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自发性高血压大鼠肾血流动力学与血压的基因共分离

Genetic co-segregation of renal haemodynamics and blood pressure in the spontaneously hypertensive rat.

作者信息

Harrap S B, Doyle A E

机构信息

Department of Medicine, University of Melbourne, Austin Hospital, Heidelberg, Victoria, Australia.

出版信息

Clin Sci (Lond). 1988 Jan;74(1):63-9. doi: 10.1042/cs0740063.

Abstract
  1. To determine the relevance of renal circulatory abnormalities found in the immature spontaneously hypertensive rat (SHR) to the genetic hypertensive process, glomerular filtration rate and renal blood flow were measured in conscious F2 rats, derived from cross-breeding SHR and normotensive Wistar-Kyoto rats (WKY), at 4, 11 and 16 weeks of age by determining the renal clearances of 51Cr-ethylenediaminetetra-acetate and 125I-hippuran respectively. Plasma renin activity was measured at 11 and 16 weeks of age. 2. Mean arterial pressure, glomerular filtration rate and renal blood flow increased between 4 and 11 weeks of age. Between 11 and 16 weeks the mean glomerular filtration rate and renal blood flow did not alter, although the mean arterial pressure rose significantly. At 11 weeks of age, during the developmental phase of hypertension, a significant negative correlation between mean arterial pressure and both glomerular filtration rate and renal blood flow was noted. However, by 16 weeks when the manifestations of genetic hypertension were more fully expressed, no correlation between mean arterial pressure and renal blood flow or glomerular filtration rate was observed. Plasma renin activity was negatively correlated with both glomerular filtration rate and renal blood flow, but the relationship was stronger at 11 than at 16 weeks of age. 3. These results suggest that the reduction in renal blood flow and glomerular filtration rate, found in immature SHR, is genetically linked to the hypertension and may be of primary pathogenetic importance. It is proposed that the increased renal vascular resistance in these young animals stimulates the rise of systemic arterial pressure which returns renal blood flow and glomerular filtration rate to normal.
摘要
  1. 为了确定未成熟自发性高血压大鼠(SHR)中发现的肾循环异常与遗传性高血压进程的相关性,通过分别测定51Cr-乙二胺四乙酸和125I-马尿酸的肾清除率,对由SHR和正常血压的Wistar-Kyoto大鼠(WKY)杂交产生的清醒F2大鼠在4、11和16周龄时的肾小球滤过率和肾血流量进行了测量。在11和16周龄时测量了血浆肾素活性。2. 平均动脉压、肾小球滤过率和肾血流量在4至11周龄之间增加。在11至16周之间,尽管平均动脉压显著升高,但平均肾小球滤过率和肾血流量没有改变。在11周龄时,即高血压的发育阶段,发现平均动脉压与肾小球滤过率和肾血流量之间存在显著的负相关。然而,到16周时,当遗传性高血压的表现更充分地表达时,未观察到平均动脉压与肾血流量或肾小球滤过率之间的相关性。血浆肾素活性与肾小球滤过率和肾血流量均呈负相关,但这种关系在11周龄时比16周龄时更强。3. 这些结果表明,在未成熟SHR中发现的肾血流量和肾小球滤过率的降低与高血压存在遗传联系,并且可能具有原发性致病重要性。有人提出,这些幼小动物肾血管阻力的增加刺激了全身动脉压的升高,从而使肾血流量和肾小球滤过率恢复正常。

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