Ciriello J
Department of Physiology, University of Western Ontario, London, Canada.
Clin Exp Hypertens A. 1988;10 Suppl 1:169-78. doi: 10.3109/10641968809075970.
A considerable amount of experimental evidence exists suggesting that forebrain structures are involved in the pathogenesis of hypertension. In particular, the paraventricular nucleus of the hypothalamus (PVH) has been implicated in the development and maintenance of the elevated arterial pressure (AP) in several different experimental models of hypertension. The present study was done to determine whether the PVH contributed to the maintenance of the increased AP in deoxycorticosterone acetate-salt (DOCA) hypertension in the rat. In the first series of experiments, using the hexokinase histochemical method, increased metabolic activity was observed in the PVH of DOCA-salt hypertensive rats. In addition, the lateral septal nucleus, median preoptic nucleus, bed nucleus of the stria terminalis, subfornical organ, nucleus circularis, supraoptic nucleus and central nucleus of the amygdala were observed to have increased metabolic activity. In the second series of experiments, bilateral lesions of the PVH resulted in a transient reduction in the elevated AP of DOCA-salt hypertensive animals. However, within approximately a week, the level of AP was not significantly different from sham-PVH lesioned DOCA-salt hypertensive rats. These data suggest that the PVH may be one of several forebrain structures that contributes to the elevated sympathetic activity in DOCA-salt hypertension and when absent other pressor systems are recruited to maintain the elevated AP.
大量实验证据表明,前脑结构参与高血压的发病机制。特别是,下丘脑室旁核(PVH)在几种不同的高血压实验模型中,与动脉血压(AP)升高的发生和维持有关。本研究旨在确定PVH是否有助于维持大鼠醋酸脱氧皮质酮-盐(DOCA)高血压中升高的AP。在第一系列实验中,使用己糖激酶组织化学方法,观察到DOCA-盐高血压大鼠的PVH代谢活性增加。此外,还观察到外侧隔核、视前正中核、终纹床核、穹窿下器官、环核、视上核和杏仁中央核的代谢活性增加。在第二系列实验中,PVH的双侧损伤导致DOCA-盐高血压动物升高的AP暂时降低。然而,在大约一周内,AP水平与假PVH损伤的DOCA-盐高血压大鼠没有显著差异。这些数据表明,PVH可能是导致DOCA-盐高血压中交感神经活动升高的几个前脑结构之一,当PVH不存在时,其他升压系统会被募集以维持升高的AP。