Barrett Carolyn J, Ramchandra Rohit, Guild Sarah-Jane, Lala Aneela, Budgett David M, Malpas Simon C
Circulatory Control Laboratory, Department of Physiology, University of Auckland Medical School, Private Bag 92019, Auckland, New Zealand.
Circ Res. 2003 Jun 27;92(12):1330-6. doi: 10.1161/01.RES.0000078346.60663.A0. Epub 2003 May 22.
Increasing evidence suggests elevated sympathetic outflow may be important in the genesis of hypertension. It is thought that peripheral angiotensin II, in addition to its pressor actions, may act centrally to increase sympathetic nerve activity (SNA). Without direct long-term recordings of SNA, testing the involvement of neural mechanisms in angiotensin II-induced increases in arterial pressure is difficult. Using a novel telemetry-based implantable amplifier, we made continuous recordings of renal SNA (RSNA) before, during, and after 1 week of angiotensin II-based hypertension in rabbits living in their home cages. Angiotensin II infusion (50 ng x kg(-1) x min(-1)) caused a sustained increase in arterial pressure (18+/-3 mm Hg). There was a sustained decrease in RSNA from 18+/-2 normalized units (n.u.) before angiotensin II to 8+/-2 n.u. on day 2 and 9+/-2 n.u. on day 7 of the angiotensin II infusion (P<0.01) before recovering to 17+/-2 n.u. after ceasing angiotensin II. Analysis of the baroreflex response showed that although angiotensin II-induced hypertension led to resetting of the relationship between mean arterial pressure (MAP) and heart rate, there was no evidence of resetting of the MAP-RSNA relationship. We propose that the lack of resetting of the MAP-RSNA curve, with the resting point lying near the lower plateau, suggests the sustained decrease in RSNA during angiotensin II is baroreflex mediated. These results suggest that baroreflex control of RSNA and thus renal function is likely to play a significant role in the control of arterial pressure not only in the short term but also in the long term.
越来越多的证据表明,交感神经输出增加可能在高血压的发生中起重要作用。据认为,外周血管紧张素II除了其升压作用外,还可能通过中枢作用增加交感神经活动(SNA)。由于无法直接长期记录SNA,因此很难测试神经机制在血管紧张素II诱导的动脉压升高中的作用。我们使用一种基于新型遥测技术的可植入放大器,对在家笼中生活的兔子进行了基于血管紧张素II的高血压模型实验,连续记录了肾交感神经活动(RSNA)在高血压形成前、形成过程中和形成后1周的情况。输注血管紧张素II(50 ng·kg⁻¹·min⁻¹)导致动脉压持续升高(18±3 mmHg)。RSNA持续下降,从血管紧张素II输注前的18±2个标准化单位(n.u.)降至输注第2天的8±2 n.u.,第7天为9±2 n.u.(P<0.01),在停止血管紧张素II输注后恢复到17±2 n.u.。压力感受性反射反应分析表明,尽管血管紧张素II诱导的高血压导致平均动脉压(MAP)与心率之间的关系发生重置,但没有证据表明MAP与RSNA之间的关系发生重置。我们认为,MAP-RSNA曲线未发生重置,且平衡点位于较低平台附近,这表明血管紧张素II作用期间RSNA的持续下降是由压力感受性反射介导的。这些结果表明,压力感受性反射对RSNA进而对肾功能的控制,不仅在短期而且在长期的动脉压控制中可能发挥重要作用。