Boylan J W, Van Liew J B, Feig P U
Department of Medicine, University of Connecticut School of Medicine, Farmington 06032.
Proc Natl Acad Sci U S A. 1991 Nov 1;88(21):9848-52. doi: 10.1073/pnas.88.21.9848.
Erythrocytosis and microcytosis have been described in strains of genetically hypertensive rats and in essentially hypertensive humans. Published discussion of these phenomena has centered around their relationship to observed alterations in ionic transport and the pathogenesis of hypertension. In presenting data for another strain of spontaneously hypertensive rats in which these findings are exhibited, we note that erythroid cell size decreases concurrently with the increase in cell numbers so that the hematocrit and the mean corpuscular hemoglobin concentration remain constant. Data from the literature support the hypothesis that erythroid cell size is inversely proportional to cell count in a large number of species. Erythrocytosis, as it develops in the neonatal rat, is a consequence of the marked immaturity of this species at birth. Erythrocytosis in the spontaneously hypertensive rat is not due to a difference in the affinity of its hemoglobin for oxygen or to significant tissue anorexia. Microcytosis in the spontaneously hypertensive rat is the consequence of a continuation of the linear volume decrease with age of its erythroid cells seen in the normotensive animals and may be accounted for by the production of smaller cells with concomitant regulation of individual cell volume.
红细胞增多症和小红细胞症已在遗传性高血压大鼠品系和原发性高血压患者中有所描述。关于这些现象的已发表讨论主要围绕它们与观察到的离子转运改变以及高血压发病机制的关系。在展示另一品系自发性高血压大鼠出现这些发现的数据时,我们注意到红细胞大小随着细胞数量的增加而同时减小,因此血细胞比容和平均红细胞血红蛋白浓度保持恒定。文献数据支持这样的假说,即在大量物种中红细胞大小与细胞计数成反比。新生大鼠出现的红细胞增多症是该物种出生时明显不成熟的结果。自发性高血压大鼠的红细胞增多症并非由于其血红蛋白对氧气的亲和力差异或显著的组织缺氧。自发性高血压大鼠的小红细胞症是其红细胞随着年龄增长而线性体积减小在正常血压动物中也可见的这种情况持续的结果,可能是由产生较小细胞并伴随单个细胞体积调节所导致的。