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犬去氧皮质酮-盐性高血压中的肾血流动力学和血管反应性

Renal hemodynamics and vascular reactivity in canine DOCA-salt hypertension.

作者信息

Goering J L, Raich P C, Zimmerman B G

机构信息

Department of Pharmacology, University of Minnesota, Minneapolis 55455.

出版信息

Am J Physiol. 1988 Oct;255(4 Pt 2):R563-8. doi: 10.1152/ajpregu.1988.255.4.R563.

Abstract

Because of the potential role that the kidney may play in deoxycorticosterone acetate (DOCA)-salt hypertension, changes in renal blood flow, renal vascular reactivity, and renal adrenergic vascular tone were followed in the conscious instrumented dog. DOCA-salt was administered daily after obtaining control measurements. Systemic mean arterial blood pressure (MAP) was monitored with an indwelling catheter, renal blood flow (RBF) was measured electromagnetically using an implanted blood flow probe, and drugs were administered intrarenal arterially through an indwelling renal artery catheter. During the first week of DOCA-salt administration MAP increased from 106 +/- 3 to 118 +/- 2 mmHg and at week 2 to 123 +/- 2 mmHg (P less than 0.01). RBF increased from 275 +/- 32 to 336 +/- 34 during week 1 (P less than 0.05) and to 324 +/- 29 ml/min during week 2. The log ED50 of norepinephrine administered intra-arterially decreased from 1.66 +/- 0.114 to 1.48 +/- 0.091 and 1.41 +/- 0.067 ng/ml (P less than 0.05), and of angiotensin II from 2.58 +/- 0.072 to 2.31 +/- 0.09 (P less than 0.05) and 2.38 +/- 0.05 pg/ml, during weeks 1 and 2, respectively. There was, however, no increase in adrenergic vascular tone as determined by the change in RBF obtained with the intra-arterial infusion of alpha-adrenoceptor antagonists. These experiments indicate that RBF is not compromised in canine DOCA-salt hypertension, and renal adrenergic tone is no greater in the hypertensive than in the normotensive control period.

摘要

鉴于肾脏在醋酸脱氧皮质酮(DOCA)-盐性高血压中可能发挥的潜在作用,我们对清醒的、装有仪器的犬的肾血流量、肾血管反应性和肾肾上腺素能血管张力变化进行了跟踪研究。在获得对照测量值后,每天给予DOCA-盐。通过留置导管监测全身平均动脉血压(MAP),使用植入式血流探头电磁测量肾血流量(RBF),并通过留置的肾动脉导管经肾动脉给予药物。在给予DOCA-盐的第一周,MAP从106±3 mmHg增加到118±2 mmHg,第二周增加到123±2 mmHg(P<0.01)。RBF在第一周从275±32增加到336±34(P<0.05),第二周增加到324±29 ml/min。动脉内给予去甲肾上腺素的对数半数有效剂量(log ED50)从1.66±0.114降至1.48±0.091和1.41±0.067 ng/ml(P<0.05),动脉内给予血管紧张素II的log ED50在第一周和第二周分别从2.58±0.072降至2.31±0.09(P<0.05)和2.38±0.05 pg/ml。然而,通过动脉内输注α-肾上腺素能受体拮抗剂获得的RBF变化确定,肾上腺素能血管张力没有增加。这些实验表明,在犬DOCA-盐性高血压中,RBF没有受损,高血压期的肾肾上腺素能张力并不比正常血压对照期更高。

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