Thornton R M, Wyss J M, Oparil S
Department of Medicine, University of Alabama, Birmingham.
Hypertension. 1989 Nov;14(5):518-23. doi: 10.1161/01.hyp.14.5.518.
Abnormal baroreceptor reflex function that antedates or is a consequence of NaCl loading could contribute to the NaCl-induced exacerbation of hypertension in NaCl-sensitive spontaneously hypertensive rats (SHR-S). The current study tested the hypothesis that an impairment in cardiopulmonary baroreceptor reflex function exists in SHR-S before NaCl loading. The reflex response to volume expansion was compared in SHR-S, NaCl-resistant SHR (SHR-R), and normotensive Wistar-Kyoto (WKY) and Sprague-Dawley rats maintained on a normal NaCl diet. Conscious, free-moving SHR-S, SHR-R, WKY, and Sprague-Dawley rats were volume expanded with whole blood to 15% of blood volume within 6 minutes, and mean arterial pressure, heart rate, and lumbar sympathetic nerve activity were recorded. Heart rate and lumbar sympathetic nerve activity decreased significantly in SHR-R, WKY, and Sprague-Dawley rats after volume expansion. In contrast, in SHR-S neither heart rate after volume expansion nor lumbar sympathetic nerve activity was significantly different from levels before volume expansion. The blunted reflex response of heart rate and lumbar sympathetic nerve activity to volume expansion suggests impaired cardiopulmonary volume receptor function in SHR-S. This likely contributes to NaCl-induced hypertension in SHR-S on a high NaCl diet.
在盐敏感型自发性高血压大鼠(SHR-S)中,早于或作为氯化钠负荷结果的异常压力感受器反射功能可能导致氯化钠诱导的高血压加重。本研究检验了以下假设:在氯化钠负荷之前,SHR-S中存在心肺压力感受器反射功能受损。在维持正常氯化钠饮食的SHR-S、盐抵抗型SHR(SHR-R)以及正常血压的Wistar-Kyoto(WKY)和Sprague-Dawley大鼠中,比较了对容量扩张的反射反应。将清醒、自由活动的SHR-S、SHR-R、WKY和Sprague-Dawley大鼠在6分钟内用全血将血容量扩充15%,并记录平均动脉压、心率和腰交感神经活动。容量扩张后,SHR-R、WKY和Sprague-Dawley大鼠的心率和腰交感神经活动显著降低。相比之下,在SHR-S中,容量扩张后的心率和腰交感神经活动与容量扩张前的水平均无显著差异。心率和腰交感神经活动对容量扩张的反射反应减弱表明SHR-S中心肺容量感受器功能受损。这可能导致高盐饮食的SHR-S中氯化钠诱导的高血压。