Eklöf A C, Aperia A
Department of Pediatrics, Karolinska Institutet, Stockholm, Sweden.
Acta Physiol Scand. 1990 Jul;139(3):435-40. doi: 10.1111/j.1748-1716.1990.tb08944.x.
This study evaluates the role of different sodium intakes and the role of angiotensin II in the development and the maintenance of renovascular hypertension in rats with constriction of the aorta proximal to the renal arteries. The rats were studied 3 weeks after surgery when the hypertension was well established. Glomerular filtration rate was decreased and filtration fraction was increased in rats with proximal aortic constriction. Low and high salt intakes had no effect on glomerular filtration and filtration fraction. Treatment with angiotensin II converting enzyme inhibitor increased the glomerular filtration rate and reduced the filtration fraction in rats with proximal aortic constriction to the same levels as in control rats. Serum levels of angiotensin II were about the same in rats with proximal aortic constriction as in control rats. Conclusion. The renovascular hypertension in proximal aortic constriction is influenced by locally formed angiotension II but not by alterations in salt intake.
本研究评估了不同钠摄入量以及血管紧张素II在肾动脉近端主动脉缩窄大鼠肾血管性高血压的发生和维持过程中的作用。在手术后3周对大鼠进行研究,此时高血压已充分形成。肾动脉近端主动脉缩窄的大鼠肾小球滤过率降低,滤过分数增加。低钠和高钠摄入对肾小球滤过和滤过分数均无影响。用血管紧张素II转换酶抑制剂治疗可使肾动脉近端主动脉缩窄大鼠的肾小球滤过率增加,并使滤过分数降低至与对照大鼠相同的水平。肾动脉近端主动脉缩窄大鼠的血管紧张素II血清水平与对照大鼠大致相同。结论:肾动脉近端主动脉缩窄所致的肾血管性高血压受局部形成的血管紧张素II影响,而非盐摄入量改变的影响。