Jin H, Chen Y F, Yang R H, Oparil S
Department of Medicine, University of Alabama, Birmingham 35294.
Hypertension. 1989 Oct;14(4):404-12. doi: 10.1161/01.hyp.14.4.404.
Our previous studies demonstrated that chronic dietary NaCl supplementation is associated with significant increases in plasma atrial natriuretic factor in Wistar-Kyoto (WKY) rats but not in NaCl-sensitive spontaneously hypertensive rats (SHR-S). The current study tested the hypotheses that 1) acute volume-induced atrial natriuretic factor release is impaired in SHR-S compared with control NaCl-resistant SHR (SHR-R) and WKY rats maintained on basal (1%) NaCl diets; 2) dietary NaCl supplementation (8% NaCl for 2 weeks) alters acute volume-dependent atrial natriuretic factor release in these strains; and 3) replacement of the deficiency in circulating atrial natriuretic factor seen in NaCl-supplemented SHR-S can reverse the NaCl-sensitive component of hypertension. SHR-S and control SHR-R and WKY rats were placed on 1% or 8% NaCl diets at age 7 weeks; 2 weeks later, right atrial pressure and plasma atrial natriuretic factor were measured in conscious rats before and after acute volume expansion (7, 20, and 60 ml/kg, 5% dextrose, for 1 minute). The slopes of the right atrial pressure x plasma atrial natriuretic factor linear regression for the SHR-S fed both 1% and 8% NaCl were significantly shallower (p less than 0.01) than those of 1% NaCl-fed SHR-R or WKY rats. Dietary NaCl supplementation did not alter right atrial pressure in any strain and blunted acute volume-induced atrial natriuretic factor release in WKY rats, but not in SHR-S or SHR-R, suggesting the dietary NaCl-induced elevation in plasma atrial natriuretic factor levels in WKY rats may be related to impaired clearance, as well as enhanced release, of the peptide. The plasma levels of exogenous atrial natriuretic factor required to abolish the NaCl-induced pressor effect in SHR-S were 12-fold greater than endogenous plasma atrial natriuretic factor levels in 8% NaCl-fed WKY rats, suggesting that impairment of atrial natriuretic factor release does not play a major role in the pathogenesis of NaCl-sensitive hypertension in SHR-S.
我们之前的研究表明,长期补充膳食氯化钠会使Wistar-Kyoto(WKY)大鼠血浆心房利钠因子显著增加,但对氯化钠敏感的自发性高血压大鼠(SHR-S)则不然。本研究检验了以下假设:1)与维持基础(1%)氯化钠饮食的对照氯化钠抵抗性SHR(SHR-R)和WKY大鼠相比,急性容量诱导的心房利钠因子释放在SHR-S中受损;2)膳食补充氯化钠(8%氯化钠,持续2周)会改变这些品系中急性容量依赖性心房利钠因子的释放;3)补充氯化钠的SHR-S中循环心房利钠因子缺乏的补充可以逆转高血压的氯化钠敏感成分。7周龄时,将SHR-S和对照SHR-R及WKY大鼠置于1%或8%氯化钠饮食中;2周后,在清醒大鼠急性容量扩张(7、20和60 ml/kg,5%葡萄糖,持续1分钟)前后测量右心房压力和血浆心房利钠因子。喂食1%和8%氯化钠的SHR-S的右心房压力×血浆心房利钠因子线性回归斜率显著低于喂食1%氯化钠的SHR-R或WKY大鼠(p<0.01)。膳食补充氯化钠在任何品系中均未改变右心房压力,且减弱了WKY大鼠急性容量诱导的心房利钠因子释放,但对SHR-S或SHR-R则无影响,这表明膳食氯化钠诱导的WKY大鼠血浆心房利钠因子水平升高可能与该肽的清除受损以及释放增强有关。消除SHR-S中氯化钠诱导的升压作用所需的外源性心房利钠因子血浆水平比喂食8%氯化钠的WKY大鼠内源性血浆心房利钠因子水平高12倍,这表明心房利钠因子释放受损在SHR-S中氯化钠敏感型高血压的发病机制中不起主要作用。