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对大鼠双肾单夹肾血管性高血压慢性期对侧肾脏去神经支配对血压、钠及类花生酸排泄的影响。

Effects of renal denervation of the contralateral kidney on blood pressure and sodium and eicosanoid excretion in the chronic phase of two-kidney, one-clip renovascular hypertension in rats.

作者信息

Kalaitzis Christos, Touloupidis Stavros, Bantis Evangelos, Patris Emmanuel, Triantafyllidis Argyrios

机构信息

Department of Urology, University of Thrace, 68100 Alexandroupolis, Greece.

出版信息

Scand J Urol Nephrol. 2005;39(1):15-20. doi: 10.1080/00365590410018774.

Abstract

OBJECTIVE

To define the role of the renal nerves of the contralateral kidney in the maintenance of two-kidney, one-clip (2K-1C) renovascular hypertension in rats.

MATERIAL AND METHODS

The contralateral kidney of 2K-1C rats was denervated 6 months after induction of hypertension and 4 weeks after nephrectomy of the clipped kidney. Blood pressure, sodium and potassium balance and eicosanoid excretion were measured.

RESULTS

Denervation of the contralateral kidney induced normalization of blood pressure in post-Goldblatt hypertensive rats. This effect was not mediated by a negative sodium balance. Excretion of prostaglandin E2 and thromboxane B2 increased after denervation of the contralateral kidney in both post-Goldblatt hypertensive and post-Goldblatt normotensive rats, while urine extraction remained unaffected.

CONCLUSION

Afferences from the contralateral kidney appear to participate in the maintenance of 2K-1C renovascular hypertension due to the activation of central mechanisms regulating blood pressure.

摘要

目的

明确对侧肾脏肾神经在维持大鼠两肾一夹(2K-1C)肾血管性高血压中的作用。

材料与方法

在高血压诱导6个月后且夹闭肾切除4周后,对2K-1C大鼠的对侧肾脏进行去神经支配。测量血压、钠钾平衡和类花生酸排泄。

结果

对侧肾脏去神经支配可使Goldblatt术后高血压大鼠的血压恢复正常。这种效应并非由负钠平衡介导。在Goldblatt术后高血压大鼠和Goldblatt术后血压正常的大鼠中,对侧肾脏去神经支配后前列腺素E2和血栓素B2的排泄均增加,而尿提取物不受影响。

结论

由于调节血压的中枢机制被激活,对侧肾脏的传入神经似乎参与了2K-1C肾血管性高血压的维持。

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