Nephrology Research and Development Unit, University of Porto, Porto, Portugal.
Exp Biol Med (Maywood). 2012 Aug;237(8):949-55. doi: 10.1258/ebm.2012.012077. Epub 2012 Aug 8.
Obesity has reached epidemic proportions in the Western world and is implicated in the pathophysiology of essential hypertension. The aim of the present study was to evaluate sodium handling, blood pressure and renal dopaminergic system activity in a mouse model of obesity induced by exposure to a hypercaloric diet. From six to 18 weeks of age, animals were fed with a control diet or a high-fat high-simple-carbohydrate (HFHSC) diet. Renal function, blood pressure and urinary and plasmatic catecholamines and biochemical parameters were evaluated in both groups. In parallel, the effects of high sodium intake (HS, 1.0% NaCl, 3 days) on natriuresis, urinary catecholamine excretion and aromatic l-amino acid decarboxylase (AADC) activity were evaluated in control and obese mice. Mice exposed to the HFHSC diet presented obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia and increased blood pressure. This was accompanied, in obese mice, by decreases in urinary excretion of dopamine and metabolites as well as reduced AADC activity in renal tissues. During HS intake, absolute urinary dopamine excretion increased in control, but not in obese mice. This was accompanied in obese mice by a natriuretic resistance on day 1 of the HS diet. In addition, obese mice presented increased urinary and plasmatic noradrenaline levels, as well as an increased heart rate when compared with control mice. In conclusion, in this model of diet-induced obesity hyperinsulinemia, insulin resistance and increased sympathetic tone are associated with blunted renal dopaminergic activity. It is suggested that this may contribute to compromised sodium excretion and increased blood pressure in obesity.
肥胖已在西方世界达到流行程度,并与原发性高血压的病理生理学有关。本研究旨在评估暴露于高热量饮食引起的肥胖小鼠模型中的钠处理、血压和肾脏多巴胺能系统活性。从 6 至 18 周龄,动物喂食对照饮食或高脂肪高简单碳水化合物(HFHSC)饮食。在两组中评估肾功能、血压以及尿和血浆儿茶酚胺和生化参数。同时,在对照和肥胖小鼠中评估高钠摄入(HS,1.0%NaCl,3 天)对尿钠排泄、尿儿茶酚胺排泄和芳香族 l-氨基酸脱羧酶(AADC)活性的影响。暴露于 HFHSC 饮食的小鼠表现出肥胖、高血糖、葡萄糖耐量受损、胰岛素抵抗、高胰岛素血症和血压升高。这伴随着肥胖小鼠尿液中多巴胺及其代谢物的排泄减少以及肾脏组织中 AADC 活性降低。在 HS 摄入期间,对照小鼠的绝对尿多巴胺排泄增加,但肥胖小鼠则没有。在肥胖小鼠中,这伴随着 HS 饮食第 1 天的排钠抵抗。此外,肥胖小鼠的尿和血浆去甲肾上腺素水平升高,心率也比对照小鼠增加。总之,在这种饮食诱导的肥胖模型中,高胰岛素血症、胰岛素抵抗和增加的交感神经张力与肾脏多巴胺能活性降低有关。这表明这可能导致肥胖时钠排泄减少和血压升高。