslav, Dobesová Zdenka, Zicha Josef

机构信息

Institute of Physiology, Academy of Sciences of the Czech Republic, and Center for Experimental Research of Cardiovascular Diseases, CZ-142 20 Prague, Czech Republic.

出版信息

Clin Sci (Lond). 2002 Mar;102(3):269-77.

Abstract

The precise role of nitric oxide (NO) in hypertension is still not fully understood, although this vasodilator system represents the main counterbalance of major pressor systems. The aim of our study was to determine the contributions of superoxide anions, the renin-angiotensin system (RAS), the sympathetic nervous system (SNS) and NO to the maintenance of blood pressure (BP) in Prague hereditary hypertriglyceridaemic (HTG) rats with genetic hypertension. Conscious chronically cannulated rats were subjected to the consecutive blockade of the RAS (losartan, 10 mg/kg), the SNS (pentolinium, 5 mg/kg) and NO synthase [N(omega)-nitro-L-arginine (L-NAME), 30 mg/kg]. Some additional rats were pretreated with tempol (a membrane-permeable mimetic of superoxide dismutase). A subsequent genetic study in HTG x Lewis F(2) hybrid rats (n=284) was designed to reveal potential associations of particular BP components with baseline BP. The progenitor study indicated that BP elevation was more pronounced in male than female HTG rats (as compared with normotensive Lewis controls). Higher BP in HTG rats was due to the increased residual BP (measured after combined RAS and SNS blockade) and the augmentation of BP responses to tempol or losartan. In contrast, BP responses to pentolinium or l-NAME were similar in all experimental groups. It should, however, be noted that the baseline BP of progenitor animals was correlated positively with both residual BP and the magnitude of the BP response to pentolinium, but not with BP response to L-NAME. Similarly, the baseline BP of F(2) hybrid rats was positively associated with residual BP, the BP response to pentolinium and the relative SNS contribution to BP maintenance [expressed as a percentage of baseline mean arterial pressure (MAP) values], as well as with the ratio of BP changes elicited by ganglion blockade and NO synthase inhibition (Delta MAP(pentolinium)/Delta MAP(L-NAME) ratio), reflecting the balance of main vasopressor and vasodepressor systems. Thus our studies, performed in progenitor and F(2) hybrid rats, revealed that changes in BP induced by L-NAME do not keep pace with the progressive augmentation of pentolinium-induced changes in BP occurring over a wide range of increasing BP. The altered balance between enhanced SNS-dependent vasoconstriction and unchanged NO-dependent vasodilation ('relative NO deficiency' in rats with high BP) might result in BP elevation in this form of genetic hypertension.

摘要

一氧化氮(NO)在高血压中的确切作用仍未完全明确,尽管这种血管舒张系统是主要升压系统的主要抗衡机制。我们研究的目的是确定超氧阴离子、肾素 - 血管紧张素系统(RAS)、交感神经系统(SNS)和NO对患有遗传性高血压的布拉格遗传性高甘油三酯血症(HTG)大鼠血压(BP)维持的作用。对清醒的慢性插管大鼠依次进行RAS阻断(氯沙坦,10 mg/kg)、SNS阻断(潘托铵,5 mg/kg)和NO合酶阻断[N(ω)-硝基-L-精氨酸(L-NAME),30 mg/kg]。一些额外的大鼠用tempol(一种超氧化物歧化酶的膜通透性模拟物)进行预处理。随后在HTG×Lewis F(2)杂交大鼠(n = 284)中进行的遗传学研究旨在揭示特定血压成分与基线血压之间的潜在关联。亲代研究表明,与正常血压的Lewis对照相比,雄性HTG大鼠的血压升高比雌性更明显。HTG大鼠较高的血压归因于残余血压升高(联合RAS和SNS阻断后测量)以及对tempol或氯沙坦的血压反应增强。相反,所有实验组对潘托铵或L-NAME的血压反应相似。然而,应该注意的是,亲代动物的基线血压与残余血压以及对潘托铵的血压反应幅度呈正相关,但与对L-NAME的血压反应无关。同样,F(2)杂交大鼠的基线血压与残余血压、对潘托铵的血压反应以及SNS对血压维持的相对贡献[以基线平均动脉压(MAP)值的百分比表示]呈正相关,也与神经节阻断和NO合酶抑制引起的血压变化比值(ΔMAP(潘托铵)/ΔMAP(L-NAME)比值)呈正相关,反映了主要升压和降压系统的平衡。因此,我们在亲代和F(2)杂交大鼠中进行的研究表明,L-NAME引起的血压变化与潘托铵引起的血压变化在广泛升高的血压范围内逐渐增强的变化不同步。增强的SNS依赖性血管收缩和不变的NO依赖性血管舒张之间平衡的改变(高血压大鼠中的 “相对NO缺乏”)可能导致这种遗传性高血压形式的血压升高。

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