Department of Advanced Clinical Science and Therapeutics, University of Tokyo, 7-3-1 Hongo, Tokyo, Japan.
Hypertens Res. 2010 Oct;33(10):1060-5. doi: 10.1038/hr.2010.125. Epub 2010 Jul 29.
There is a deep relationship between impaired circadian rhythm and hypertension. However, the detailed mechanisms between the daily sleep-wake rhythm and cardiovascular disorders have not yet been elucidated. To clarify the mechanism, we examined salt-sensitive Dahl rats that were fed normal chow (n=10), high-salt chow (n=10) and high-salt chow with bisoprolol (n=10). Simultaneous electroencephalogram, electromyogram and locomotor activity were examined to analyze the sleep-wake state. We also examined heart rate, blood pressure and echocardiographic findings to verify the presence of hypertension. Hypertension with impaired ventricular contraction was observed in the rats with high-salt-chow consumption whereas normal-chow rats did not show these disorders. Although rats with the normal diet showed a standard daily rhythm with normal rapid eye movement (REM) sleep duration and locomotor activity, the high-salt-diet group exhibited an impaired daily rhythm with suppressed REM sleep and significant abnormal locomotor activity. Bisoprolol significantly improved the daily sleep-wake rhythm and locomotor activity. We showed that an impaired daily rhythm was closely related to the development of hypertension. Regulation of sympathetic nerve alterations may have a key role in the treatment of hypertension and circadian rhythm disorder.
昼夜节律紊乱与高血压之间存在着密切的关系。然而,关于日常睡眠-觉醒节律与心血管紊乱之间的详细机制尚未阐明。为了阐明其机制,我们检测了正常进食(n=10)、高盐进食(n=10)和高盐进食加比索洛尔(n=10)的敏感型达尔大鼠。同时检测了脑电图、肌电图和运动活动,以分析睡眠-觉醒状态。我们还检测了心率、血压和超声心动图检查结果,以验证高血压的存在。高盐饮食组大鼠出现了高血压伴心室收缩功能障碍,而正常饮食组大鼠则未出现这些异常。尽管正常饮食的大鼠表现出标准的昼夜节律,快速眼动(REM)睡眠时间和运动活动正常,但高盐饮食组则表现出昼夜节律紊乱,REM 睡眠受到抑制,运动活动明显异常。比索洛尔显著改善了昼夜睡眠-觉醒节律和运动活动。我们表明,昼夜节律紊乱与高血压的发生密切相关。调节交感神经改变可能在高血压和昼夜节律紊乱的治疗中具有关键作用。