Katayama S, Omoto A, Maruno Y, Inaba M, Itabashi A, Kawazu S, Ishii J, Komeda K
Fourth Department of Medicine, Saitama Medical School, Japan.
Hypertension. 1990 Jun;15(6 Pt 2):854-60. doi: 10.1161/01.hyp.15.6.854.
It is well known that diabetes mellitus is often associated with hypertension. We previously reported the unresponsiveness of renin release to volume depletion with impaired renal prostaglandin E2 synthesis in rats with streptozotocin-induced diabetes. However, we have found that BioBreeding Worcester rats, spontaneously susceptible to diabetes mellitus either before or after the onset of diabetes, showed a pronounced fourfold to ninefold increase in plasma renin activity in comparison with control Wistar rats. Furthermore, these rats developed mild hypertension as high as 134 mm Hg after the age of 90 days. The hyperreninemia responded to 1-week sodium loading or restriction; the blood pressure increased during sodium loading. Oral administration of captopril (30 mg/kg) for 1 week resulted in a large blood pressure decrease (-47.1 +/- 5.9 mm Hg, n = 10) in comparison with controls (-17.0 +/- 4.7 mm Hg, n = 12). Vascular response to angiotensin II was also attenuated. Plasma angiotensin II levels were 5.7-fold higher and associated with a 1.5-fold increase of plasma aldosterone concentration compared with control rats, whereas angiotensinogen-plasma concentrations were lower than in control rats. The renal renin content determined enzymatically or histochemically was more enhanced in BioBreeding Worcester rats than in control rats, but the renal renin messenger RNA levels did not differ. These results suggest that the strain-specific hyperreninemia in BioBreeding Worcester rats might be due to posttranscriptional abnormalities of renal renin synthesis. Further work is needed to elucidate the specific mechanism or mechanisms responsible.
众所周知,糖尿病常与高血压相关。我们之前报道过,链脲佐菌素诱导的糖尿病大鼠中,肾素释放对容量耗竭无反应,同时肾前列腺素E2合成受损。然而,我们发现,无论是在糖尿病发病前还是发病后,自发易患糖尿病的BioBreeding Worcester大鼠与对照Wistar大鼠相比,血浆肾素活性显著增加了4至9倍。此外,这些大鼠在90日龄后出现了高达134 mmHg的轻度高血压。高肾素血症对1周的钠负荷或限钠有反应;钠负荷期间血压升高。与对照组(-17.0 +/- 4.7 mmHg,n = 12)相比,口服卡托普利(30 mg/kg)1周导致血压大幅下降(-47.1 +/- 5.9 mmHg,n = 10)。血管对血管紧张素II的反应也减弱。与对照大鼠相比,血浆血管紧张素II水平高5.7倍,且血浆醛固酮浓度增加了1.5倍,而血管紧张素原血浆浓度低于对照大鼠。通过酶法或组织化学法测定的肾脏肾素含量在BioBreeding Worcester大鼠中比对照大鼠中增加得更多,但肾脏肾素信使RNA水平没有差异。这些结果表明,BioBreeding Worcester大鼠中品系特异性的高肾素血症可能是由于肾脏肾素合成的转录后异常所致。需要进一步的研究来阐明具体的负责机制。