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动脉压持续升高后出现的长时间肾交感神经抑制。

Prolonged renal sympathoinhibition following sustained elevation in arterial pressure.

作者信息

Kenney M J, Morgan D A, Mark A L

机构信息

Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.

出版信息

Am J Physiol. 1990 May;258(5 Pt 2):H1476-81. doi: 10.1152/ajpheart.1990.258.5.H1476.

DOI:10.1152/ajpheart.1990.258.5.H1476
PMID:2337182
Abstract

We tested the hypothesis that sustained elevations in mean arterial pressure (MAP) would produce an abbreviated suppression of renal sympathetic nerve activity (RSNA) in spontaneously hypertensive (SH) compared with Wistar-Kyoto (WKY) normotensive rats. For this purpose, we recorded RSNA during and after a 30-min elevation in MAP. Elevations in MAP (35-40 mmHg) induced by phenylephrine resulted in a suppression of RSNA in SH and WKY rats that persisted after MAP had returned to control levels. The prolonged suppression of RSNA was eliminated following sinoaortic denervation, indicating that this response was dependent on afferent baroreceptor mechanisms. The simultaneous recording of RSNA and aortic depressor nerve (ADN) activity provided additional evidence that baroreceptor afferents contribute to this prolonged suppression of RSNA in SH rats. Despite the return of MAP to control levels following the sustained pressure elevation in SH rats, there was a paradoxical increase in ADN activity (39 +/- 14%) compared with control values. In contrast, both ADN activity and MAP returned to control levels in WKY rats following the sustained pressure elevation. The sustained increase of ADN activity in SH rats did not account for the entire magnitude of the prolonged recovery of RSNA. In summary, both SH and WKY rats exhibit prolonged suppression of RSNA, whereas ADN activity is paradoxically elevated in only SH rats following a sustained elevation in MAP.

摘要

我们检验了这样一个假设

与Wistar-Kyoto(WKY)正常血压大鼠相比,平均动脉压(MAP)持续升高会使自发性高血压(SH)大鼠的肾交感神经活动(RSNA)受到短暂抑制。为此,我们在MAP升高30分钟期间及之后记录了RSNA。去氧肾上腺素引起的MAP升高(35 - 40 mmHg)导致SH和WKY大鼠的RSNA受到抑制,且在MAP恢复到对照水平后这种抑制仍然持续。在进行窦主动脉去神经支配后,RSNA的延长抑制被消除,这表明该反应依赖于传入压力感受器机制。同时记录RSNA和主动脉降压神经(ADN)活动提供了额外证据,表明压力感受器传入神经促成了SH大鼠中RSNA的这种延长抑制。尽管SH大鼠在持续压力升高后MAP恢复到对照水平,但与对照值相比,ADN活动出现了反常增加(39±14%)。相比之下,WKY大鼠在持续压力升高后ADN活动和MAP均恢复到对照水平。SH大鼠中ADN活动的持续增加并不能解释RSNA延长恢复的全部幅度。总之,SH和WKY大鼠均表现出RSNA的延长抑制,而在MAP持续升高后,只有SH大鼠的ADN活动反常升高。

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