Keeley F W, Alatawi A
Division of Cardiovascular Research, Hospital for Sick Children; Ontario, Canada.
Lab Invest. 1991 Apr;64(4):499-507.
One of the well-known consequences of established hypertension is an increase in connective tissue proteins in the walls of the large arterial blood vessels. Using renal clip and Dahl salt-sensitive rat models of systemic hypertension, we investigated the effect of developing hypertension on elastin production and accumulation in rat aorta. In both models of hypertension, increased accumulation of arterial elastin appeared coincidentally with, and was proportional to, elevation of blood pressure. In spite of large increases in absolute amounts of elastin, the proportion of elastin present in the vessel wall remained essentially constant from the earliest stage of the response. These changes in elastin synthesis and accumulation took place in the absence of evidence of cell proliferation. Treatment of Dahl rats with colchicine during development of hypertension affected blood pressure rise only marginally but abolished the vascular hypertrophic response. Our results suggest that the response of elastin production to increased blood pressure is rapid and sensitive, and that the stimulus for increased synthesis is an increase in wall stress. The striking effect of colchicine may indicate a role of elements of the cytoskeleton in the perception of stress by the vascular smooth muscle cells or in the transduction of that stress into increased production of connective tissue proteins.
高血压的一个众所周知的后果是大动脉血管壁中的结缔组织蛋白增加。我们使用肾夹和Dahl盐敏感大鼠系统性高血压模型,研究了高血压发展对大鼠主动脉弹性蛋白产生和积累的影响。在两种高血压模型中,动脉弹性蛋白积累的增加与血压升高同时出现,且与血压升高成正比。尽管弹性蛋白的绝对量大幅增加,但从反应的最早阶段开始,血管壁中弹性蛋白的比例基本保持不变。弹性蛋白合成和积累的这些变化是在没有细胞增殖证据的情况下发生的。在高血压发展过程中用秋水仙碱治疗Dahl大鼠,仅对血压升高有轻微影响,但消除了血管肥厚反应。我们的结果表明,弹性蛋白产生对血压升高的反应迅速且敏感,合成增加的刺激因素是壁应力增加。秋水仙碱的显著作用可能表明细胞骨架成分在血管平滑肌细胞感知应力或在将该应力转化为结缔组织蛋白产生增加方面发挥作用。