Simchon S, Manger W M, Carlin R D, Peeters L L, Rodriguez J, Batista D, Brown T, Merchant N B, Jan K M, Chien S
Department of Physiology and Cellular Biophysics, Columbia University College of Physicians and Surgeons, New York, NY 10032.
Hypertension. 1989 Jun;13(6 Pt 1):612-21. doi: 10.1161/01.hyp.13.6.612.
This study was performed with Dahl salt-sensitive (DS) and Dahl salt-resistant (DR) rats to detect differences in cardiovascular hemodynamics and renal responses that might be involved in initiating salt-induced hypertension in DS rats. The effects of 4 weeks of 8% NaCl diet were studied in conscious, male DR and DS rats in which vascular and urinary catheters had been previously implanted. Results were compared with those obtained from control groups of DR and DS rats on 4 weeks of 1% NaCl diet. DR rats on 8% salt diet did not develop hypertension, and cardiac output and blood volume were unchanged; glomerular filtration rate, urinary flow, sodium excretion, and plasma atrial natriuretic factor (ANF) increased. DS rats on 8% salt diet developed hypertension, and cardiac output and blood volume increased; glomerular filtration rate, urinary flow, and sodium excretion did not change, despite an increase in ANF. DS and DR rats on 1% NaCl diet were subjected to ANF infusion. After ANF infusion DR rats had a decreased blood volume and an increased glomerular filtration rate, urinary flow, and sodium excretion; DS rats showed no significant changes in blood volume, glomerular filtration rate, urinary flow, or sodium excretion. ANF caused vasodilation in all regions studied in DR rats; DS rats showed vasodilation in all regions except the kidney. After acute volume expansion, although both DR and DS rats responded by an increase in cardiac output, only DS rats developed prolonged hypertension. This finding suggests an inadequate vasodilatory mechanism in DS rats. In response to acute volume expansion, renal resistance decreased in DR rats but not in DS rats. It is concluded that the primary hemodynamic disturbance in DS rats with salt-induced hypertension is an increase in cardiac output caused by blood volume expansion in the absence of any vasodilation. Comparison of the responses of DS and DR rats to high salt diets, ANF infusion, and acute volume expansion indicates that the salt-induced hypertension in DS rats is initiated by a diminished renal response to ANF.
本研究使用了 Dahl 盐敏感(DS)大鼠和 Dahl 盐抵抗(DR)大鼠,以检测心血管血流动力学和肾脏反应的差异,这些差异可能与 DS 大鼠盐诱导性高血压的起始有关。在先前已植入血管和导尿管的清醒雄性 DR 和 DS 大鼠中,研究了 4 周 8%氯化钠饮食的影响。将结果与 1%氯化钠饮食 4 周的 DR 和 DS 大鼠对照组所获得的结果进行比较。8%盐饮食的 DR 大鼠未出现高血压,心输出量和血容量未改变;肾小球滤过率、尿流量、钠排泄和血浆心钠素(ANF)增加。8%盐饮食的 DS 大鼠出现高血压,心输出量和血容量增加;尽管 ANF 增加,但肾小球滤过率、尿流量和钠排泄未改变。给 1%氯化钠饮食的 DS 和 DR 大鼠输注 ANF。输注 ANF 后,DR 大鼠血容量减少,肾小球滤过率、尿流量和钠排泄增加;DS 大鼠血容量、肾小球滤过率、尿流量或钠排泄无显著变化。ANF 在 DR 大鼠研究的所有区域均引起血管舒张;DS 大鼠除肾脏外的所有区域均出现血管舒张。急性容量扩张后,尽管 DR 和 DS 大鼠均通过心输出量增加做出反应,但只有 DS 大鼠出现持续性高血压。这一发现表明 DS 大鼠的血管舒张机制不足。对急性容量扩张的反应中,DR 大鼠肾阻力降低,而 DS 大鼠未降低。结论是,盐诱导性高血压的 DS 大鼠的主要血流动力学紊乱是在无任何血管舒张的情况下,血容量扩张导致的心输出量增加。DS 和 DR 大鼠对高盐饮食、ANF 输注和急性容量扩张反应的比较表明,DS 大鼠的盐诱导性高血压是由肾脏对 ANF 的反应减弱引发的。