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补充镁与醋酸脱氧皮质酮 - 盐性高血压:对动脉力学特性及内皮素 -1活性的影响

Magnesium supplementation and deoxycorticosterone acetate--salt hypertension: effect on arterial mechanical properties and on activity of endothelin-1.

作者信息

Berthon Nathalie, Laurant Pascal, Hayoz Daniel, Fellmann Dominique, Brunner Hans R, Berthelot Alain

机构信息

Laboratoire Physiologie, Pharmacologie et Nutrition Préventive Expérimentale, UFR Médecine et Pharmacie, Université de Franche-Comté, Besançon, France.

出版信息

Can J Physiol Pharmacol. 2002 Jun;80(6):553-61. doi: 10.1139/y02-082.

Abstract

The aim of this study was to show whether the decrease in blood pressure induced by Mg supplementation in deoxycorticosterone acetate - salt (DOCA-salt) hypertensive rats is associated with mechanical modifications of blood vessels and (or) changes in tissular production and (or) vasoconstrictor activity to endothelin-1. DOCA-salt treatment increased blood pressure, media thickness, cross-sectional area, and lumen diameter of carotid arteries. Distensibility and incremental elastic modulus versus stress were not altered in carotid arteries, suggesting that the DOCA-salt vessel wall adapts structurally to preserve its blood pressure buffering capacity. Magnesium supplementation attenuated DOCA-salt hypertension. In comparison with normotensive rats, systolic, mean, and pulse pressures were higher whereas diastolic pressure was not different in Mg-supplemented DOCA-salt rats. Magnesium supplementation did not significantly modify the elastic parameters of carotid arteries. In resistance mesenteric arteries, DOCA-salt hypertension induces an inward hypertrophic remodeling. Magnesium supplementation attenuates wall hypertrophy and increases lumen diameter to the normotensive diameter, suggesting a decrease in peripheral resistance. Magnesium supplementation normalizes the altered vasoconstrictor activity of endothelin-1 in mesenteric arteries and attenuates endothelin-1 overproduction in kidney, left ventricle, and aorta of DOCA-salt rats. These findings suggest that Mg supplementation prevents blood pressure elevation by attenuating peripheral resistance and by decreasing hypertrophic effect of endothelin-1 via inhibition of endothelin-1 production.

摘要

本研究的目的是表明,在醋酸脱氧皮质酮-盐(DOCA-盐)高血压大鼠中,镁补充剂诱导的血压降低是否与血管的机械性改变和/或组织中内皮素-1的产生变化和/或血管收缩活性有关。DOCA-盐处理可升高血压、增加颈动脉的中膜厚度、横截面积和管腔直径。颈动脉的扩张性和增量弹性模量与应力未发生改变,这表明DOCA-盐血管壁在结构上进行了适应性改变以保持其血压缓冲能力。补充镁可减轻DOCA-盐高血压。与正常血压大鼠相比,补充镁的DOCA-盐大鼠的收缩压、平均压和脉压较高,而舒张压无差异。补充镁并未显著改变颈动脉的弹性参数。在肠系膜阻力动脉中,DOCA-盐高血压会导致内向性肥厚性重塑。补充镁可减轻血管壁肥厚,并使管腔直径增加至正常血压大鼠的水平,提示外周阻力降低。补充镁可使肠系膜动脉中内皮素-1改变的血管收缩活性恢复正常,并减轻DOCA-盐大鼠肾脏、左心室和主动脉中内皮素-1的过度产生。这些发现表明,补充镁可通过减轻外周阻力以及通过抑制内皮素-1的产生来降低内皮素-1的肥厚效应,从而预防血压升高。

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