Histologia e Embriologia, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, Brazil.
Clinics (Sao Paulo). 2011;66(5):855-63. doi: 10.1590/s1807-59322011000500024.
Kidney disorders can cause essential hypertension, which can subsequently cause renal disease. High blood pressure is also common among those with chronic kidney disease; moreover, it is a well-known risk factor for a more rapid progression to kidney failure. Because hypertension and kidney function are closely linked, the present study aimed to observe the beneficial effects of low-intensity physical activity on structural and ultrastructural renal morphology and blood pressure in normotensive and spontaneously hypertensive rats.
Male Wistar-Kyoto rats and spontaneously hypertensive rats were randomly allocated into four groups: sedentary or exercised Wistar-Kyoto and sedentary or exercised spontaneously hypertensive rats. The exercise lasted 20 weeks and consisted of treadmill training for 1 hour/day, 5 days/week.
The exercised, spontaneously hypertensive rats showed a significant blood pressure reduction of 26%. The body masses of the Wistar-Kyoto and spontaneously hypertensive strains were significantly different. There were improvements in some of the renal structures of the animals treated with physical activity: (i) the interdigitations of the proximal and distal convoluted tubules; (ii) the basal membrane of the proximal and distal convoluted tubules; and (iii) in the basal membrane, slit diaphragm and pedicels of the glomerular filtration barrier. The spontaneously hypertensive rats also showed a decreased expression of connexin-43.
Physical exercise could be a therapeutic tool for improving kidney ultrastructure and, consequently, renal function in hypertensive individuals.
肾脏疾病可导致原发性高血压,继而引起肾脏疾病。高血压在慢性肾脏病患者中也很常见;此外,它是导致肾功能衰竭更快进展的已知危险因素。由于高血压和肾功能密切相关,本研究旨在观察低强度体育活动对正常血压和自发性高血压大鼠结构和超微结构肾脏形态以及血压的有益影响。
雄性 Wistar-Kyoto 大鼠和自发性高血压大鼠被随机分为四组:安静或运动的 Wistar-Kyoto 大鼠和安静或运动的自发性高血压大鼠。运动持续 20 周,包括每天 1 小时的跑步机训练,每周 5 天。
运动后的自发性高血压大鼠血压显著降低 26%。Wistar-Kyoto 和自发性高血压大鼠的体重有明显差异。接受体育活动治疗的动物的一些肾脏结构得到改善:(i)近端和远端曲管的相互交错;(ii)近端和远端曲管的基底膜;以及(iii)肾小球滤过屏障的基底膜、裂孔隔膜和足细胞。自发性高血压大鼠的连接蛋白 43 表达也减少。
体育锻炼可能是改善高血压个体肾脏超微结构进而改善肾功能的一种治疗工具。