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“高血压前期” Dahl 盐敏感大鼠中的钙及钙调节激素(钙与盐敏感性高血压)

Calcium and calcium regulating hormones in the "prehypertensive" Dahl salt sensitive rat (calcium and salt sensitive hypertension).

作者信息

Kotchen T A, Ott C E, Whitescarver S A, Resnick L M, Gertner J M, Blehschmidt N G

机构信息

Department of Medicine, West Virginia University School of Medicine, Morgantown 26506.

出版信息

Am J Hypertens. 1989 Oct;2(10):747-53. doi: 10.1093/ajh/2.10.747.

Abstract

The purpose of this study was to determine if alterations of calcium and calcium regulating hormones precede the onset of NaCl induced hypertension in the Dahl salt sensitive (S) rat. After a 5 day balance study, serum ionized calcium, PTH, and 1,25 dihydroxy vitamin D concentrations were measured in Dahl-S and salt resistant (R) rats that had been maintained on a "normal" (1%) or high (7%) NaCl intake. Blood pressure was higher in Dahl-S than R (P less than .01), but was not affected by 5 days of high NaCl. On both NaCl intakes, urine calcium excretion was increased, serum calcium was decreased, and serum PTH and 1,25 dihydroxy vitamin D were increased in Dahl-S compared to Dahl-R (P less than .01). On the high NaCl intake, fecal calcium was greater in Dahl-S than in Dahl-R, and net 5 day calcium balance was less positive in Dahl-S (P less than .05). In contrast to NaCl, a high dietary intake of sodium with anions other than chloride (NaAA) fails to produce hypertension in the Dahl-S rat. NaAA loading resulted in decreased urine calcium excretion (P less than .01), and after 5 days of the high NaAA diet, serum calcium and PTH did not differ in Dahl-S and Dahl-R. Thus, alterations of calcium, PTH, and vitamin D precede NaCl-induced hypertension in Dahl-S. These alterations may contribute to the development of hypertension in this animal model.

摘要

本研究的目的是确定钙及钙调节激素的变化是否先于Dahl盐敏感(S)大鼠中由氯化钠诱导的高血压发作。在进行了为期5天的平衡研究后,测量了维持在“正常”(1%)或高(7%)氯化钠摄入量的Dahl-S和盐抵抗(R)大鼠的血清离子钙、甲状旁腺激素(PTH)和1,25-二羟基维生素D浓度。Dahl-S大鼠的血压高于R大鼠(P<0.01),但不受5天高氯化钠摄入的影响。与Dahl-R大鼠相比,在两种氯化钠摄入量下,Dahl-S大鼠的尿钙排泄增加,血清钙降低,血清PTH和1,25-二羟基维生素D升高(P<0.01)。在高氯化钠摄入量下,Dahl-S大鼠的粪便钙高于Dahl-R大鼠,且Dahl-S大鼠5天的净钙平衡较不正值(P<0.05)。与氯化钠不同,高膳食摄入含除氯以外阴离子的钠(NaAA)不会在Dahl-S大鼠中产生高血压。NaAA负荷导致尿钙排泄减少(P<0.01),并且在高NaAA饮食5天后,Dahl-S大鼠和Dahl-R大鼠的血清钙和PTH没有差异。因此,在Dahl-S大鼠中,钙、PTH和维生素D的变化先于氯化钠诱导的高血压。这些变化可能促成了这种动物模型中高血压的发展。

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