Dobesová Zdena, Kunes Jaroslav, Zicha Josef
Institute of Physiology, Academy of Sciences of the Czech Republic, and Center for Experimental Research of Cardiovascular Diseases, Prague, Czech Republic.
J Hypertens. 2002 May;20(5):945-55. doi: 10.1097/00004872-200205000-00030.
We have demonstrated earlier that the nitric oxide (NO) system is not able to counterbalance effectively the hyperactivity of the sympathetic nervous system (SNS) in salt hypertension of young Dahl rats in which augmented superoxide anion formation lowers NO bioavailability. The aim of the present study was to determine whether SNS hyperactivity and/or relative NO deficiency are also present in salt hypertension elicited in adult Dahl rats, and whether they are associated with blood pressure (BP) in the F2 population of Dahl rats.
The contribution of major vasoactive systems [renin-angiotensin system (RAS), SNS and NO] and superoxide anions to BP maintenance was studied in SS/Jr rats in which salt hypertension was induced either in adulthood or in youth (8% NaCl diet from the age of 12 or 4 weeks). The contribution of particular vasoactive systems was also investigated in 122 young salt-loaded F2hybrids [derived from salt-sensitive (SS/Jr) and salt-resistant (SR/Jr) Dahl rats] which were fed a high-salt diet (8% NaCl) for 6 weeks after weaning. Mean arterial pressure (MAP) was measured in conscious animals subjected to acute consecutive blockade of RAS (captopril 10 mg/kg i.v.), SNS (pentolinium 5 mg/kg i.v.) and NO synthase (l-NAME 30 mg/kg i.v.).
Dahl rats with salt hypertension induced in adulthood were also characterized by enhanced pentolinium-induced BP fall (DeltaMAPpento), but their residual BP (recorded after the blockade of both RAS and SNS) was unaltered, in contrast to its elevation seen in young salt-hypertensive rats. The BP rise after NO synthase inhibition by l-NAME (DeltaMAPL-NAME), which was substantially greater in adult than in young hypertensive rats, was not enhanced by superoxide scavenging with tempol in adult hypertensive animals, in which this drug elicited a moderate BP reduction only. Basal MAP of young salt-loaded F2 hybrids was positively associated not only with DeltaMAPpento (P < 0.0001) and residual BP (P < 0.001) but also with DeltaMAPL-NAME (P < 0.001). The slope of the relationship between basal BP and pentolinium-induced BP changes was steeper than that between basal BP and BP changes elicited by l-NAME. The positive correlation of basal BP with DeltaMAPpento/DeltaMAPL-NAME ratio (P < 0.01) indicates that an altered balance between sympathetic vasoconstriction and NO-dependent vasodilation was associated with high blood pressure, even in the F2 population of Dahl rats.
A comparison of young and adult salt-hypertensive Dahl rats stressed the importance of increased residual BP and relative NO deficiency for the severity of hypertension, because these two alterations were absent in a less-pronounced form of salt hypertension elicited in adulthood. The findings obtained in our young salt-loaded F2 population also confirm the major importance of both sympathetic hyperactivity and relative NO deficiency for the maintenance of salt hypertension in Dahl rats.
我们之前已经证明,在年轻的盐敏感性高血压大鼠中,一氧化氮(NO)系统无法有效抗衡交感神经系统(SNS)的过度活跃,在这类大鼠中,超氧阴离子生成增加会降低NO的生物利用度。本研究的目的是确定在成年盐敏感性高血压大鼠中是否也存在SNS过度活跃和/或相对的NO缺乏,以及它们是否与盐敏感性高血压大鼠F2群体中的血压(BP)相关。
在成年或幼年(分别从12周龄或4周龄开始给予8%氯化钠饮食)诱导出盐敏感性高血压的SS/Jr大鼠中,研究主要血管活性系统[肾素 - 血管紧张素系统(RAS)、SNS和NO]以及超氧阴离子对血压维持的作用。还在122只断奶后给予高盐饮食(8%氯化钠)6周的年轻盐负荷F2杂种大鼠[由盐敏感性(SS/Jr)和盐抵抗性(SR/Jr)盐敏感性高血压大鼠杂交而来]中研究了特定血管活性系统的作用。在清醒动物中,通过静脉注射卡托普利(10 mg/kg)急性连续阻断RAS、静脉注射潘托铵(5 mg/kg)阻断SNS以及静脉注射L - 精氨酸甲酯(L - NAME,30 mg/kg)阻断NO合酶后,测量平均动脉压(MAP)。
成年诱导出盐敏感性高血压的盐敏感性高血压大鼠也表现为潘托铵诱导的血压下降(ΔMAPpento)增强,但与年轻盐敏感性高血压大鼠中观察到的血压升高相反,其残余血压(在RAS和SNS均被阻断后记录)未改变。在成年高血压动物中,L - NAME抑制NO合酶后血压升高(ΔMAPL - NAME),成年动物比年轻高血压大鼠显著更高,用Tempol清除超氧阴离子并未增强这一升高,在成年高血压动物中,该药物仅引起适度的血压降低。年轻盐负荷F2杂种大鼠的基础MAP不仅与ΔMAPpento(P < 0.0001)和残余血压(P < 0.001)呈正相关,还与ΔMAPL - NAME(P < 0.001)呈正相关。基础血压与潘托铵诱导的血压变化之间关系的斜率比基础血压与L - NAME引起的血压变化之间的斜率更陡。基础血压与ΔMAPpento/ΔMAPL - NAME比值的正相关(P < 0.01)表明交感缩血管和NO依赖性血管舒张之间平衡的改变与高血压相关,即使在盐敏感性高血压大鼠F[sub]2[/sub]群体中也是如此。
对年轻和成年盐敏感性高血压大鼠的比较强调了残余血压升高和相对NO缺乏对高血压严重程度的重要性,因为在成年期诱导出的不太明显的盐敏感性高血压形式中不存在这两种改变。在我们年轻的盐负荷F2群体中获得的结果也证实了交感神经活动亢进和相对NO缺乏对于盐敏感性高血压大鼠维持盐敏感性高血压的主要重要性。