Department of Pediatrics, University of Mississippi Medical Center, 2500 North State St., Jackson, MS 39216-4505, USA.
Am J Physiol Regul Integr Comp Physiol. 2010 May;298(5):R1421-7. doi: 10.1152/ajpregu.00096.2010. Epub 2010 Mar 10.
Placental insufficiency results in intrauterine growth restriction (IUGR) and hypertension in adult male growth-restricted rats. Although renal ANG II and plasma renin activity do not differ between growth-restricted and control rats, blockade of the renin-angiotensin system (RAS) abolishes hypertension in growth-restricted rats, suggesting that the RAS contributes to IUGR-induced hypertension. Moreover, castration abolishes hypertension in growth-restricted rats, indicating an important role for testosterone. Therefore, we hypothesized that enhanced responsiveness to ANG II contributes to hypertension in this model of IUGR and that androgens may play a pivotal role in this enhanced response. Physiological parameters were determined at 16 wk of age in male rats pretreated with enalapril (40 mg.kg(-1).day(-1)) for 1 wk. Baseline blood pressures were similar between growth-restricted (112 +/- 3 mmHg) and control (110 +/- 2 mmHg) rats; however, an enhanced pressor response to acute ANG II (100 ng.kg(-1).min(-1) for 30 min) was observed in growth-restricted (160 +/- 2 mmHg) vs. control (136 +/- 2 mmHg; P < 0.05) rats. Castration abolished the enhanced pressor response to acute ANG II in growth-restricted (130 +/- 2 mmHg) rats with no significant effect on blood pressure in controls (130 +/- 2 mmHg). Blood pressure was increased to a similar extent above baseline in response to acute phenylephrine (100 microg/min) in control (184 +/- 5 mmHg) and growth-restricted (184 +/- 8 mmHg) rats, suggesting the enhanced pressor response in growth-restricted rats is ANG II specific. Thus, these results suggest that growth-restricted rats exhibit an enhanced responsiveness to ANG II that is testosterone dependent and indicate that the RAS may serve as an underlying mechanism in mediating hypertension programmed in response to IUGR.
胎盘功能不全导致宫内生长受限(IUGR)和成年雄性生长受限大鼠的高血压。虽然生长受限大鼠和对照组大鼠的肾脏血管紧张素 II(ANG II)和血浆肾素活性没有差异,但肾素-血管紧张素系统(RAS)阻断可消除生长受限大鼠的高血压,表明 RAS 有助于 IUGR 引起的高血压。此外,阉割可消除生长受限大鼠的高血压,表明睾酮具有重要作用。因此,我们假设增强对 ANG II 的反应性是导致这种 IUGR 模型中高血压的原因,而雄激素可能在这种增强反应中起关键作用。在雄性大鼠中,用依那普利(40 mg.kg(-1).day(-1))预处理 1 周,在 16 周龄时测定生理参数。生长受限(112 +/- 3 mmHg)和对照组(110 +/- 2 mmHg)大鼠的基础血压相似;然而,生长受限(160 +/- 2 mmHg)大鼠对急性 ANG II(100 ng.kg(-1).min(-1),30 min)的加压反应增强,而对照组(136 +/- 2 mmHg;P < 0.05)大鼠则观察到增强的加压反应。阉割消除了生长受限大鼠对急性 ANG II 的增强加压反应,但对对照组大鼠的血压无明显影响(130 +/- 2 mmHg)。在对照组(184 +/- 5 mmHg)和生长受限(184 +/- 8 mmHg)大鼠中,对急性苯肾上腺素(100 microg/min)的血压反应均增加到与基线相似的程度,表明生长受限大鼠的增强加压反应是 ANG II 特异性的。因此,这些结果表明,生长受限大鼠表现出对 ANG II 的增强反应性,这种反应性依赖于睾酮,并表明 RAS 可能作为介导对 IUGR 反应的高血压的潜在机制。