Sripairojthikoon W, Oparil S, Wyss J M
Department of Cell Biology and Anatomy, University of Alabama, Birmingham 35294.
Hypertension. 1989 Aug;14(2):184-90. doi: 10.1161/01.hyp.14.2.184.
Previous studies demonstrate that bilateral renal denervation enhances urinary sodium excretion and delays the onset of hypertension in young (7-week-old) spontaneously hypertensive rats (SHR) maintained on ordinary laboratory chow. We interpret these data as suggesting that increased renal nerve activity in this model contributes to hypertension by causing excess sodium retention. More recent studies show that dietary NaCl supplementation increases blood pressure and peripheral sympathetic nervous system activity in NaCl-sensitive SHR (SHR-S). The present study tests the hypothesis that the renal nerves contribute to the rise in arterial pressure caused by dietary NaCl supplementation in this model. SHR-S were fed a high (8%) or basal (1%) NaCl diet beginning at age 7 weeks. Bilateral renal denervation was carried out 2 weeks after the initiation of the diets, at which time systolic blood pressure was significantly higher in the high (compared with the basal) NaCl group. Systolic blood pressure was reduced slightly less in denervated SHR-S on the high (compared with basal) NaCl diet during the following 5 weeks. Renal denervation performed 1 week before initiation of the diets attenuated the subsequent development of hypertension equally in both groups. Both renal denervation and the high NaCl diet increased alpha 2-adrenergic receptor numbers in the kidney; renal denervation caused an approximately equal increase in alpha 2-adrenergic receptor binding in SHR-S on high and basal NaCl diets. The high NaCl diet increased plasma noradrenaline concentration, and renal denervation lowered mean arterial pressure but did not decrease circulating catecholamines in either diet group.(ABSTRACT TRUNCATED AT 250 WORDS)
先前的研究表明,双侧肾去神经支配可增加尿钠排泄,并延缓以普通实验室饲料喂养的年轻(7周龄)自发性高血压大鼠(SHR)高血压的发病。我们将这些数据解释为提示该模型中肾神经活动增加通过导致钠潴留过多而促成高血压。最近的研究表明,补充膳食氯化钠会增加盐敏感型SHR(SHR-S)的血压和外周交感神经系统活动。本研究检验了以下假设:在该模型中,肾神经促成了膳食氯化钠补充引起的动脉压升高。从7周龄开始,给SHR-S喂食高(8%)或基础(1%)氯化钠饮食。在饮食开始2周后进行双侧肾去神经支配,此时高(与基础相比)氯化钠组的收缩压显著更高。在接下来的5周内,高(与基础相比)氯化钠饮食的去神经支配SHR-S的收缩压降低幅度略小。在饮食开始前1周进行肾去神经支配,两组高血压的后续发展均同等程度减轻。肾去神经支配和高氯化钠饮食均增加了肾脏中α2-肾上腺素能受体的数量;肾去神经支配使高和基础氯化钠饮食的SHR-S中α2-肾上腺素能受体结合增加的幅度大致相同。高氯化钠饮食增加了血浆去甲肾上腺素浓度,肾去神经支配降低了平均动脉压,但两个饮食组的循环儿茶酚胺均未减少。(摘要截短于250字)