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肾去神经术和腹腔神经节切除术在遗传性高血压 Schlager(BPH/2J)小鼠中同样降低平均动脉压。

Renal Denervation and Celiac Ganglionectomy Decrease Mean Arterial Pressure Similarly in Genetically Hypertensive Schlager (BPH/2J) Mice.

机构信息

From the Department of Integrative Biology and Physiology, University of Minnesota, Minneapolis (M.M.G., C.T.B., A.R., J.W.O.).

Department of Biotechnology, Indian Institute of Technology Madras, Chennai (N.A.-J.).

出版信息

Hypertension. 2021 Feb;77(2):519-528. doi: 10.1161/HYPERTENSIONAHA.119.14069. Epub 2021 Jan 4.

Abstract

Renal denervation (RDNX) lowers mean arterial pressure (MAP) in patients with resistant hypertension. Less well studied is the effect of celiac ganglionectomy (CGX), a procedure which involves the removal of the nerves innervating the splanchnic vascular bed. We hypothesized that RDNX and CGX would both lower MAP in genetically hypertensive Schlager (BPH/2J) mice through a reduction in sympathetic tone. Telemeters were implanted into the femoral artery in mice to monitor MAP before and after RDNX (n=5), CGX (n=6), or SHAM (n=6). MAP, systolic blood pressure, diastolic blood pressure, and heart rate were recorded for 14 days postoperatively. The MAP response to hexamethonium (10 mg/kg, IP) was measured on control day 3 and postoperative day 10 as a measure of global neurogenic pressor activity. The efficacy of denervation was assessed by measurement of tissue norepinephrine. Control MAP was similar among the 3 groups before surgical treatments (≈130 mm Hg). On postoperative day 14, MAP was significantly lower in RDNX (-11±2 mm Hg) and CGX (-11±1 mm Hg) groups compared with their predenervation values. This was not the case in SHAM mice (-5±3 mm Hg). The depressor response to hexamethonium in the RDNX group was significantly smaller on postoperative day 10 (-10±5 mm Hg) compared with baseline control (-25±10 mm Hg). This was not the case in mice in the SHAM (day 10; -28±5 mm Hg) or CGX (day 10; -34±7 mm Hg) group. In conclusion, both renal and splanchnic nerves contribute to hypertension in BPH/2J mice, but likely through different mechanisms.

摘要

肾去神经支配(RDNX)可降低抗高血压患者的平均动脉压(MAP)。研究较少的是腹腔神经节切除术(CGX)的效果,该手术涉及去除支配内脏血管床的神经。我们假设 RDNX 和 CGX 都会通过降低交感神经张力来降低 Schlager(BPH/2J)高血压小鼠的 MAP。在小鼠股动脉中植入遥测仪,以在 RDNX(n=5)、CGX(n=6)或 SHAM(n=6)之前和之后监测 MAP。记录术后 14 天的 MAP、收缩压、舒张压和心率。在对照第 3 天和术后第 10 天测量六烃季铵(10mg/kg,IP)的 MAP 反应,作为全身神经升压活性的衡量标准。通过测量组织去甲肾上腺素来评估去神经支配的效果。在手术治疗前,3 组的对照 MAP 相似(≈130mmHg)。在术后第 14 天,RDNX(-11±2mmHg)和 CGX(-11±1mmHg)组的 MAP 明显低于术前值。SHAM 小鼠则不然(-5±3mmHg)。在 RDNX 组,术后第 10 天六烃季铵的降压反应明显小于基线对照(-10±5mmHg)(-25±10mmHg)。SHAM 组(第 10 天;-28±5mmHg)或 CGX 组(第 10 天;-34±7mmHg)则不然。总之,肾和内脏神经都有助于 BPH/2J 小鼠的高血压,但可能通过不同的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d46/7803455/c133c7533bf7/hyp-77-519-g002.jpg

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