Hayashi K, Epstein M, Loutzenhiser R
Nephrology Section, Veterans Administration Medical Center, Miamia, FL 33125.
Circ Res. 1989 Dec;65(6):1475-84. doi: 10.1161/01.res.65.6.1475.
The capacity of small arteries to respond to increased intravascular pressure may be altered in hypertension. In the kidney, hypertension is associated with a compensatory shift in the autoregulatory response to pressure. To directly determine the effects of established hypertension on the renal microvascular response to changes of perfusion pressure, we evaluated pressure-induced vasoconstriction in hydronephrotic kidneys isolated from normotensive Wistar-Kyoto (WKY) and spontaneously hypertensive rats (SHR). Vessel diameters of interlobular arteries (ILAs) and afferent and efferent arterioles were determined by computer-assisted videomicroscopy during alterations in renal arterial pressure (RAP) from 80 to 180 mm Hg. Increased RAP induced a pressure-dependent vasoconstriction in preglomerular vessels (afferent arterioles and ILAs), but not in postglomerular vessels (efferent arterioles). The calcium antagonist nifedipine prevented pressure-induced afferent arteriolar vasoconstriction with a similar half-maximal inhibitory concentration (IC50) (WKY, 63 +/- 27 vs. SHR, 60 +/- 32 nM). The pressure-activation curves for ILAs in SHR and WKY were similar. In contrast, the pressure-activation curve for afferent arterioles in SHR kidneys exhibited a rightward shift, which was observed at every segment of the afferent arteriole (i.e., near ILA, at midportion, and near glomerulus). These findings demonstrate that the ILA and the afferent arteriole both possess the ability to constrict in response to increased pressure, whereas this property is lacking in the efferent arteriole. Hypertension was associated with a compensatory shift in the pressure response of the afferent arteriole, such that higher RAPs were required to elicit vasoconstriction in this vessel.
高血压时小动脉对血管内压力升高的反应能力可能会发生改变。在肾脏中,高血压与压力自动调节反应的代偿性改变有关。为了直接确定已形成的高血压对肾微血管对灌注压变化的反应的影响,我们评估了从正常血压的Wistar-Kyoto(WKY)大鼠和自发性高血压大鼠(SHR)分离的肾积水肾脏中压力诱导的血管收缩。在肾动脉压(RAP)从80毫米汞柱改变至180毫米汞柱期间,通过计算机辅助视频显微镜测定小叶间动脉(ILA)以及入球和出球小动脉的血管直径。RAP升高诱导了肾小球前血管(入球小动脉和ILA)的压力依赖性血管收缩,但未诱导肾小球后血管(出球小动脉)的收缩。钙拮抗剂硝苯地平以相似的半数最大抑制浓度(IC50)(WKY,63±27对SHR,60±32纳摩尔)阻止了压力诱导的入球小动脉血管收缩。SHR和WKY中ILA的压力激活曲线相似。相比之下,SHR肾脏中入球小动脉的压力激活曲线表现为右移,在入球小动脉的每个节段(即靠近ILA处、中部和靠近肾小球处)均观察到这种右移。这些发现表明,ILA和入球小动脉均具有对压力升高作出收缩反应的能力,而出球小动脉缺乏这种特性。高血压与入球小动脉压力反应的代偿性改变有关,因此需要更高的RAP才能引起该血管的血管收缩。