Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Am J Hypertens. 2013 Dec;26(12):1398-404. doi: 10.1093/ajh/hpt129. Epub 2013 Aug 9.
Elevated blood pressure, elevated angiotensin II (ANG II), and ANG II suppression with high salt (HS) diet all contribute to vascular dysfunction. This study investigated the interplay of HS diet and vascular function in a high renin model of hypertension.
Male Sprague-Dawley rats were subjected to 2 kidney-1 clip (2K1C) Goldblatt hypertension for 4 weeks and compared with sham-operated controls.
Middle cerebral arteries (MCA) of 2K1C rats and sham-operated controls fed normal salt (NS; 0.4% NaCl) diet dilated in response to acetylcholine (ACh) and reduced partial pressure of oxygen (PO2). Switching to HS (4% NaCl) diet for 3 days to reduce plasma renin activity (PRA) eliminated vasodilation to ACh and reduced PO2 in sham-operated controls, with no effect on vasodilation in 2K1C rats. AT1 receptor blockade (losartan, 20 mg/kg/day; 1 week) eliminated vasodilator responses to ACh and reduced PO2 in 2K1C rats fed NS or HS diet. ANG II infusion (5 ng/kg/min, intravenous) for 3 days to prevent salt-induced reductions in plasma ANG II restored vascular relaxation in MCA of sham-operated controls fed HS diet. Copper/zinc superoxide dismutase expression and total superoxide dismutase activity were significantly higher in arteries of 2K1C rats fed HS diet vs. sham-operated controls.
These results suggest that the sustained effects of elevated ANG II levels in 2K1C hypertension maintain endothelium-dependent vasodilatation via AT1 receptor-mediated preservation of antioxidant defense mechanisms despite significant elevations in blood pressure and salt-induced suppression of PRA.
高血压患者的血压升高、血管紧张素 II(ANG II)升高以及 ANG II 被高盐(HS)饮食抑制,这些都会导致血管功能障碍。本研究探讨了高盐饮食与血管功能在高血压高肾素模型中的相互作用。
雄性 Sprague-Dawley 大鼠接受 2 肾-1 夹(2K1C)Goldblatt 高血压手术 4 周,并与假手术对照组进行比较。
2K1C 大鼠和接受正常盐(NS;0.4%NaCl)饮食的假手术对照组的大脑中动脉(MCA)对乙酰胆碱(ACh)扩张,并且降低部分氧分压(PO2)。切换到 HS(4%NaCl)饮食 3 天以降低血浆肾素活性(PRA),消除了假手术对照组对 ACh 的血管舒张作用,并降低了 PO2,但对 2K1C 大鼠的血管舒张无影响。AT1 受体阻断(氯沙坦,20mg/kg/天;1 周)消除了 NS 或 HS 饮食喂养的 2K1C 大鼠对 ACh 的血管舒张反应并降低了 PO2。静脉内输注 ANG II(5ng/kg/min)3 天以防止盐诱导的血浆 ANG II 减少,恢复了 HS 饮食喂养的假手术对照组 MCA 的血管松弛。HS 饮食喂养的 2K1C 大鼠的动脉中铜/锌超氧化物歧化酶表达和总超氧化物歧化酶活性明显高于假手术对照组。
这些结果表明,2K1C 高血压中升高的 ANG II 水平的持续作用通过 AT1 受体介导的抗氧化防御机制的保护,维持了内皮依赖性血管舒张,尽管血压显著升高和盐诱导的 PRA 抑制。