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母体血管紧张素Ⅱ诱导的高血压通过增加子代大鼠大脑反应性,使断奶后高脂肪饮食引起的高血压反应敏感化。

Maternal Angiotensin II-Induced Hypertension Sensitizes Postweaning High-Fat Diet-Elicited Hypertensive Response Through Increased Brain Reactivity in Rat Offspring.

机构信息

Departments of Psychological and Brain Sciences University of Iowa Iowa City IA.

Internal Medicine University of Iowa Iowa City IA.

出版信息

J Am Heart Assoc. 2021 Sep 21;10(18):e022170. doi: 10.1161/JAHA.121.022170. Epub 2021 Sep 6.

Abstract

Background Prenatal and postnatal insults can induce a physiological state that leaves offspring later in life vulnerable to subsequent challenges (stressors) eliciting cardiometabolic diseases including hypertension. In this study, we investigated whether maternal angiotensin II-induced hypertension in rats sensitizes postweaning high-fat diet (HFD)-elicited hypertensive response and whether this is associated with autonomic dysfunction and altered central mechanisms controlling sympathetic tone in offspring. Methods and Results When eating a low-lard-fat diet, basal mean arterial pressure of male offspring of normotensive or hypertensive dams were comparable. However, HFD feeding significantly increased mean arterial pressure in offspring of normotensive and hypertensive dams, but the elevated mean arterial pressure induced by HFD was greater in offspring of hypertensive dams, which was accompanied by greater sympathetic tone and enhanced pressor responses to centrally administrated angiotensin II or leptin. HFD feeding also produced comparable elevations in cardiac sympathetic activity and plasma levels of angiotensin II, interleukin-6, and leptin in offspring of normotensive and hypertensive dams. Reverse transcriptase polymerase chain reaction analyses in key forebrain regions implicated in the control of sympathetic tone and blood pressure indicated that HFD feeding led to greater increases in mRNA expression of leptin, several components of the renin-angiotensin system and proinflammatory cytokines in offspring of hypertensive dams when compared with offspring of normotensive dams. Conclusions The results indicate that maternal hypertension sensitized male adult offspring to HFD-induced hypertension. Increased expression of renin-angiotensin system components and proinflammatory cytokines, elevated brain reactivity to pressor stimuli, and augmented sympathetic drive to the cardiovascular system likely contributed.

摘要

背景

产前和产后的不良刺激会导致一种生理状态,使后代在以后的生活中容易受到后续挑战(应激源)的影响,从而引发心血管代谢疾病,包括高血压。在这项研究中,我们研究了母体血管紧张素 II 诱导的高血压是否会使幼鼠在断奶后对高脂肪饮食(HFD)诱导的高血压反应敏感,以及这种情况是否与自主神经功能障碍和中枢控制交感神经张力的机制改变有关。

方法和结果

当食用低猪油脂肪饮食时,正常血压和高血压母鼠的雄性后代的基础平均动脉压相当。然而,HFD 喂养显著增加了正常血压和高血压母鼠后代的平均动脉压,但 HFD 诱导的平均动脉压升高在高血压母鼠的后代中更为明显,这伴随着更大的交感神经张力和增强的中枢给予血管紧张素 II 或瘦素的升压反应。HFD 喂养还导致正常血压和高血压母鼠后代的心脏交感神经活性和血浆血管紧张素 II、白细胞介素-6 和瘦素水平升高。涉及交感神经张力和血压控制的关键前脑区域的逆转录聚合酶链反应分析表明,与正常血压母鼠的后代相比,HFD 喂养导致高血压母鼠后代的瘦素、肾素-血管紧张素系统的几个成分和促炎细胞因子的 mRNA 表达增加更大。

结论

这些结果表明,母体高血压使雄性成年后代对 HFD 诱导的高血压敏感。肾素-血管紧张素系统成分和促炎细胞因子表达增加、对升压刺激的大脑反应性增强以及交感神经对心血管系统的驱动增强可能起作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/300c/8649524/0e35c4bee948/JAH3-10-e022170-g002.jpg

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