Wang Hao, Leenen Frans H H
Hypertension Unit, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
J Hypertens. 2003 Aug;21(8):1519-24. doi: 10.1097/00004872-200308000-00016.
To assess the role of benzamil-sensitive sodium channels in the increases in brain ouabain-like compounds (OLC) and in blood pressure by cerebrospinal fluid (CSF) Na+.
Artificial CSF (aCSF) or Na+-rich (0.8 mol/l Na+) aCSF, either alone or combined with benzamil (at 1.2 and 4.0 microg/kg per h), were infused intracerebroventricularly (i.c.v.) at 5 microl/h to Wistar rats for 14 days and the effects on the brain and peripheral OLC and blood pressure were studied. OLC content was measured by enzyme-linked immunosorbent assay.
In Wistar rats infused i.c.v. with aCSF, benzamil did not affect blood pressure or brain and peripheral OLC concentrations. I.c.v. infusion of Na+-rich aCSF increased systolic blood pressure (140 +/- 4 mmHg compared with 119 +/- 3 mmHg; P < 0.05). Benzamil fully blocked this increase. Na+-rich aCSF increased hypothalamic (23 +/- 3 ng/g tissue compared with 10 +/- 1 ng/g tissue; P < 0.05) and pituitary (233 +/- 35 ng/g tissue compared with 62 +/- 7 ng/g tissue; P < 0.05) contents of OLC. In contrast, Na+-rich aCSF decreased OLC in the adrenal gland (7 +/- 1 ng/g tissue compared with 21 +/- 3 ng/g tissue; P < 0.05) and plasma (0.5 +/- 0.04 ng/ml compared with 0.7 +/- 0.08 ng/ml; P < 0.05). Benzamil inhibited these responses of OLC to CSF sodium in a dose-related manner.
These findings suggest that benzamil-sensitive brain sodium channels mediate the increase in brain OLC and the subsequent hypertension induced by increased CSF Na+.
评估苯扎米尔敏感的钠通道在脑脊液(CSF)钠离子导致脑哇巴因样化合物(OLC)增加及血压升高过程中的作用。
以5微升/小时的速度向Wistar大鼠脑室内(i.c.v.)输注人工脑脊液(aCSF)或富钠(0.8摩尔/升钠离子)aCSF,单独输注或与苯扎米尔(1.2和4.0微克/千克每小时)联合输注,持续14天,并研究其对脑和外周OLC以及血压的影响。通过酶联免疫吸附测定法测量OLC含量。
在向Wistar大鼠脑室内输注aCSF时,苯扎米尔不影响血压或脑和外周OLC浓度。脑室内输注富钠aCSF可使收缩压升高(与119±3毫米汞柱相比为140±4毫米汞柱;P<0.05)。苯扎米尔完全阻断了这种升高。富钠aCSF增加了下丘脑(与10±1纳克/克组织相比为23±3纳克/克组织;P<0.05)和垂体(与62±7纳克/克组织相比为233±35纳克/克组织;P<0.05)中OLC的含量。相反,富钠aCSF降低了肾上腺(与21±3纳克/克组织相比为7±1纳克/克组织;P<0.05)和血浆(与0.7±0.08纳克/毫升相比为0.5±0.04纳克/毫升;P<0.05)中OLC的含量。苯扎米尔以剂量相关的方式抑制了OLC对脑脊液钠离子的这些反应。
这些发现表明,苯扎米尔敏感的脑钠通道介导了脑OLC的增加以及随后由脑脊液钠离子增加引起的高血压。