Hood Sally G, Woods Robyn L
Howard Florey Institute, University of Melbourne, Victoria 3010, Australia.
Exp Physiol. 2004 Jul;89(4):445-54. doi: 10.1113/expphysiol.2004.027557. Epub 2004 May 6.
Atrial natriuretic peptide (ANP) enhances cardiac vagal baroreflexes in normotensive animals. In spontaneously hypertensive rats (SHRs) this effect of ANP was absent. The reflex actions of ANP were preserved if hypertrophy was completely prevented in SHRs. However even a small amount of cardiac hypertrophy, with no hypertension, in SHRs was accompanied by a loss of the reflex bradycardic actions of ANP. In the present study, we investigated whether pathophysiological cardiac hypertrophy, induced by one-kidney, one-clip renovascular hypertension (1K-1C; n = 6), or physiological cardiac hypertrophy induced by chronic spontaneous, wheel-running exercise training (n = 7), similarly prevented vagal reflex actions of ANP. Cardiac baroreceptor-activated bradycardia was measured during rapid ramp increases ( approximately 5 s) in blood pressure after bolus doses of methoxamine or vehicle in conscious, chronically instrumented rats during infusions of ANP (50 pmol kg(-1) min(-1)). Compared with uninephrectomised control rats (n = 10), rats with 1K-1C had cardiac hypertrophy (approximately 55% increase in left ventricle:body weight (LV:BW) ratio; P < 0.05) and blunted vagal baroreflex gain (-0.93 +/- 0.18 versus-0.50 +/- 0.13 beats min(-1) mmHg(-1); P < 0.05). ANP did not augment baroreflex function in 1K-1C. Compared with their sedentary controls (n = 7), exercise-trained rats with cardiac hypertrophy ( approximately 20% increase LV:BW ratio; P < 0.05) also had blunted ramp baroreflex bradycardia (-1.28 +/- 0.23 versus-0.57 +/- 0.09 beats min(-1) mmHg(-1); P < 0.05). In contrast, ANP more than doubled baroreflex bradycardia in exercise-trained rats (P < 0.05). The aetiology of cardiac hypertrophy therefore influenced whether ANP retained its vagal baroreflex enhancing properties.
心房利钠肽(ANP)可增强正常血压动物的心脏迷走压力反射。在自发性高血压大鼠(SHR)中,ANP的这种作用不存在。如果在SHR中完全防止心肌肥厚,ANP的反射作用得以保留。然而,即使是少量无高血压的SHR心肌肥厚,也伴随着ANP反射性心动过缓作用的丧失。在本研究中,我们调查了由单肾单夹肾血管性高血压(1K-1C;n = 6)诱导的病理生理性心肌肥厚,或由慢性自发轮转运动训练诱导的生理性心肌肥厚(n = 7),是否同样会阻止ANP的迷走反射作用。在清醒的、长期植入仪器的大鼠输注ANP(50 pmol kg⁻¹ min⁻¹)期间,静脉注射甲氧明或赋形剂后,在血压快速斜坡上升(约5秒)期间测量心脏压力感受器激活的心动过缓。与单侧肾切除的对照大鼠(n = 10)相比,1K-1C大鼠有心肌肥厚(左心室:体重(LV:BW)比值增加约55%;P < 0.05),迷走压力反射增益减弱(-0.93±0.18对-0.50±0.13次/分钟·mmHg⁻¹;P < 0.05)。ANP在1K-1C中未增强压力反射功能。与久坐的对照大鼠(n = 7)相比,有心肌肥厚的运动训练大鼠(LV:BW比值增加约20%;P < 0.05)也有减弱的斜坡压力反射性心动过缓(-1.28±0.23对-0.57±0.09次/分钟·mmHg⁻¹;P < 0.05)。相反,ANP使运动训练大鼠的压力反射性心动过缓增加了一倍多(P < 0.05)。因此,心肌肥厚的病因影响了ANP是否保留其迷走压力反射增强特性。