Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovak Republic.
Physiol Res. 2009;58(6):921-925. doi: 10.33549/physiolres.931926.
It is documented that in chronic hypertensive state there is an increased vasodepressor response to calcium channel antagonists such as the dihydropyridine derivate nifedipine. This effect is generally proportional to initial blood pressure as was demonstrated in several models of experimental hypertension. In the present study we investigated the effect of chronic nifedipine treatment on the development of cardiovascular system in young spontaneously hypertensive rats (SHR) in order to evaluate whether it could prevent the abnormalities leading to hypertensive state. Four- and eight-week-old rats were treated with nifedipine (50 mg/kg/day) for 4 weeks. Blood pressure of nifedipine-treated SHR remained at the initial level in contrast to their untreated controls where it continued to increase. In both age groups, chronic nifedipine administration reduced neurogenic contractions of isolated superior mesenteric artery, but did not significantly affect the dose-response curve to exogenous noradrenaline in 8-week-old rats. In contrast, maximum response to noradrenaline was significantly attenuated in mesenteric artery of 12-week-old nifedipine-treated SHR. We can presume that the antihypertensive effect of nifedipine is similar in both stages of spontaneous hypertension development, but the mechanisms involved might be different. It seems that chronic reduction of calcium influx during the rapid phase of pathological blood pressure increase in SHR may eliminate the effect of enhanced sympathetic tone, which may have unfavorable consequences on cardiovascular structure and function.
有文献记载,在慢性高血压状态下,钙通道拮抗剂(如二氢吡啶衍生物硝苯地平)会引起血管舒张反应增强。这种效应通常与初始血压成正比,这在几种实验性高血压模型中得到了证明。在本研究中,我们研究了慢性硝苯地平治疗对年轻自发性高血压大鼠(SHR)心血管系统发育的影响,以评估其是否能预防导致高血压状态的异常。4 周龄和 8 周龄的大鼠接受硝苯地平(50mg/kg/天)治疗 4 周。与未接受治疗的对照组相比,硝苯地平治疗的 SHR 血压仍保持在初始水平,而对照组的血压继续升高。在两个年龄组中,慢性硝苯地平给药均可降低分离的肠系膜上动脉的神经源性收缩,但对 8 周龄大鼠的外源性去甲肾上腺素剂量反应曲线无显著影响。相比之下,12 周龄硝苯地平治疗的 SHR 肠系膜动脉对去甲肾上腺素的最大反应明显减弱。我们可以假设硝苯地平在自发性高血压发展的两个阶段的降压作用相似,但涉及的机制可能不同。似乎在 SHR 病理性血压升高的快速阶段,慢性减少钙内流可能消除增强的交感神经张力的影响,这可能对心血管结构和功能产生不利影响。