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压力感受性反射间歇性失功能在自发性高血压大鼠高血压病因学中的潜在作用。

Potential role of intermittent functioning of baroreflexes in the etiology of hypertension in spontaneously hypertensive rats.

机构信息

Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China.

Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

JCI Insight. 2020 Oct 2;5(19):139789. doi: 10.1172/jci.insight.139789.

Abstract

The spontaneously hypertensive rat (SHR) is a genetic model of primary hypertension with an etiology that includes sympathetic overdrive. To elucidate the neurogenic mechanisms underlying the pathophysiology of this model, we analyzed the dynamic baroreflex response to spontaneous fluctuations in arterial pressure in conscious SHRs, as well as in the Wistar-Kyoto (WKY), the Dahl salt-sensitive, the Dahl salt-resistant, and the Sprague-Dawley rat. Observations revealed the existence of long intermittent periods (lasting up to several minutes) of engagement and disengagement of baroreflex control of heart rate. Analysis of these intermittent periods revealed a predictive relationship between increased mean arterial pressure and progressive baroreflex disengagement that was present in the SHR and WKY strains but absent in others. This relationship yielded the hypothesis that a lower proportion of engagement versus disengagement of the baroreflex in SHR compared with WKY contributes to the hypertension (or increased blood pressure) in SHR compared with WKY. Results of experiments using sinoaortic baroreceptor denervation were consistent with the hypothesis that dysfunction of the baroreflex contributes to the etiology of hypertension in the SHR. Thus, this study provides experimental evidence for the roles of the baroreflex in long-term arterial pressure regulation and in the etiology of primary hypertension in this animal model.

摘要

自发性高血压大鼠(SHR)是一种原发性高血压的遗传模型,其病因包括交感神经过度兴奋。为了阐明该模型病理生理学的神经源性机制,我们分析了清醒 SHR 以及 Wistar-Kyoto(WKY)、Dahl 盐敏感型、Dahl 盐抵抗型和 Sprague-Dawley 大鼠对动脉压自发性波动的动态血压反射反应。观察结果表明,心率的血压反射控制存在长时间的间歇性(持续长达数分钟)参与和脱参与。对这些间歇性期间的分析表明,在 SHR 和 WKY 品系中存在一种预测关系,即平均动脉压升高与进行性血压反射脱参与,而在其他品系中则不存在这种关系。这一关系提出了一个假设,即与 WKY 相比,SHR 中血压反射的参与与脱参与的比例较低,导致 SHR 与 WKY 相比血压升高(或血压升高)。使用主动脉窦神经切断术的实验结果与血压反射功能障碍导致 SHR 高血压病因的假设一致。因此,这项研究为血压反射在长期动脉血压调节和该动物模型原发性高血压病因中的作用提供了实验证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0aa1/7566704/9f7f2ef411dd/jciinsight-5-139789-g119.jpg

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