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肥胖大鼠幼崽高血压的交感神经起源证据。

Evidence for sympathetic origins of hypertension in juvenile offspring of obese rats.

机构信息

Division of Reproduction and Endocrinology, King's College London, 10th Floor North Wing, St. Thomas' Hospital, London SE1 7EH, UK.

出版信息

Hypertension. 2010 Jan;55(1):76-82. doi: 10.1161/HYPERTENSIONAHA.109.139402. Epub 2009 Nov 9.

DOI:10.1161/HYPERTENSIONAHA.109.139402
PMID:19901159
Abstract

Maternal obesity in rodents is associated with increased adiposity, impaired glucose tolerance, and hypertension in adult offspring. In this study we investigated the influence of maternal obesity in the rat on blood pressure and blood pressure regulatory pathways in juvenile and adult offspring. Obesity was induced before pregnancy in female Sprague-Dawley rats by feeding a highly palatable energy-dense diet. In juvenile animals (30 days of age), before the onset of obesity and hyperleptinemia, basal nighttime mean arterial pressure was significantly raised in the offspring of obese dams (OffOb) relative to offspring of controls (OffCon; mean arterial pressure, males: OffOb, 121.8+/-0.6 mm Hg versus OffCon, 115.0+/-0.5 mm Hg, n=6, P<0.01; females: OffOb, 125.4+/-0.4 mm Hg versus OffCon, 114.4+/-0.5 mm Hg, n=6, P<0.001), as was the mean arterial pressure response to restraint stress (P<0.01). The pressor response to a leptin challenge was enhanced in OffOb rats (Deltamean arterial pressure: OffOb, 9.7+/-0.8 mm Hg versus OffCon, 5.3+/-1.3 mm Hg; n=8; P<0.05). Renal tissue norepinephrine content (P<0.001) and renin expression (P<0.05) were markedly raised. Analysis of heart rate variability revealed an increased low:high frequency ratio in OffOb versus OffCon rats (P<0.05). At 90 days, hypertension in OffOb rats persisted and was abolished by alpha1- and beta-adrenergic blockade, and cardiovascular responses to phenylephrine or sodium nitroprusside indicated altered baroreceptor function. The exaggerated pressor response to leptin in OffOb rats was maintained. Hypertension in the offspring of obese rats may arise from persistent sympathoexcitatory hyperresponsiveness acquired in early stages of development.

摘要

母鼠肥胖与成年后代肥胖、葡萄糖耐量受损和高血压有关。本研究旨在探讨母鼠肥胖对幼鼠和成年后代血压和血压调节途径的影响。通过给予高脂肪、高能量的饮食,在母鼠怀孕前诱导肥胖。在幼鼠(30 日龄)中,在肥胖和高瘦素血症发生之前,肥胖母鼠后代的夜间基础平均动脉压明显高于对照母鼠后代(OffOb 与 OffCon 相比,雄性:OffOb,121.8+/-0.6mmHg 对 OffCon,115.0+/-0.5mmHg,n=6,P<0.01;雌性:OffOb,125.4+/-0.4mmHg 对 OffCon,114.4+/-0.5mmHg,n=6,P<0.001),束缚应激时平均动脉压的反应也增加(P<0.01)。瘦素挑战时,OffOb 大鼠的升压反应增强(Deltamean 动脉压:OffOb,9.7+/-0.8mmHg 对 OffCon,5.3+/-1.3mmHg,n=8,P<0.05)。肾组织去甲肾上腺素含量(P<0.001)和肾素表达(P<0.05)显著升高。心率变异性分析显示 OffOb 大鼠的低频:高频比值增加(P<0.05)。90 天时,OffOb 大鼠的高血压持续存在,并被α1-和β-肾上腺素能阻滞剂消除,对苯肾上腺素或硝普钠的心血管反应表明,压力感受器功能发生改变。OffOb 大鼠对瘦素的升压反应过度仍保持。肥胖母鼠后代的高血压可能源于早期发育过程中获得的持续性交感神经兴奋过度反应。

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