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高血压前期 Dahl 盐敏感大鼠和 Dahl 盐抵抗大鼠的肾神经解离及对容量扩张的排泄反应

Dissociation of renal nerve and excretory responses to volume expansion in prehypertensive Dahl salt-sensitive and Dahl salt-resistant rats.

作者信息

Veelken R, Sawin L L, DiBona G F

机构信息

Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.

出版信息

Hypertension. 1989 Jun;13(6 Pt 2):822-7. doi: 10.1161/01.hyp.13.6.822.

DOI:10.1161/01.hyp.13.6.822
PMID:2737722
Abstract

Prehypertensive Dahl salt-sensitive rats on low sodium diet have impaired baroreceptor and cardiopulmonary receptor function as compared with Dahl salt-resistant control rats. We tested whether these abnormalities influenced the ability of conscious prehypertensive Dahl salt-sensitive rats to excrete a moderate intravenous isotonic saline volume load (0.9% NaCl, 3% body weight i.v.). During control, 30-minute volume expansion, and 2-hour recovery periods, arterial blood pressure and heart rate did not change. Glomerular filtration rate and renal plasma flow remained stable throughout control and recovery. The amount of the volume load excreted as either water or sodium was the same for Dahl salt-sensitive and Dahl salt-resistant rats with either denervated or innervated kidneys. The time course of water and sodium excretion was similar in Dahl salt-sensitive and Dahl salt-resistant rats. Renal sympathetic nerve activity, however, showed different patterns. Although the initial decrease in renal sympathetic nerve activity during volume expansion was similar for both groups, Dahl salt-sensitive rats exhibited a prompt return of renal sympathetic nerve activity to control levels, whereas renal sympathetic nerve activity in Dahl salt-resistant rats remained decreased throughout the recovery period. The rapid recovery of renal sympathetic nerve activity to control levels after volume expansion in Dahl salt-sensitive rats supports the concept of impaired cardiopulmonary receptor function in these rats.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

与盐抵抗的Dahl对照大鼠相比,低钠饮食的高血压前期Dahl盐敏感大鼠的压力感受器和心肺感受器功能受损。我们测试了这些异常是否会影响清醒的高血压前期Dahl盐敏感大鼠排泄适量静脉等渗盐水容量负荷(0.9%氯化钠,静脉注射体重的3%)的能力。在对照期、30分钟容量扩张期和2小时恢复期,动脉血压和心率没有变化。在整个对照期和恢复期,肾小球滤过率和肾血浆流量保持稳定。去神经或有神经支配的肾脏的Dahl盐敏感大鼠和Dahl盐抵抗大鼠以水或钠形式排泄的容量负荷量相同。Dahl盐敏感大鼠和Dahl盐抵抗大鼠的水和钠排泄时间进程相似。然而,肾交感神经活动呈现不同模式。虽然两组在容量扩张期间肾交感神经活动的初始下降相似,但Dahl盐敏感大鼠的肾交感神经活动迅速恢复到对照水平,而Dahl盐抵抗大鼠的肾交感神经活动在整个恢复期仍保持下降。Dahl盐敏感大鼠在容量扩张后肾交感神经活动迅速恢复到对照水平,支持了这些大鼠心肺感受器功能受损的概念。(摘要截短至250字)

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