Division of BioMedical Sciences, Faculty of Medicine.
School of Pharmacy, Memorial University, St. John's, Newfoundland and Labrador, Canada.
J Hypertens. 2022 Mar 1;40(3):596-605. doi: 10.1097/HJH.0000000000003053.
Increase in vascular stiffness is associated with a higher risk of cardiovascular morbidity and mortality and is likely sex-specific.
Our objectives were to compare structural and functional alterations in small resistance arteries as related to vascular stiffness from Dahl salt-sensitive male and female rats (n = 8, mean ± s.e.m.).
Arterial blood pressure and pulse wave velocity were significantly (P < 0.05) elevated in males (161 ± 3 mmHg; 6.4 ± 0.2 m/s) and females (147 ± 2 mmHg; 5.5 ± 0.1 m/s) on a high (H) salt compared with regular (R) diets but were significantly higher in males (H) than in all others. Significant increases in collagen and smooth muscle cell areas were evident in ultrastructure of mesenteric arteries of hypertensive males compared to normotensive or corresponding females. There were no significant differences in composite Young's modulus (CYM) between groups. Vasoconstriction resulted in significantly higher CYM in male (H: 8.6 ± 1 KPa) than R (4.5 ± 0.8 KPa), and the corresponding females (H: 5.6 ± 0.6 KPa and R: 5 ± 0.9 KPa). In contrast, vasodilation significantly reduced CYM in the male groups (H: 2.5 ± 0.4 KPa and R: 2.7 ± 0.5 KPa) compared with the corresponding values in females (H: 4.2 ± 0.6 KPa and R: 5 ± 0.5 KPa). Moreover, the slope of pressure-volume curves revealed significantly greater distended vascular compliance in male H than R, and the corresponding females.
Our findings are supportive of a link between high salt intake and elevated blood pressure as being sex specific, likely involving sex-dependent changes in ultrastructure of the vessels, which ultimately may alter the biomechanics, and thus, the haemodynamic functions of both macro-circulation and micro-circulations.
血管僵硬度的增加与心血管发病率和死亡率的风险增加有关,并且可能具有性别特异性。
我们的目的是比较与血管僵硬度相关的小型阻力血管的结构和功能改变,涉及到达尔盐敏感雄性和雌性大鼠(n=8,平均值±标准误)。
与常规盐饮食相比,雄性(161±3mmHg;6.4±0.2m/s)和雌性(147±2mmHg;5.5±0.1m/s)的血压和脉搏波速度在高盐(H)饮食中显著升高(P<0.05),但雄性(H)比所有其他组都显著升高。与正常血压或相应的雌性相比,高血压雄性肠系膜动脉的超微结构中明显可见胶原和平滑肌细胞面积增加。各组之间的复合杨氏模量(CYM)没有显著差异。血管收缩导致雄性(H:8.6±1KPa)比 R(4.5±0.8KPa)和相应的雌性(H:5.6±0.6KPa 和 R:5±0.9KPa)的 CYM 显著升高。相反,与雌性相比,雄性的血管舒张显著降低了 CYM(H:2.5±0.4KPa 和 R:2.7±0.5KPa)(H:4.2±0.6KPa 和 R:5±0.5KPa)。此外,压力-容积曲线的斜率表明,雄性 H 的血管扩张性比 R 和相应的雌性更大。
我们的发现支持高盐摄入与血压升高之间存在性别特异性的联系,这可能涉及到血管超微结构的性别依赖性变化,最终可能改变大循环和微循环的生物力学和血流动力学功能。