Cardiovascular Center, University of Iowa, Iowa City, USA.
Circ Res. 2010 Feb 19;106(3):536-45. doi: 10.1161/CIRCRESAHA.109.206946. Epub 2009 Dec 17.
Increased sympathetic nerve activity has been linked to the pathogenesis of hypertension in humans and animal models. Enhanced peripheral chemoreceptor sensitivity which increases sympathetic nerve activity has been observed in established hypertension but has not been identified as a possible mechanism for initiating an increase in sympathetic nerve activity before the onset of hypertension.
We tested this hypothesis by measuring the pH sensitivity of isolated carotid body glomus cells from young spontaneously hypertensive rats (SHR) before the onset of hypertension and their control normotensive Wistar-Kyoto (WKY) rats.
We found a significant increase in the depolarizing effect of low pH in SHR versus WKY glomus cells which was caused by overexpression of 2 acid-sensing non-voltage-gated channels. One is the amiloride-sensitive acid-sensing sodium channel (ASIC3), which is activated by low pH and the other is the 2-pore domain acid-sensing K(+) channel (TASK1), which is inhibited by low pH and blocked by quinidine. Moreover, we found that the increase in sympathetic nerve activity in response to stimulation of chemoreceptors with sodium cyanide was markedly enhanced in the still normotensive young SHR compared to control WKY rats.
Our results establish a novel molecular basis for increased chemotransduction that contributes to excessive sympathetic activity before the onset of hypertension.
在人类和动物模型中,交感神经活动的增加与高血压的发病机制有关。已观察到在已建立的高血压中,外周化学感受器敏感性增强,从而增加了交感神经活动,但尚未确定其是否为高血压发作前交感神经活动增加的可能机制。
我们通过测量年轻自发性高血压大鼠(SHR)在高血压发作前及其对照的正常血压 Wistar-Kyoto(WKY)大鼠的分离颈动脉体球细胞的 pH 敏感性来检验这一假说。
我们发现 SHR 与 WKY 球细胞相比,低 pH 的去极化作用显著增加,这是由 2 种酸感应非电压门控通道的过度表达引起的。一种是阿米洛利敏感的酸感应钠通道(ASIC3),它被低 pH 激活,另一种是双孔域酸感应 K+通道(TASK1),它被低 pH 抑制,并被奎尼丁阻断。此外,我们发现,与对照 WKY 大鼠相比,对化学感受器用氰化钠刺激时,交感神经活动的增加在仍处于正常血压的年轻 SHR 中明显增强。
我们的结果为增加的化学转导建立了一个新的分子基础,这有助于高血压发作前过度的交感活动。