Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Am J Physiol Heart Circ Physiol. 2020 May 1;318(5):H1346-H1355. doi: 10.1152/ajpheart.00601.2019. Epub 2020 Apr 17.
Renovascular hypertension is characterized by activation of the renin-angiotensin-aldosterone system, blunted natriuretic responses, and elevated sympathetic nerve activity. Excess dietary salt intake exaggerates arterial blood pressure (ABP) in multiple models of experimental hypertension. The present study tested whether a high-salt diet exaggerated ABP and vascular dysfunction in a 2-kidney, 1-clip (2K1C) murine model. Male C57BL/6J mice (8-12 wk) were randomly assigned, and fed a 0.1% or 4.0% NaCl diet, and instrumented with telemetry units to measure ABP. Then, the 2K1C model was produced by placing a cuff around the right renal artery. Systolic, diastolic, and mean ABP were significantly higher in mice fed 4.0% vs. 0.1% NaCl at 1 wk but not after 3 wk. Interestingly, 2K1C hypertension progressively increased arterial pulse pressure in both groups; however, the magnitude was significantly greater in mice fed 4.0% vs. 0.1% NaCl at 3 wk. Moreover, pulse wave velocity was significantly greater in 2K1C mice fed 4.0% vs. 0.1% NaCl diet or sham-operated mice fed either diet. Histological assessment of aortas indicated no structural differences among groups. Finally, endothelium-dependent vasodilation was significantly and selectively attenuated in the aorta but not mesenteric arteries of 2K1C mice fed 4.0% NaCl vs. 0.1% NaCl or sham-operated control mice. The findings suggest that dietary salt loading transiently exaggerates 2K1C renovascular hypertension but promotes chronic aortic stiffness and selective aortic vascular dysfunction. High dietary salt exaggerates hypertension in multiple experimental models. Here we demonstrate that a high-salt diet produces a greater increase in arterial blood pressure at 1 wk after induction of 2-kidney, 1-clip (2K1C) hypertension but not at 3 wk. Interestingly, 2K1C mice fed a high-salt diet displayed an exaggerated pulse pressure, elevated pulse wave velocity, and reduced endothelium-dependent vasodilation of the aorta but not mesenteric arteries. These findings suggest that dietary salt may interact with underlying cardiovascular disease to promote selective vascular dysfunction and aortic stiffness.
肾血管性高血压的特征是肾素-血管紧张素-醛固酮系统的激活、利钠反应迟钝和交感神经活性升高。过量的膳食盐摄入会使多种实验性高血压模型中的动脉血压(ABP)升高。本研究检测了高盐饮食是否会在 2 肾 1 夹(2K1C)小鼠模型中加重 ABP 和血管功能障碍。雄性 C57BL/6J 小鼠(8-12 周)被随机分配,并喂食 0.1%或 4.0%NaCl 饮食,并安装遥测装置以测量 ABP。然后,通过在右肾动脉周围放置一个袖带来制作 2K1C 模型。在第 1 周,喂食 4.0%NaCl 的小鼠的收缩压、舒张压和平均 ABP 明显高于喂食 0.1%NaCl 的小鼠,但在第 3 周后则没有差异。有趣的是,2K1C 高血压在两组中都逐渐增加了动脉脉搏压;然而,在第 3 周时,喂食 4.0%NaCl 的小鼠的幅度明显大于喂食 0.1%NaCl 的小鼠。此外,在喂食 4.0%NaCl 饮食的 2K1C 小鼠或喂食两种饮食的假手术对照小鼠中,脉搏波速度明显更大。主动脉的组织学评估表明各组之间没有结构差异。最后,与喂食 0.1%NaCl 饮食的 2K1C 小鼠或假手术对照小鼠相比,喂食 4.0%NaCl 的 2K1C 小鼠的主动脉内皮依赖性血管舒张明显且选择性减弱,但肠系膜动脉则没有。这些发现表明,膳食盐负荷会暂时加重 2K1C 肾血管性高血压,但会促进慢性主动脉僵硬和选择性主动脉血管功能障碍。高膳食盐在多种实验模型中加重高血压。在这里,我们证明在诱导 2 肾 1 夹(2K1C)高血压后 1 周,高盐饮食会使 ABP 升高幅度更大,但在 3 周后则没有。有趣的是,喂食高盐饮食的 2K1C 小鼠表现出更大的脉搏压、更高的脉搏波速度和主动脉内皮依赖性血管舒张减弱,但肠系膜动脉则没有。这些发现表明,膳食盐可能与潜在的心血管疾病相互作用,促进选择性血管功能障碍和主动脉僵硬。