Takata Y, Yamashita Y, Takishita S, Tsuchihashi T, Tomita Y, Kimura Y, Koga T, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka City, Japan.
Jpn Circ J. 1988 Nov;52(11):1317-22. doi: 10.1253/jcj.52.1317.
We evaluated whether or not increased sodium (Na) concentrations of cerebrospinal fluid (CSF) and stimulated activities of brain renin-angiotensin system (RAS) contribute to an enhanced hypertension by salt overload in spontaneously hypertensive rats (SHR). Long-term salt loading (1% NaCl solution as drinking fluid) accelerated the development of hypertension in SHR, but did not alter the blood pressure (BP) in normotensive Wistar-Kyoto rats (WKY). CSF Na concentration was elevated in uninephrectomized (Nx) group as compared to that in control SHR, while in WKY CSF Na was not influenced by the treatment. A fall in BP by intravenous AVP antagonist or hexamethonium was greater in salt-loaded SHR than in controls. This hypotensive response to the combined blockade of AVP and SNS correlated with CSF Na in SHR but not in WKY. Plasma concentration of AVP and epinephrine tended to increase in relation to the degree of salt loading in SHR but not in WKY. Pressor responses to intracerebroventricular (ICV) angiotensin II (AII) and NaCl were greater in SHR than in WKY, although these responses were not influenced by chronic salt load in either SHR or WKY. The enhanced hypertensive action of ICV NaCl in SHR was abolished by pretreatment with ICV AII antagonist. Chronic saline drinking enhanced the depressor effect of ICV captopril in SHR but not in WKY. These observations suggest that salt overload in SHR may cause an elevated CSF Na concentration and an enhanced activity of brain RAS, which may increase activity of SNS and release of AVP, resulting in an enhanced development of hypertension.
我们评估了脑脊液(CSF)中钠(Na)浓度升高以及脑肾素-血管紧张素系统(RAS)的刺激活性是否会导致自发性高血压大鼠(SHR)因盐负荷增加而使高血压加重。长期盐负荷(饮用1% NaCl溶液)加速了SHR高血压的发展,但对正常血压的Wistar-Kyoto大鼠(WKY)的血压(BP)没有影响。与对照SHR相比,单侧肾切除(Nx)组的CSF Na浓度升高,而WKY的CSF Na不受该处理的影响。静脉注射血管加压素拮抗剂或六甲铵后,盐负荷SHR的血压下降幅度大于对照组。SHR中对血管加压素和交感神经系统联合阻断的这种降压反应与CSF Na相关,而WKY中则不然。SHR中血管加压素和肾上腺素的血浆浓度倾向于随盐负荷程度增加而升高,而WKY中则不然。SHR对脑室内(ICV)血管紧张素II(AII)和NaCl的升压反应大于WKY,尽管SHR和WKY的这些反应均不受慢性盐负荷的影响。ICV AII拮抗剂预处理可消除ICV NaCl在SHR中增强的升压作用。慢性饮用盐水增强了ICV卡托普利在SHR中的降压作用,但在WKY中则不然。这些观察结果表明,SHR中的盐负荷可能导致CSF Na浓度升高和脑RAS活性增强,这可能会增加交感神经系统的活性和血管加压素的释放,从而导致高血压的进一步发展。