Postnov Iu V
Arkh Patol. 1989;51(11):5-12.
The membrane concept of the primary (essential) hypertension pathogenesis considers the start of the disease as being linked to the characteristic disturbances of the cation-transport function. The membrane alteration result in the increase of the free calcium ion concentration in the cell cytoplasm and are the cause of both the contractile properties alteration of the vascular smooth muscle cells and the alteration of the neuromediator release in the nerve endings. The further stage in the evolution of this concept was the observation of the pathogenetic ling between the membrane "defect" in the primary hypertension and the alteration of the cell oncogenes (proto-oncogenes) function. The presence of such a link may be confirmed by both the indirect proofs considered in the paper and the results of the DNA study in rats with a spontaneous hypertension by method of RFLP analysis.
原发性(特发性)高血压发病机制的膜概念认为,该病的起始与阳离子转运功能的特征性紊乱有关。膜改变导致细胞质中游离钙离子浓度增加,既是血管平滑肌细胞收缩特性改变的原因,也是神经末梢神经介质释放改变的原因。这一概念演变的进一步阶段是观察到原发性高血压中膜“缺陷”与细胞癌基因(原癌基因)功能改变之间的致病联系。本文所考虑的间接证据以及通过RFLP分析方法对自发性高血压大鼠进行DNA研究的结果,均可证实这种联系的存在。