Marcel de Vries P A, de Jong Paul E, de Zeeuw D, Navis G J
Groningen University Institute of Drug Exploration, Department of Clinical Pharmacology, Division of Nephrology, State University Hospital, Groningen, the Netherlands.
J Cardiovasc Pharmacol. 2002 Jul;40(1):35-42. doi: 10.1097/00005344-200207000-00005.
In spontaneously hypertensive rats (SHRs) the dopaminergic D1-like renal vasodilator response is impaired. The renal vascular response to D2-like receptor stimulation in vivo is incompletely known. Therefore, renal hemodynamics were studied in conscious SHRs during continuous infusion of D2-like agonist N,N-Di-n-propyldopamine (DPDA) (10 microg/kg/min) with Wistar-Kyoto (WKY) rats as controls. As sodium status may affect dopaminergic responses, rats were studied during both low- and high-sodium diets. D2-like stimulation reduced mean arterial pressure and effective renal plasma flow and glomerular filtration rate (GFR) similarly in SHR and WKY rats. Renal vascular resistance increased significantly in both strains. The response to DPDA is modified by sodium status, with a more pronounced fall in blood pressure (in WKYs and SHRs) and GFR (in WKYs) during high-sodium conditions. The responses were blocked by co-infusion with D2 antagonist domperidone. Thus, D2-like renal vascular responses are normal in SHRs irrespective of sodium intake. The combination of a preserved D2-like renal vasoconstrictive and an impaired D1-like renal vasodilatory response may contribute to maintenance of hypertension in SHRs.
在自发性高血压大鼠(SHR)中,多巴胺能D1样肾血管舒张反应受损。肾血管对体内D2样受体刺激的反应尚不完全清楚。因此,以Wistar-Kyoto(WKY)大鼠为对照,研究了清醒SHR在持续输注D2样激动剂N,N-二正丙基多巴胺(DPDA)(10微克/千克/分钟)期间的肾血流动力学。由于钠状态可能影响多巴胺能反应,因此在低钠和高钠饮食期间对大鼠进行了研究。D2样刺激在SHR和WKY大鼠中同样降低了平均动脉压、有效肾血浆流量和肾小球滤过率(GFR)。两种品系的肾血管阻力均显著增加。对DPDA的反应受钠状态影响,在高钠条件下血压(在WKY和SHR中)和GFR(在WKY中)下降更为明显。这些反应被与D2拮抗剂多潘立酮共同输注所阻断。因此,无论钠摄入量如何,SHR中的D2样肾血管反应都是正常的。D2样肾血管收缩反应的保留和D1样肾血管舒张反应的受损可能共同导致SHR高血压的维持。