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自发性高血压大鼠和正常血压大鼠主动免疫抗鼠肾素的生理和免疫病理学后果

Physiological and immunopathological consequences of active immunization of spontaneously hypertensive and normotensive rats against murine renin.

作者信息

Michel J B, Sayah S, Guettier C, Nussberger J, Philippe M, Gonzalez M F, Carelli C, Galen F X, Menard J, Corvol P

机构信息

INSERM U-36, Paris, France.

出版信息

Circulation. 1990 Jun;81(6):1899-910. doi: 10.1161/01.cir.81.6.1899.

Abstract

Spontaneously hypertensive Okamoto-strain rats (SHR) and normotensive Wistar-Kyoto (WKY) rats were actively immunized with mouse renin to investigate the effect on blood pressure of blocking the renin-angiotensinogen reaction. Ten male SHR and 10 male WKY rats were immunized with purified mouse submandibular gland renin. Control rats were immunized with bovine serum albumin. Antirenin antibodies were produced by both SHR and WKY rats, but renin-immunized SHR had higher titers of circulating renin antibodies after three injections. The increase in renin antibody in renin-immunized SHR was associated with a significant drop in blood pressure (tail-cuff method) that became similar to that of the WKY control rats after four injections. The blockade by antirenin immunoglobulins of the renin-angiotensinogen reaction also decreased the blood pressure of normotensive rats. Perfusion of renin-immunized rats with mouse submandibular renin (10 micrograms) in vivo caused no increase in blood pressure. Perfusion of renin-immunized, salt-depleted SHR with converting enzyme inhibitor caused no further decrease in blood pressure but significantly decreased blood pressure in salt-depleted control rats. The presence of circulating renin antibodies was associated with low plasma renin activity (0.31 +/- 0.23 ng angiotensin I [Ang I]/ml/hr). Plasma renin activity was unchanged in control animals (13.1 +/- 3.9 ng Ang I/ml/hr in control SHR, 13.9 +/- 3.2 ng Ang I/ml/hr in control WKY rats). Renin antibody-rich serum produced a dose-dependent inhibition of rat renin enzymatic activity in vitro. The chronic blockade of the renin-angiotensinogen reaction in renin-immunized SHR produced an almost-complete disappearance of Ang II (0.8 %/- 7 fmol/ml; control SHR, 30.6 +/- 15.7 fmol/ml) and a 50% reduction in urinary aldosterone. Renin immunization was never associated with a detectable loss of sodium after either 10 or 24 weeks. The glomerular filtration rate was not decreased 10 weeks after renin immunization, whereas blood pressure was significantly decreased, plasma renin activity was blocked, and renal plasma flow was increased. The ratio of left ventricular weight to body weight after 24 weeks was significantly below control levels in renin-immunized WKY rats and SHR. Histological examination of the kidney of renin-immunized SHR showed a chronic autoimmune interstitial nephritis characterized by the presence of immunoglobulins, mononuclear cell infiltration, and fibrosis around the juxtaglomerular apparatus. These experiments demonstrate that chronic specific blockade of renin decreases blood pressure in a genetic model of hypertension in which the renin-angiotensin system is not directly involved.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

自发性高血压冈本品系大鼠(SHR)和正常血压的Wistar-Kyoto(WKY)大鼠用小鼠肾素进行主动免疫,以研究阻断肾素-血管紧张素原反应对血压的影响。10只雄性SHR和10只雄性WKY大鼠用纯化的小鼠下颌下腺肾素进行免疫。对照大鼠用牛血清白蛋白进行免疫。SHR和WKY大鼠均产生了抗肾素抗体,但经肾素免疫的SHR在三次注射后循环肾素抗体滴度更高。经肾素免疫的SHR中肾素抗体的增加与血压显著下降(尾袖法)相关,四次注射后血压变得与WKY对照大鼠相似。抗肾素免疫球蛋白对肾素-血管紧张素原反应的阻断也降低了正常血压大鼠的血压。对经肾素免疫的大鼠体内灌注小鼠下颌下肾素(10微克)未引起血压升高。对经肾素免疫、低盐的SHR灌注转化酶抑制剂未导致血压进一步下降,但显著降低了低盐对照大鼠的血压。循环肾素抗体的存在与低血浆肾素活性(0.31±0.23纳克血管紧张素I[Ang I]/毫升/小时)相关。对照动物的血浆肾素活性未改变(对照SHR中为13.1±3.9纳克Ang I/毫升/小时,对照WKY大鼠中为13.9±3.2纳克Ang I/毫升/小时)。富含肾素抗体的血清在体外对大鼠肾素酶活性产生剂量依赖性抑制。经肾素免疫的SHR中肾素-血管紧张素原反应的慢性阻断导致Ang II几乎完全消失(0.8±7飞摩尔/毫升;对照SHR为30.6±15.7飞摩尔/毫升),尿醛固酮减少50%。肾素免疫在10周或24周后均未导致可检测到的钠丢失。肾素免疫10周后肾小球滤过率未降低,而血压显著下降,血浆肾素活性被阻断,肾血浆流量增加。24周后,经肾素免疫的WKY大鼠和SHR的左心室重量与体重之比显著低于对照水平。对经肾素免疫的SHR肾脏的组织学检查显示为慢性自身免疫性间质性肾炎,其特征为肾小球旁器周围存在免疫球蛋白、单核细胞浸润和纤维化。这些实验表明,在肾素-血管紧张素系统未直接参与的高血压遗传模型中,肾素的慢性特异性阻断可降低血压。(摘要截断于400字)

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