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自发性高血压大鼠断奶前卡维地洛治疗

Pre-weaning carvedilol treatment in spontaneously hypertensive rats.

作者信息

Boesen Erika I, Lambert Gavin W, Anderson Warwick P, Kett Michelle M

机构信息

Department of Physiology, Monash University, Victoria 3800, Australia.

出版信息

Eur J Pharmacol. 2004 Feb 20;486(2):183-8. doi: 10.1016/j.ejphar.2003.12.012.

Abstract

Hypertension in spontaneously hypertensive rats (SHR) has been permanently abolished by aggressive treatment regimens targeted against the sympathetic nervous system and adrenal medulla, initiated during the pre-weaning period (guanethidine and nerve growth factor antiserum combined with either adrenal demedullation or prazosin treatment). To investigate the components of the sympatho-adrenal system involved, we treated pre-weaning SHR with the combined alpha(1)- and beta-adrenoceptor antagonist carvedilol (60 mg/kg/day s.c.; postnatal days 1-21). Carvedilol treatment significantly blocked adrenoceptors during the treatment period, delayed development (eye opening), reduced growth, and reduced arterial pressure and heart rate. However, there was only modest attenuation of the subsequent development of hypertension at 10 weeks of age (mean arterial pressure 129.5+/-1.8 versus 136.1+/-1.6 mm Hg in vehicle-treated littermates; P<0.05). Thus pre-weaning carvedilol treatment slightly but significantly attenuated the development of SHR hypertension at 10 weeks, suggesting that the profound antihypertensive effects of pre-weaning sympatho-adrenal ablation are attributable to factors other than alpha(1)- and beta-adrenoceptor-mediated effects of catecholamines during this period.

摘要

自发性高血压大鼠(SHR)的高血压可通过在断奶前阶段启动的针对交感神经系统和肾上腺髓质的积极治疗方案而永久消除(胍乙啶和神经生长因子抗血清联合肾上腺髓质切除术或哌唑嗪治疗)。为了研究交感-肾上腺系统中涉及的成分,我们用α(1)和β肾上腺素能受体拮抗剂卡维地洛联合治疗断奶前的SHR(60毫克/千克/天,皮下注射;出生后第1-21天)。卡维地洛治疗在治疗期间显著阻断了肾上腺素能受体,延迟了发育(睁眼),降低了生长速度,并降低了动脉血压和心率。然而,在10周龄时,高血压的后续发展仅得到适度缓解(平均动脉压为129.5±1.8毫米汞柱,而在接受载体治疗的同窝幼崽中为136.1±1.6毫米汞柱;P<0.05)。因此,断奶前卡维地洛治疗在10周时略微但显著地减轻了SHR高血压的发展,这表明断奶前交感-肾上腺切除的显著降压作用归因于该时期儿茶酚胺的α(1)和β肾上腺素能受体介导作用以外的因素。

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