Hermsmeyer K, Hatton D A, Karanja N, McCarron D
Cardiovascular Research Laboratory, Chiles Research Institute, Providence Medical Center, Portland, OR 97213.
Stroke. 1990 Dec;21(12 Suppl):IV98-101.
We studied the effects of dietary Ca2+ on blood pressure, survival, and calcium channel function to investigate cardiovascular disease mechanisms in stroke-prone spontaneously hypertensive rats. Beginning at 3 weeks of age, rats were fed high sodium chloride diets (8.0%) in combination with either high (2.0%) or low (0.2%) Ca2+ diets for 8 weeks. At 12 weeks of age, survival was 90% in the high Ca2+ group and 30% in the low Ca2+ group. The higher blood pressure and lower survival in the low Ca2+ group suggest an intensification of altered vascular muscle cell mechanisms by a dietary Ca2+ deficit. Nimodipine (1-10 nM) effectively blocked L-type Ca2+ currents in isolated vascular muscle cells from both groups. Contraction of isolated cells that were not patch clamped to high potassium solutions were also blocked by 1 nM nimodipine. Disappearance of the L-type Ca2+ channel current was accelerated by holding at depolarizing potentials (positive to -50 mV) and by depolarizing steps to 0 mV. Nimodipine block of the L-type Ca2+ currents in vascular muscle is believed to contribute substantially to antihypertensive properties and stroke prevention, actions that may develop fully only in stroke-prone spontaneously hypertensive rats on a diet of at least normal Ca2+.
我们研究了膳食钙对血压、存活率和钙通道功能的影响,以探究易患中风的自发性高血压大鼠的心血管疾病机制。从3周龄开始,大鼠被喂食高氯化钠饮食(8.0%),同时搭配高钙(2.0%)或低钙(0.2%)饮食,持续8周。在12周龄时,高钙组的存活率为90%,低钙组为30%。低钙组较高的血压和较低的存活率表明,膳食钙缺乏会加剧血管平滑肌细胞机制的改变。尼莫地平(1 - 10 nM)可有效阻断两组分离的血管平滑肌细胞中的L型钙电流。1 nM尼莫地平也可阻断未膜片钳记录的分离细胞在高钾溶液中的收缩。通过保持在去极化电位(正于 -50 mV)以及去极化至0 mV的步骤,L型钙通道电流的消失加速。尼莫地平对血管平滑肌中L型钙电流的阻断被认为对其降压特性和预防中风有很大贡献,这些作用可能只有在至少摄入正常钙饮食的易患中风的自发性高血压大鼠中才能充分发挥。