Department of Psychobiology, Universidade Federal de São Paulo, SP, Brazil.
J Renin Angiotensin Aldosterone Syst. 2011 Sep;12(3):146-52. doi: 10.1177/1470320310391504. Epub 2011 Mar 11.
Recent investigations over the past decade have linked the development of hypertension to sleep loss, although the mechanisms underlying this association are still under scrutiny. To determine the relationship between sleep deprivation and cardiovascular dysfunction, we examined the effects of paradoxical sleep deprivation on heart rate, blood pressure, sympathetic nerve activity (SNA) and their consequences in the blood renin-angiotensin system.
Wistar-Hannover male rats were randomly assigned to three experimental groups: 1) control, 2) paradoxical sleep deprivation for 24 h and 3) paradoxical sleep deprivation for 96 h. Blood pressure and heart rate were recorded in awake, freely moving rats.
Heart rate was higher in the 96 h paradoxical sleep deprivation group compared with the control group. Renal SNA was increased in all deprived groups. However, no significant statistical differences were observed in blood pressure or splanchnic SNA among groups. Paradoxical sleep deprivation (24 and 96 h) reduced plasma angiotensin II (Ang II) concentrations.
The results suggest that selective sleep deprivation produces an increase in SNA, preferentially in the kidney. Thus, alterations in the sympathetic system in response to sleep loss may be an important pathway through which hypertension develops.
过去十年的研究表明,高血压的发生与睡眠不足有关,尽管这种关联的机制仍在研究中。为了确定睡眠剥夺与心血管功能障碍之间的关系,我们研究了快动眼睡眠剥夺对心率、血压、交感神经活动(SNA)及其对血液肾素-血管紧张素系统影响。
Wistar-Hanover 雄性大鼠被随机分配到三个实验组:1)对照组,2)快动眼睡眠剥夺 24 小时,3)快动眼睡眠剥夺 96 小时。在清醒、自由活动的大鼠中记录血压和心率。
与对照组相比,96 小时快动眼睡眠剥夺组的心率更高。所有剥夺组的肾 SNA 均增加。然而,各组间血压或内脏 SNA 无显著统计学差异。快动眼睡眠剥夺(24 小时和 96 小时)降低了血浆血管紧张素 II(Ang II)浓度。
结果表明,选择性睡眠剥夺会增加 SNA,尤其是在肾脏。因此,睡眠不足引起的交感神经系统的改变可能是高血压发生的一个重要途径。