Kusaka M, Kishi K, Sokabe H
Department of Pharmacology, Jichi Medical School, Tochigiken, Japan.
Hypertension. 1987 Nov;10(5):517-21. doi: 10.1161/01.hyp.10.5.517.
Although the existence of so-called streptozocin hypertension seems well established, some reports have indicated that no rise in blood pressure (BP) occurred after streptozocin treatments. To ascertain the streptozocin-induced BP response, normotensive Wistar-Kyoto rats (WKY) and spontaneously hypertensive rats (SHR) were treated with streptozocin, 40 to 45 and 35 mg/kg i.v., respectively, and BP was determined directly and indirectly every week for 3 to 4 weeks. Direct mean BP was determined without anesthesia or restraint through a cannula inserted into the rat's abdominal aorta. Indirect BP was determined at the tail without anesthesia after prewarming the rat in a holder. Compared with control values, indirect BP increased significantly in diabetic WKY 2 weeks after streptozocin treatment. In contrast, direct BP of these rats decreased, compared with control values. Indirect BP of diabetic SHR was as high as that of the controls, whereas direct BP of diabetic SHR decreased significantly 1 week after the treatment and thereafter, compared with control values. These discrepancies between the direct and indirect BP values may be caused by severe emaciation of diabetic rats. Extra pressure in the cuff may be necessary to occlude the bloodstream. These results indicate that under these conditions the value of BP obtained by the direct measurement is more reliable than that by the indirect one; therefore, we concluded that so-called streptozocin hypertension does not exist.
尽管所谓的链脲佐菌素诱导的高血压的存在似乎已得到充分证实,但一些报告表明,链脲佐菌素治疗后血压并未升高。为了确定链脲佐菌素诱导的血压反应,分别以40至45毫克/千克和35毫克/千克的静脉注射剂量对正常血压的Wistar-Kyoto大鼠(WKY)和自发性高血压大鼠(SHR)进行链脲佐菌素治疗,并在3至4周内每周直接和间接测定血压。通过插入大鼠腹主动脉的套管在无麻醉或束缚的情况下测定直接平均血压。在将大鼠置于保温箱中预热后,在无麻醉的情况下测定尾部间接血压。与对照值相比,链脲佐菌素治疗2周后糖尿病WKY大鼠的间接血压显著升高。相比之下,这些大鼠的直接血压与对照值相比有所下降。糖尿病SHR的间接血压与对照组一样高,而糖尿病SHR的直接血压在治疗1周后及之后与对照值相比显著下降。直接和间接血压值之间的这些差异可能是由糖尿病大鼠的严重消瘦引起的。可能需要袖带施加额外压力以阻断血流。这些结果表明,在这些条件下,直接测量获得的血压值比间接测量获得的更可靠;因此,我们得出结论,所谓的链脲佐菌素高血压并不存在。