Takata Y, Yamashita Y, Takishita S, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka Japan.
Life Sci. 1988;42(12):1223-9. doi: 10.1016/0024-3205(88)90553-x.
Experiments were conducted in conscious rats to determine whether DOCA-salt treatment could cause an elevation of sodium concentration of cerebrospinal fluid (CSF), which may be responsible for the enhanced activity of sympathetic nervous system (SNS) and increased secretion of vasopressin (AVP). Systolic blood pressure (SBP) and mean arterial pressure (MAP) were gradually but consistently increased by DOCA-salt treatment. Serum Na concentration was similarly increased with time by DOCA-salt, and significantly higher than control in the 4th treatment week. In contrast, DOCA-salt did not alter the CSF Na levels at any time during treatment. A relationship between SBP and CSF Na was never evident at any stage of the DOCA-salt hypertension. The decrease in MAP following administration of the vasopressin V1-receptor antagonist, d(CH2)5Tyr(Me)AVP (30 micrograms/kg), or hexamethonium (30 mg/kg) was enhanced in the DOCA-treated rats, as compared to findings in the controls. These hypotensive effects were gradually, but progressively enhanced with the development of hypertension by DOCA-salt treatment. We tentatively conclude that mechanisms accounting for the enhanced activity of SNS and AVP in DOCA-salt hypertensive rats are independent of an increased Na concentration in the CSF.
在清醒大鼠中进行实验,以确定去氧皮质酮盐(DOCA-salt)治疗是否会导致脑脊液(CSF)钠浓度升高,这可能是交感神经系统(SNS)活性增强和血管加压素(AVP)分泌增加的原因。去氧皮质酮盐治疗使收缩压(SBP)和平均动脉压(MAP)逐渐但持续升高。血清钠浓度也随时间因去氧皮质酮盐而升高,在第4个治疗周时显著高于对照组。相比之下,去氧皮质酮盐在治疗期间的任何时间都未改变脑脊液钠水平。在去氧皮质酮盐性高血压的任何阶段,SBP与脑脊液钠之间均未显示出明显关系。与对照组相比,给予血管加压素V1受体拮抗剂d(CH2)5Tyr(Me)AVP(30微克/千克)或六甲铵(30毫克/千克)后,去氧皮质酮治疗的大鼠MAP下降幅度更大。随着去氧皮质酮盐治疗导致高血压的发展,这些降压作用逐渐但逐渐增强。我们初步得出结论,去氧皮质酮盐性高血压大鼠中交感神经系统和血管加压素活性增强的机制与脑脊液中钠浓度升高无关。