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下丘脑内注入可乐定可预防盐敏感性高血压。

Intrahypothalamic clonidine infusion prevents NaCl-sensitive hypertension.

作者信息

Jin H K, Yang R H, Wyss J M, Chen Y F, Oparil S

机构信息

Department of Medicine, University of Alabama, Birmingham 35294.

出版信息

Hypertension. 1991 Aug;18(2):224-9. doi: 10.1161/01.hyp.18.2.224.

Abstract

We have previously shown that dietary NaCl supplementation increases blood pressure and sympathetic nervous system activity in association with decreased norepinephrine release and increased alpha 2-adrenergic receptor number in the anterior hypothalamic area of salt-sensitive spontaneously hypertensive rats (SHR-S) but not in salt-resistant spontaneously hypertensive rats (SHR-R) or Wistar-Kyoto (WKY) rats. Further, acute microinjection of clonidine into the anterior hypothalamic area produced depressor responses that were augmented by high salt feeding in SHR-S but not in SHR-R or WKY rats. The current study tested the hypothesis that chronic infusion of clonidine into the anterior hypothalamic area prevents salt-sensitive hypertension in SHR-S. Beginning at age 7 weeks, immediately before initiation of 1% or 8% salt diets, clonidine (2 ng/min) or saline vehicle was infused into the anterior hypothalamic area or femoral vein of male SHR-S via osmotic minipump for 20 days. In SHR-S fed an 8% salt diet, chronic microinfusion of clonidine into the anterior hypothalamic area offset the hypertensive effect of the dietary salt supplementation and reduced the enhancing effects of dietary salt on left ventricular weight and plasma norepinephrine levels. In contrast, chronic microinfusion of clonidine into the anterior hypothalamic area did not significantly affect any of these measures in 1% salt-fed SHR-S. Intravenous infusion of clonidine at the rate used for the anterior hypothalamic area infusion did not alter any of these measures in 8% salt-fed SHR-S.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们之前已经表明,在盐敏感型自发性高血压大鼠(SHR-S)的下丘脑前部区域,补充膳食氯化钠会增加血压和交感神经系统活动,同时去甲肾上腺素释放减少,α2-肾上腺素能受体数量增加,而在盐抵抗型自发性高血压大鼠(SHR-R)或Wistar-Kyoto(WKY)大鼠中则不会出现这种情况。此外,向下丘脑前部区域急性微量注射可乐定可产生降压反应,在SHR-S中,高盐喂养会增强这种反应,而在SHR-R或WKY大鼠中则不会。本研究检验了以下假设:向下丘脑前部区域长期输注可乐定可预防SHR-S中的盐敏感性高血压。从7周龄开始,即在开始给予1%或8%盐饮食之前,通过渗透微型泵将可乐定(2 ng/分钟)或生理盐水载体输注到雄性SHR-S的下丘脑前部区域或股静脉中,持续20天。在给予8%盐饮食的SHR-S中,向下丘脑前部区域长期微量注射可乐定抵消了膳食盐补充的高血压作用,并降低了膳食盐对左心室重量和血浆去甲肾上腺素水平的增强作用。相比之下,向下丘脑前部区域长期微量注射可乐定对给予1%盐饮食的SHR-S的这些指标均无显著影响。以用于下丘脑前部区域输注的速率静脉输注可乐定,对给予8%盐饮食的SHR-S的这些指标均无改变。(摘要截断于250字)

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