Roman R J
Hypertension. 1987 Jun;9(6 Pt 2):III130-6. doi: 10.1161/01.hyp.9.6_pt_2.iii130.
In the present study, the pressure-natriuretic responses of 3- to 5- and 6- to 9-week-old spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY) were characterized to determine whether the relationship between sodium excretion and renal perfusion pressure is altered during the development of hypertension. Differences in the neural tone and renal hormone levels in SHR and WKY were minimized by denervating the kidney and fixing plasma concentrations of aldosterone, vasopressin, norepinephrine, and cortisol by intravenous infusion. Renal perfusion pressure was varied using adjustable occluders on the lower aorta. The slopes of the relationships between sodium excretion and renal perfusion pressure were not significantly different in 3- to 5-week-old SHR and WKY (0.31 +/- 0.05 vs 0.42 +/- 0.06 microEq/min/g kidney weight); however, the x-intercept of this relationship was significantly shifted to the right by 15 mm Hg in SHR compared to WKY. Blood pressure was moderately elevated even in the 3- to 5-week-old SHR in comparison to WKY (98 +/- 5 vs 81 +/- 6 mm Hg). As the degree of hypertension became more severe, the slope of the pressure-natriuresis relationship became significantly lower in 6- to 9-week-old SHR compared to the corresponding slope observed in age-matched WKY (0.16 +/- 0.02 vs 0.31 +/- 0.04 microEq/min/g kidney weight). These results indicate that the relationship between sodium excretion and renal perfusion pressure is altered even in very young SHR. Thus, the resetting of kidney function occurs very early and may be necessary for the development of hypertension in SHR.
在本研究中,对3至5周龄和6至9周龄的自发性高血压大鼠(SHR)和Wistar-Kyoto大鼠(WKY)的压力-利钠反应进行了表征,以确定在高血压发展过程中钠排泄与肾灌注压之间的关系是否发生改变。通过切除肾脏神经并通过静脉输注固定醛固酮、血管加压素、去甲肾上腺素和皮质醇的血浆浓度,使SHR和WKY的神经张力和肾激素水平差异最小化。使用可调节的主动脉下段封堵器改变肾灌注压。3至5周龄的SHR和WKY中,钠排泄与肾灌注压之间关系的斜率无显著差异(0.31±0.05对0.42±0.06微当量/分钟/克肾重);然而,与WKY相比,SHR中该关系的x轴截距显著右移15毫米汞柱。与WKY相比,即使在3至5周龄的SHR中血压也适度升高(98±5对81±6毫米汞柱)。随着高血压程度加重,6至9周龄的SHR中压力-利钠关系的斜率与年龄匹配的WKY中观察到的相应斜率相比显著降低(0.16±0.02对0.31±0.04微当量/分钟/克肾重)。这些结果表明,即使在非常年幼的SHR中,钠排泄与肾灌注压之间的关系也发生了改变。因此,肾功能的重新设定很早就发生了,并且可能是SHR高血压发展所必需的。