Hacioglu Gulay, Yalcin Ozlem, Bor-Kucukatay Melek, Ozkaya Gul, Baskurt Oguz K
Department of Physiology, Akdeniz University School of Medicine, Antalya, Turkey.
Clin Hemorheol Microcirc. 2002;26(1):27-32.
Red blood cell (RBC) properties were proposed to play role in the development of hypertension (HT). This study aimed at investigating the alterations of RBC deformability and aggregation, in various models of HT in rats. The following four models of HT were developed in rats: one kidney-one clip HT (1K-1C HT), two kidney-one clip HT (2K-1C HT), deoxycorticosterone acetate (DOCA) induced HT (15 mg/kg, 2 times/week, sc) and N-nitro L-arginine methyl ester (L-NAME) induced HT (50 mg/kg/day, 10 weeks, ip). The blood samples were obtained from abdominal aorta, under ether anesthesia, after a period of 10 weeks of increased blood pressure. RBC deformability was determined by ektacytometry. RBC aggregation was measured in autologous plasma and 0.5% dextran 500, using a photometric rheoscope. Plasma fibrinogen concentration was determined by Clauss method. The mean blood pressure in all four HT models were about 140 mmHg, on the day of sampling, compared to approximately 110 mmHg in the control group. RBC deformability was found to be significantly decreased in the L-NAME model of HT. RBC aggregation in autologous plasma was significantly higher than control in 2K-1C, L-NAME and DOCA models, DOCA HT model being the most effective in altering the RBC aggregation. Plasma fibrinogen values were found to be higher than control in 2K-1C and L-NAME HT models, but not in DOCA HT. These results confirm that RBC rheological properties might be altered in HT. It can also be suggested that these alternations may not simply be the result of the vascular effects of HT, but may play role in the development of HT, as the alterations in different HT models were not the same, although the length and magnitude of increased blood pressure were similar.
红细胞(RBC)特性被认为在高血压(HT)的发生发展中起作用。本研究旨在调查大鼠各种高血压模型中红细胞变形性和聚集性的变化。在大鼠中建立了以下四种高血压模型:单肾单夹高血压(1K-1C HT)、双肾单夹高血压(2K-1C HT)、醋酸脱氧皮质酮(DOCA)诱导的高血压(15 mg/kg,每周2次,皮下注射)和N-硝基-L-精氨酸甲酯(L-NAME)诱导的高血压(50 mg/kg/天,10周,腹腔注射)。在血压升高10周后,于乙醚麻醉下从腹主动脉采集血样。通过激光衍射法测定红细胞变形性。使用光度流变仪在自体血浆和0.5%右旋糖酐500中测量红细胞聚集性。采用Clauss法测定血浆纤维蛋白原浓度。在取样当天,所有四种高血压模型的平均血压约为140 mmHg,而对照组约为110 mmHg。发现在L-NAME高血压模型中红细胞变形性显著降低。在2K-1C、L-NAME和DOCA模型中,自体血浆中的红细胞聚集性显著高于对照组,DOCA高血压模型在改变红细胞聚集性方面最为有效。在2K-1C和L-NAME高血压模型中发现血浆纤维蛋白原值高于对照组,但在DOCA高血压模型中并非如此。这些结果证实高血压时红细胞流变学特性可能会发生改变。也可以认为这些改变可能不仅仅是高血压血管效应的结果,而是可能在高血压的发生发展中起作用,因为尽管血压升高的时长和幅度相似,但不同高血压模型中的改变并不相同。