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生长激素在肾源性高血压所致心脏肥大中的作用

Growth hormone in cardiac hypertrophy induced by nephrogenous hypertension.

作者信息

Powis R L

出版信息

Recent Adv Stud Cardiac Struct Metab. 1975;8:413-25.

PMID:129836
Abstract

Current evidence about the role of growth hormone in cardiac hypertrophy is ambiguous. The purpose of this investigation was to determine whether growth hormone was an important element in the cardiac hypertrophy induced by systemic hypertension. Male rats with either an intact hypophysis or a hypophysectomy were bilaterally adrenalectomized, and corticoids were replaced with exogenous deoxycorticosterone and hydrocortosone. Hypophysectomized rats were further treated with thyroxine, testosterone, and, where appropriate, bovine growth hormone. Selected groups of rats were made hypertensive by means of a surgical compression of the renal capsule which produced systemic hypertension. The magnitude of the hypertension was measured in awake rats by means of a tail plethysmograph and compressing tail-cuff. The hormone replacement program re-established systolic blood pressures in sham-operated, hypophysectomized rats to levels observed in intact-hypophysis, sham-operated rats. Thus, hypertensive, hypophysectomized rats obtained pressures above both hypophysectomized and intact-hypophysis, sham-operated rats. Hypertensive rats with an intact hypophysis and hypophysectomized rats with growth hormone developed cardiac hypertrophy. In spite of the hormone therapy, the above normal systemic blood pressures, and low mortality hopophysectomized rats without growth hormone did not develop cardiac hypertrophy.

摘要

目前关于生长激素在心脏肥大中作用的证据尚不明确。本研究的目的是确定生长激素是否是系统性高血压所致心脏肥大的一个重要因素。对具有完整垂体或已切除垂体的雄性大鼠进行双侧肾上腺切除术,并用外源性脱氧皮质酮和氢化可的松替代皮质激素。对已切除垂体的大鼠进一步给予甲状腺素、睾酮,并在适当情况下给予牛生长激素。通过手术压迫肾包膜使选定的大鼠组产生系统性高血压从而使其患高血压。通过尾容积描记器和压迫尾套在清醒大鼠中测量高血压的程度。激素替代方案将假手术、已切除垂体大鼠的收缩压恢复到在具有完整垂体、假手术大鼠中观察到的水平。因此,患高血压的、已切除垂体的大鼠血压高于已切除垂体和具有完整垂体的假手术大鼠。具有完整垂体的高血压大鼠和接受生长激素治疗的已切除垂体大鼠出现了心脏肥大。尽管进行了激素治疗,但血压高于正常水平且无生长激素的已切除垂体大鼠并未出现心脏肥大。

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