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链脲佐菌素诱导的糖尿病去氧皮质酮高血压大鼠的心肌功能

Myocardial performance of STZ-diabetic DOCA-hypertensive rats.

作者信息

Dai S, McNeill J H

机构信息

Division of Pharmacology and Toxicology, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.

出版信息

Am J Physiol. 1992 Dec;263(6 Pt 2):H1798-805. doi: 10.1152/ajpheart.1992.263.6.H1798.

Abstract

Myocardial performance of streptozotocin (STZ)-diabetic deoxycorticosterone acetate (DOCA)-hypertensive rats was examined using the isolated working heart apparatus at various time periods after induction of the experimental diseases. Blood pressure, pulse rate, and plasma levels of glucose, insulin, cholesterol, and triglycerides, as well as ventricular weight-to-body weight ratio, were also determined. In nondiabetic rats it was found that DOCA hypertension was associated with an increase in plasma cholesterol, a decrease in circulating insulin level, lower weight gain, and ventricular enlargement compared with control rats. Diabetic rats developed myocardial dysfunction in a time-dependent manner and exhibited hyperglycemia, hypoinsulinemia, bradycardia, and ventricular enlargement. Compared with the normotensive diabetic animals, STZ-diabetic DOCA-hypertensive rats showed a similar magnitude of myocardial dysfunction and a greater degree of ventricular enlargement, but significantly less severe hyperglycemia. It is concluded that DOCA-induced hypertension does not aggravate the severity of myocardial dysfunction developed in STZ-diabetic rats. It is also suggested that DOCA may have an action on glucose metabolism either directly or via an effect on insulin secretion.

摘要

在实验性疾病诱导后的不同时间段,使用离体工作心脏装置检测链脲佐菌素(STZ)诱导的糖尿病和醋酸脱氧皮质酮(DOCA)诱导的高血压大鼠的心肌功能。还测定了血压、脉搏率、血糖、胰岛素、胆固醇和甘油三酯的血浆水平,以及心室重量与体重比。在非糖尿病大鼠中,发现与对照大鼠相比,DOCA高血压与血浆胆固醇升高、循环胰岛素水平降低、体重增加减少和心室扩大有关。糖尿病大鼠以时间依赖性方式出现心肌功能障碍,并表现出高血糖、低胰岛素血症、心动过缓和心室扩大。与正常血压的糖尿病动物相比,STZ糖尿病DOCA高血压大鼠表现出相似程度的心肌功能障碍和更大程度的心室扩大,但高血糖程度明显较轻。得出的结论是,DOCA诱导的高血压不会加重STZ糖尿病大鼠发生的心肌功能障碍的严重程度。还表明,DOCA可能直接或通过对胰岛素分泌的影响对葡萄糖代谢产生作用。

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