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两种实验性高血压模型中血管反应的功能和形态学模式

Functional and morphological pattern of vascular responses in two models of experimental hypertension.

作者信息

Török J, Kristek F

机构信息

Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovak Republic.

出版信息

Exp Clin Cardiol. 2001 Fall;6(3):142-8.

Abstract

OBJECTIVES

To determine the reactivity and accompanying structural changes in thoracic aorta and carotid artery from nitric oxide (NO)-deficient hypertensive and spontaneously hypertensive rats (SHR).

ANIMALS AND METHODS

For the functional study, isolated rat arterial rings were precontracted with a submaximal concentration of phenylephrine (1 muM) and relaxant responses to cumulative concentrations of acetylcholine were obtained. For the morphological study, arteries were processed by a standard method for electron microscopy. The geometry of the arteries - the inner diameter and the wall thickness (tunica intima plus tunica media) - was evaluated by light microscopy.

RESULTS

Increased systolic blood pressure was accompanied by increased heart weight to body weight ratio in both NO-deficient and SHR compared with normotensive controls, indicating cardiac hypertrophy. Morphometry of the thoracic aorta and carotid artery in both models of hypertension showed increased wall thickness, cross-sectional area and wall to diameter ratio. The inner diameter increased in aorta but not in carotid artery. In isolated arteries from normotensive rats, the addition of acetylcholine to precontracted vessels resulted in dose-dependent relaxation. The relaxing effect was more prominent in thoracic aorta than in carotid artery. Endothelium-dependent relaxation of arteries from NO-deficient hypertensive rats was markedly reduced. On the other hand, in aorta and carotid artery from SHR, the endothelium-dependent relaxation in response to acetylcholine was not significantly attenuated. The relaxation of arteries from SHRs, as well as the residual relaxation of arteries from NO-deficient hypertensive rats, was abolished by addition of N(G)-nitro-l-arginine methyl ester, an inhibitor of NO synthase, to the incubation medium.

CONCLUSIONS

These results suggest that increased systolic blood pressure and accompanying structural changes are not primarily responsible for impairment of endothelium-dependent relaxation in experimental hypertension.

摘要

目的

确定一氧化氮(NO)缺乏型高血压大鼠和自发性高血压大鼠(SHR)胸主动脉和颈动脉的反应性及伴随的结构变化。

动物与方法

在功能研究中,用亚最大浓度的去氧肾上腺素(1μM)预收缩离体大鼠动脉环,然后获得对累积浓度乙酰胆碱的舒张反应。在形态学研究中,采用标准方法处理动脉以进行电子显微镜检查。通过光学显微镜评估动脉的几何结构——内径和壁厚(内膜加中膜)。

结果

与正常血压对照组相比,NO缺乏型和SHR的收缩压升高均伴有心脏重量与体重比值增加,表明存在心脏肥大。两种高血压模型的胸主动脉和颈动脉形态测量显示壁厚、横截面积和壁径比增加。主动脉内径增加,但颈动脉内径未增加。在正常血压大鼠的离体动脉中,向预收缩的血管中添加乙酰胆碱会导致剂量依赖性舒张。胸主动脉的舒张作用比颈动脉更明显。NO缺乏型高血压大鼠动脉的内皮依赖性舒张明显降低。另一方面,在SHR的主动脉和颈动脉中,对乙酰胆碱的内皮依赖性舒张没有明显减弱。向孵育培养基中添加NO合酶抑制剂N(G)-硝基-L-精氨酸甲酯可消除SHR动脉的舒张以及NO缺乏型高血压大鼠动脉的残余舒张。

结论

这些结果表明,收缩压升高及伴随的结构变化并非实验性高血压中内皮依赖性舒张受损的主要原因。

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