Whitescarver S A, Roberts A M, Stremel R W, Jimenez A E, Passmore J C
Department of Physiology and Biophysics, School of Medicine, University of Louisville, Ky 40292.
Hypertension. 1991 Feb;17(2):179-86. doi: 10.1161/01.hyp.17.2.179.
Smoking exacerbates the increase in arterial pressure in hypertension. The effect of nicotine on the baroreceptor-mediated reflex responses of renal nerve activity (RNA), heart rate, and respiratory activity (minute diaphragmatic activity [MDA]) after bolus injections of phenylephrine was compared in deoxycorticosterone acetate (DOCA)-salt sensitive and normotensive rats. Osmotic minipumps that dispensed either nicotine (2.4 mg/kg/day) or saline were implanted in DOCA and normotensive rats for 18 days. Anesthetized DOCA-nicotine, DOCA-saline, control-nicotine, and control-saline rats had mean arterial pressures (MAP) of 117 +/- 3, 110 +/- 9, 90 +/- 3, and 89 +/- 5 mm Hg, respectively. Nicotine decreased the sensitivity (p less than 0.05) of baroreceptor reflex control of RNA (% delta RNA/delta MAP) in the DOCA-nicotine rats (-0.92 +/- 0.08) compared with the DOCA-saline (-1.44 +/- 0.16), control-nicotine (-1.45 +/- 0.08), or control-saline (-1.45 +/- 0.21) rats. The reflex decrease in respiratory activity (% delta MDA/delta MAP x 100) was impaired (p less than 0.01) in both control-nicotine (-24.5 +/- 3.3) and DOCA-nicotine (-18.2 +/- 4.6) rats compared with control-saline (-59.2 +/- 9.1) and DOCA-saline (-52.5 +/- 9.9) rats. The reflex decrease in heart rate (absolute delta HR/delta MAP) in both DOCA-nicotine (1.56 +/- 0.17) and control-nicotine (1.54 +/- 0.24) rats was augmented compared with DOCA-saline and control-saline rats (0.91 +/- 0.12 and 0.97 +/- 0.14).(ABSTRACT TRUNCATED AT 250 WORDS)
吸烟会加剧高血压患者动脉压的升高。在醋酸脱氧皮质酮(DOCA)-盐敏感型大鼠和正常血压大鼠中,比较了尼古丁对大剂量注射去氧肾上腺素后压力感受器介导的肾神经活动(RNA)、心率和呼吸活动(分钟膈肌活动[MDA])反射反应的影响。将给予尼古丁(2.4毫克/千克/天)或生理盐水的渗透微型泵植入DOCA大鼠和正常血压大鼠体内18天。麻醉后的DOCA-尼古丁组、DOCA-生理盐水组、对照-尼古丁组和对照-生理盐水组大鼠的平均动脉压(MAP)分别为117±3、110±9、90±3和89±5毫米汞柱。与DOCA-生理盐水组(-1.44±0.16)、对照-尼古丁组(-1.45±0.08)或对照-生理盐水组(-1.45±0.21)大鼠相比,尼古丁降低了DOCA-尼古丁组大鼠(-0.92±0.08)中压力感受器对RNA反射控制的敏感性(p<0.05)。与对照-生理盐水组(-59.2±9.1)和DOCA-生理盐水组(-52.5±9.9)大鼠相比,对照-尼古丁组(-24.5±3.3)和DOCA-尼古丁组(-18.2±4.6)大鼠的呼吸活动反射性降低(%ΔMDA/ΔMAP×100)均受损(p<0.01)。与DOCA-生理盐水组和对照-生理盐水组大鼠(0.91±0.12和0.97±0.14)相比,DOCA-尼古丁组(1.56±0.17)和对照-尼古丁组(1.54±0.24)大鼠的心率反射性降低(绝对ΔHR/ΔMAP)均增强。(摘要截短于250字)