Faculty of Pharmacy, Department of Pharmacology and Toxicology, Comenius University Bratislava, Bratislava, Slovakia.
Am J Physiol Renal Physiol. 2010 Mar;298(3):F625-33. doi: 10.1152/ajprenal.00289.2009. Epub 2009 Dec 9.
It is unknown whether generalized vascular dysfunction precedes the development of kidney disease. Therefore, we studied myogenic constriction and endothelium-mediated dilatory responses in two inbred Fawn-Hooded (FH) rat strains, one of which spontaneously develops hypertension, proteinuria, and glomerulosclerosis (FHH), whereas the other (FHL) does not. Small renal, mesenteric resistance arteries and thoracic aorta isolated from FH rats before (7 wk old) and after the development of mild proteinuria (12 wks old) were mounted in perfused and isometric set-ups, respectively. Myogenic response, endothelium-dependent relaxation, and the contribution of endothelium-mediated dilatory compounds were studied using their respective inhibitors. Myogenic reactivity was assessed constructing pressure-diameter curves in the presence and absence of calcium. At the age of 7 wk, renal arteries isolated from kidneys of FHH rats developed significantly lower myogenic tone compared with FHL, most likely because of excessive cyclo-oxygenase 1-mediated production of constrictive prostaglandins. Consequently, young FHH demonstrated reduced maximal myogenic tone (22 +/- 4.8 vs. 10.8 +/- 2.0%, P = 0.03) and the peak myogenic index (-6.9 +/- 4.8 vs. 0.6 +/- 0.8%/mmHg, P = 0.07 for FHL vs. FHH, respectively). Active myogenic curves obtained in mesenteric arteries isolated from 7-wk-old rats did not differ between either strain, demonstrating a similar level of systemic myogenic tone in FHL and FHH rats. Therefore, before any renal end-organ damage is present, myogenic response seems selectively impaired in renal vasculature of FHH rats. Aortic reactivity did not differ between FHL and FHH at the time points studied. The present study shows that vascular dysfunction in both small renal and systemic arteries precedes renal end-organ damage in a spontaneous model of hypertension-associated renal damage. These early vascular changes might be potentially involved in the increased susceptibility of FHH rats to renal injury.
血管功能障碍是否先于肾脏疾病的发生尚不清楚。因此,我们研究了两种近交 Fawn-Hooded(FH)大鼠品系的肌源性收缩和内皮介导的舒张反应,其中一种自发性高血压、蛋白尿和肾小球硬化(FHH),而另一种(FHL)则没有。从小鼠分离的肾脏、肠系膜阻力小动脉和胸主动脉在轻度蛋白尿发生前(7 周龄)和发生后(12 周龄)分别在灌注和等长装置中进行了研究。使用各自的抑制剂研究了肌源性反应、内皮依赖性松弛以及内皮介导的舒张化合物的贡献。在存在和不存在钙的情况下构建压力-直径曲线来评估肌源性反应性。在 7 周龄时,与 FHL 相比,来自 FHH 肾脏的肾动脉表现出明显较低的肌源性张力,这很可能是由于过多的环氧化酶 1 介导的收缩性前列腺素的产生。因此,年轻的 FHH 表现出降低的最大肌源性张力(22±4.8%对 10.8±2.0%,P=0.03)和峰值肌源性指数(-6.9±4.8%对 0.6±0.8%/mmHg,P=0.07 分别为 FHL 与 FHH)。从小鼠分离的 7 周龄肠系膜动脉获得的主动肌源性曲线在两种品系之间没有差异,表明 FHL 和 FHH 大鼠的全身肌源性张力水平相似。因此,在任何肾脏终末器官损伤发生之前,FHH 大鼠的肾血管肌源性反应似乎是选择性受损的。在研究的时间点,FHL 和 FHH 的主动脉反应性没有差异。本研究表明,在自发性高血压相关肾损伤模型中,小肾和全身动脉的血管功能障碍先于肾脏终末器官损伤。这些早期的血管变化可能潜在地参与了 FHH 大鼠对肾损伤的易感性增加。