Pawlak Joanna, Dziecioł Janusz, Mantur Maria, Pawlak Dariusz
Department of Human Anatomy, Medical University of Białystok.
Postepy Hig Med Dosw (Online). 2008 May 27;62:241-8.
Hypertension is one of the most frequently occurring diseases worldwide. Approximately 10% of the population with hypertension reveals the secondary type of the disease. The aim of the study was to evaluate the megakaryocyte-platelet system in the course of renovascular hypertension.
MATERIAL/METHODS: An experimental model of hypertension in rats according to Goldblatt was used in the study. The experimental material (blood, bone marrow) was collected in the 4th, 8th, and 16th weeks of the study. Bone marrow megakaryocytes (MKs) were evaluated using immunohistochemical and morphometric methods. Blood platelets were analyzed based on their count (PLT) and mean volume (MPV). Plasma thrombopoietin (TPO) concentration was also assessed.
The investigation showed increased numbers of MKs 16 weeks after partial unilateral ligation of the renal artery. Statistically significant increase in platelet count, platelet mass, and the number of MK naked nuclei (NKs) as well as elevation of the circular deviation of the nuclei (CDN) of MKs accompanied the changes. MPV and TPO concentration did not change during the experiment. There was significant positive correlation between the increase in blood pressure and the numbers of MKs and NKs. The number of MKs correlated positively with PLT and CDN. Although TPO plasma level did not change significantly, there was marked negative correlation between plasma TPO concentration and PLT.
Although features of intensified platelet turnover were not observed, on the basis of the study it can be assumed that the megakaryocytic system undergoes changes in the course of renovascular hypertension. This can contribute to blood platelet production and the development of possible hypertension complications.
高血压是全球最常见的疾病之一。约10%的高血压患者为继发性高血压。本研究旨在评估肾血管性高血压病程中的巨核细胞 - 血小板系统。
材料/方法:本研究采用根据戈德布拉特法建立的大鼠高血压实验模型。在研究的第4周、第8周和第16周采集实验材料(血液、骨髓)。使用免疫组织化学和形态计量学方法评估骨髓巨核细胞(MKs)。基于血小板计数(PLT)和平均体积(MPV)分析血小板。还评估了血浆血小板生成素(TPO)浓度。
研究显示,肾动脉部分单侧结扎16周后MKs数量增加。血小板计数、血小板质量、MK裸核(NKs)数量的统计学显著增加以及MKs核的圆形偏差(CDN)升高伴随着这些变化。实验过程中MPV和TPO浓度未改变。血压升高与MKs和NKs数量之间存在显著正相关。MKs数量与PLT和CDN呈正相关。尽管血浆TPO水平没有显著变化,但血浆TPO浓度与PLT之间存在明显负相关。
尽管未观察到血小板更新增强的特征,但基于本研究可以假设,巨核细胞系统在肾血管性高血压病程中会发生变化。这可能有助于血小板生成以及可能的高血压并发症的发展。