Nakamura Y, Takeda K, Nakata T, Hayashi J, Kawasaki S, Lee L C, Sasaki S, Nakagawa M, Ijichi H
Second Department of Internal Medicine, Kyoto Prefectural University of Medicine, Japan.
Hypertension. 1988 Sep;12(3):259-66. doi: 10.1161/01.hyp.12.3.259.
To determine whether the arterial baroreceptor reflex can act to oppose the development of hypertension, deoxycorticosterone acetate (DOCA)-salt hypertension was produced in sinoaortic-denervated and sham-operated rats. Systolic blood pressure measured by tail cuff started to increase in both sinoaortic-denervated and sham-operated rats 7 days after DOCA treatment, and the hypertension developed identically in both denervated and sham-operated rats. These findings suggest that the baroreceptor reflex cannot act against the development of hypertension. To determine whether the baroreceptor reflex is attenuated before the development of hypertension, bradycardiac and sympathoinhibitory responses to i.v. injections of norepinephrine were examined. Bradycardic and sympathoinhibitory responses were significantly smaller in DOCA-salt-treated rats in both prehypertensive (5th day after DOCA-salt treatment) and hypertensive stages (21st day after treatment). In urethane-anesthetized DOCA-loaded and control rats on the 5th day after treatment, aortic depressor nerve stimulation elicited frequency-dependent depressor and bradycardic responses accompanied by inhibition of sympathetic nerve activity in both DOCA-loaded and control rats. However, those responses were significantly smaller in DOCA-loaded rats than in control rats. These results suggest that the central component of the baroreceptor reflex mediated by the aortic depressor nerve is impaired before hypertension develops and that this impairment may contribute to the development of hypertension in DOCA-salt-treated rats.
为了确定动脉压力感受器反射是否能对抗高血压的发展,在去窦主动脉神经支配和假手术的大鼠中诱发醋酸脱氧皮质酮(DOCA)-盐性高血压。用尾套法测量收缩压,在DOCA处理后7天,去窦主动脉神经支配和假手术的大鼠收缩压均开始升高,且去神经支配和假手术的大鼠高血压发展情况相同。这些发现表明压力感受器反射不能对抗高血压的发展。为了确定在高血压发展之前压力感受器反射是否减弱,检测了静脉注射去甲肾上腺素后的心动过缓和交感抑制反应。在高血压前期(DOCA-盐处理后第5天)和高血压期(处理后第21天),DOCA-盐处理的大鼠心动过缓和交感抑制反应均明显较小。在处理后第5天,用乌拉坦麻醉的DOCA处理大鼠和对照大鼠中,刺激主动脉减压神经均引起频率依赖性的降压和心动过缓反应,并伴有交感神经活动的抑制,在DOCA处理大鼠和对照大鼠中均如此。然而,DOCA处理大鼠的这些反应明显小于对照大鼠。这些结果表明,在高血压发展之前,由主动脉减压神经介导的压力感受器反射的中枢部分受损,这种损害可能导致DOCA-盐处理大鼠高血压的发展。