Mark A L, Victor R G, Ferrari A, Morgan D A, Thorén P
Circulation. 1987 Jan;75(1 Pt 2):I137-40.
The Dahl strain of genetically salt-resistant (DR) and salt-sensitive (DS) rats affords an opportunity to explore mechanisms responsible for salt resistance and sensitivity. Dahl sensitive rats exhibit abnormalities in sympathetic neural control of the circulation and in renal sodium handling. Since cardiac baroreflexes participate in regulation of sympathetic nerve activity and sodium excretion, we have evaluated cardiac baroreflex function in DR and DS rats. This article briefly reviews evidence that cardiac sensory endings with vagal afferents are reset to a higher threshold in DS rats before elevation of arterial or cardiac filling pressures, as a result of this resetting, cardiac baroreflex inhibition of sympathetic nerve activity during volume expansion is impaired in prehypertensive DS rats, a high-sodium diet enhances the gain of cardiac baroreflex inhibition of sympathetic nerve activity in DR but not DS rats, and atrial natriuretic factor stimulates cardiac sensory receptors with vagal afferents. Taken together, these studies prompt speculation that humoral factors released during intake of a high-sodium diet may sensitize cardiac baroreflexes and thereby protect against sodium retention and hypertension. An absence of this compensatory adjustment or plasticity in cardiac baroreflex function in DS rats may predispose to salt-induced hypertension.
遗传性盐抵抗(DR)和盐敏感(DS)的达尔大鼠品系为探索盐抵抗和盐敏感机制提供了机会。达尔敏感大鼠在循环系统的交感神经控制和肾脏钠处理方面表现出异常。由于心脏压力反射参与交感神经活动和钠排泄的调节,我们评估了DR和DS大鼠的心脏压力反射功能。本文简要回顾了相关证据:在动脉压或心脏充盈压升高之前,DS大鼠中具有迷走传入神经的心脏感觉末梢被重置为更高的阈值,由于这种重置,高血压前期DS大鼠在容量扩张期间心脏压力反射对交感神经活动的抑制受损,高钠饮食增强了DR大鼠而非DS大鼠心脏压力反射对交感神经活动的抑制增益,并且心房利钠因子刺激具有迷走传入神经的心脏感觉受体。综上所述,这些研究促使人们推测,高钠饮食摄入期间释放的体液因子可能使心脏压力反射敏感化,从而防止钠潴留和高血压。DS大鼠心脏压力反射功能缺乏这种代偿性调节或可塑性可能易患盐诱导的高血压。