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高钠血症诱导的肾交感神经抑制:A1去甲肾上腺素能神经元的作用

Renal sympathoinhibition induced by hypernatremia: involvement of A1 noradrenergic neurons.

作者信息

Pedrino Gustavo Rodrigues, Rosa Daniel Alves, Korim Willian Seiji, Cravo Sergio Luiz

机构信息

Department of Physiology, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil.

出版信息

Auton Neurosci. 2008 Nov 3;142(1-2):55-63. doi: 10.1016/j.autneu.2008.06.006. Epub 2008 Aug 9.

DOI:10.1016/j.autneu.2008.06.006
PMID:18693077
Abstract

Several findings suggest that A1 noradrenergic neurons in the caudal ventrolateral medulla (CVLM) contribute to body fluid homeostasis and cardiovascular regulation. Recently we demonstrated that the renal vasodilation induced by infusion of hypertonic saline (HS) depends on the integrity of the A1 neurons. Here we determined the effect of lesions of these neurons on the inhibition of the renal sympathetic nerve activity (RSNA) induced by HS infusion. All experiments were performed in Wistar rats (280-350 g). A1 neurons were lesioned by microinjections of antidopamine-beta-hydroxylase-saporin (6.3 ng in 60 nl) into the CVLM (n=5), whereas sham rats received microinjections of free saporin (1.3 ng in 60 nl, n=10). Two weeks later, rats were anesthetized (urethane 1.2 g/kg, iv), and instrumented for recording of arterial pressure and RSNA. In sham rats, HS infusion (3 M NaCl, 0.18 ml/100 g bw, iv) induced a transient (</=30 min) hypertension (peak at 10 min; 9+/-5 mm Hg) and a fall in RSNA (-32+/-7% of baseline at 10 min). A1-lesions increased the duration of the pressor response induced by HS infusion (16+/-2 mm Hg at 60 min) and abolished the fall in RSNA (-6+/-8% of baseline at 10 min). Catecholaminergic lesions extensions were confirmed by immunocytochemistry. Unilateral renal denervation reduced the renal vasodilatation induced by HS infusion (112+/-7% in denervated rats versus 127+/-4% in sham, 20 min after HS). These results suggest that A1 noradrenergic neurons are involved in the sympathoinhibition and consequent renal vasodilatation to acute changes in the extracellular fluid compartment.

摘要

多项研究结果表明,延髓尾端腹外侧区(CVLM)的A1去甲肾上腺素能神经元有助于维持体液平衡和心血管调节。最近我们发现,输注高渗盐水(HS)所诱导的肾血管舒张依赖于A1神经元的完整性。在此,我们确定了这些神经元损伤对HS输注诱导的肾交感神经活动(RSNA)抑制的影响。所有实验均在Wistar大鼠(280 - 350 g)身上进行。通过向CVLM微量注射抗多巴胺-β-羟化酶-皂草素(6 ng溶于60 nl)损毁A1神经元(n = 5),而假手术组大鼠接受微量注射游离皂草素(1 ng溶于60 nl,n = 10)。两周后,将大鼠麻醉(静脉注射乌拉坦1.2 g/kg),并安装仪器记录动脉血压和RSNA。在假手术组大鼠中,输注HS(3 M NaCl,0.18 ml/100 g体重,静脉注射)诱导出短暂(≤30分钟)的高血压(10分钟时达到峰值;9±5 mmHg)以及RSNA下降(10分钟时降至基线的-32±7%)。A1神经元损毁增加了HS输注诱导的升压反应持续时间(60分钟时为16±2 mmHg),并消除了RSNA的下降(10分钟时为基线的-6±8%)。通过免疫细胞化学证实了儿茶酚胺能神经元损伤范围。单侧肾去神经支配减少了HS输注诱导的肾血管舒张(HS后20分钟,去神经支配大鼠为112±7%,假手术组为127±4%)。这些结果表明,A1去甲肾上腺素能神经元参与了对细胞外液急性变化的交感抑制及随之而来的肾血管舒张过程。

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