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自主高血压大鼠交感神经介导的动脉血压和尿量反应的开环分析:肾去神经支配的影响。

Open-loop analysis on sympathetically mediated arterial pressure and urine output responses in spontaneously hypertensive rats: effect of renal denervation.

机构信息

Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center, Osaka, 564-8565, Japan.

Corporate R&D Center, Terumo Corporation, Kanagawa, 259-0151, Japan.

出版信息

J Physiol Sci. 2021 Apr 20;71(1):13. doi: 10.1186/s12576-021-00798-x.

Abstract

Primary acute sympathetic activation (PASA) causes a subsequent arterial pressure (AP) elevation. In this case, an antidiuretic effect via the renal innervation and pressure diuresis can act antagonistically on the kidneys. We examined the effect of PASA on urine output in spontaneously hypertensive rats (SHR) 4-7 days after unilateral renal denervation (RDN) (n = 9). The slope of the plot of urine flow versus AP was positive (0.120 ± 0.031 μL min kg mmHg) on the intact side, but it was less than 1/3 of the slope observed previously in normotensive Wistar-Kyoto rats (WKY). RDN did not normalize the slope of urine flow versus AP (0.179 ± 0.025 μL min kg mmHg, P = 0.098 versus the intact side). The urine flow at the operating point of the AP tended to be greater on the denervated than the intact side (29.0 ± 1.8 vs. 25.3 ± 1.9 μL min kg, P = 0.055). The percent increase (17.2 ± 7.2%) was not different from that observed previously in WKY. Although high-resting sympathetic nerve activity is prerequisite for maintaining hypertension in SHR, the effect of sympathetic innervation on the urine output function was not greater than that in WKY.

摘要

原发性急性交感神经激活(PASA)会导致随后的动脉压(AP)升高。在这种情况下,通过肾神经支配和压力利尿的抗利尿作用会对肾脏产生拮抗作用。我们检查了 PASA 在单侧肾去神经支配(RDN)后 4-7 天的自发性高血压大鼠(SHR)中的尿液生成的影响(n=9)。在完整侧,尿流量与 AP 的关系图的斜率为正(0.120±0.031 μL min kg mmHg),但小于先前在正常血压的 Wistar-Kyoto 大鼠(WKY)中观察到的斜率的 1/3。RDN 并未使尿流量与 AP 的斜率正常化(0.179±0.025 μL min kg mmHg,P=0.098 与完整侧相比)。AP 的操作点处的尿流量倾向于去神经支配侧大于完整侧(29.0±1.8 比 25.3±1.9 μL min kg,P=0.055)。与先前在 WKY 中观察到的百分比增加(17.2±7.2%)没有差异。尽管高静息交感神经活动是维持 SHR 高血压的必要条件,但交感神经支配对尿液生成功能的影响并不大于 WKY。

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