Azadbakht Mohammad Karim, Hassanshahi Jalal, Nematbakhsh Mehdi
Water and Electrolytes Research Center/Department of Physiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2018 Mar 27;7:52. doi: 10.4103/abr.abr_192_17. eCollection 2018.
The role of renin-angiotensin system (RAS) in communication between renal system and cardiovascular system is extremely important. Baroreflex sensitivity (BRS) index defines as heart rate (HR) alteration versus mean arterial pressure (MAP) change ratio . Sympathetic nerve is arm of the baroreflexes and any change in its activity will lead to change in the BRS. The role of angiotensin II (Ang II) infusion in systemic circulation accompanied with bilateral renal denervation (RDN) on BRS index and renal function was studied.
Seventy-two male and female Wistar rats in 12 groups were anesthetized and catheterized. The alteration of MAP and HR responses to phenylephrine infusion compared to control groups was determined in bilateral RDN rats subjected to treat with Ang II (300 or 1000 ng/kg/min) administration.
The BRS index was elevated in Ang II-treated non-RDN (normal) male rats gradually and dose dependently ( < 0.05), while this index was significantly different when compared with RDN male rats ( < 0.05). Accordingly, the BRS index was significantly lower in RDN than non-RDN male rats, and such observation was not observed in female rats. The creatinine clearance (insignificantly) and urine flow (significantly; < 0.05) were decreased in both non-RDN and RDN male and female rats treated with Ang II. In RDN model, the serum nitrite levels were decreased in male and increased in female by Ang II infusion when compared with vehicle infusion.
The Ang II infusion could increase the BRS index in non-RDN (normal) male rats which is significantly greater than BRS index in RDN rats.
肾素-血管紧张素系统(RAS)在肾系统与心血管系统的相互作用中起着极其重要的作用。压力反射敏感性(BRS)指数定义为心率(HR)变化与平均动脉压(MAP)变化的比值。交感神经是压力反射的一部分,其活动的任何变化都会导致BRS的改变。研究了在双侧肾去神经支配(RDN)的情况下,全身循环中输注血管紧张素II(Ang II)对BRS指数和肾功能的影响。
将72只Wistar大鼠分为12组,雌雄不限,进行麻醉和插管。在接受Ang II(300或1000 ng/kg/min)给药的双侧RDN大鼠中,测定与对照组相比,去氧肾上腺素输注引起的MAP和HR反应的变化。
Ang II处理的非RDN(正常)雄性大鼠的BRS指数逐渐升高且呈剂量依赖性(<0.05),而与RDN雄性大鼠相比,该指数有显著差异(<0.05)。因此,RDN雄性大鼠的BRS指数显著低于非RDN雄性大鼠,而雌性大鼠未观察到这种现象。在接受Ang II处理的非RDN和RDN雄性及雌性大鼠中,肌酐清除率(无显著差异)和尿流量(显著降低;<0.05)均降低。在RDN模型中,与输注溶媒相比,Ang II输注使雄性大鼠血清亚硝酸盐水平降低,雌性大鼠血清亚硝酸盐水平升高。
输注Ang II可使非RDN(正常)雄性大鼠的BRS指数升高,且显著高于RDN大鼠的BRS指数。