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新生期去交感神经术对自发性高血压大鼠血管的结构和功能影响

Structural and functional consequence of neonatal sympathectomy on the blood vessels of spontaneously hypertensive rats.

作者信息

Lee R M, Triggle C R, Cheung D W, Coughlin M D

出版信息

Hypertension. 1987 Sep;10(3):328-38. doi: 10.1161/01.hyp.10.3.328.

DOI:10.1161/01.hyp.10.3.328
PMID:3623685
Abstract

Neonatal sympathectomy of spontaneously hypertensive rats (SHR) and control Wistar-Kyoto rats (WKY) was performed by a combined treatment with antiserum to nerve growth factor and guanethidine during the first 4 weeks after birth. The development of hypertension was completely prevented in the treated SHR: at 28 to 30 weeks of age, systolic blood pressure of treated SHR was 139 +/- 2 mm Hg as compared with 195 +/- 8 mm Hg in untreated SHR. The extent of sympathectomy was verified by histofluorescence. Fluorescence histochemistry for catecholamine-containing nerves showed a complete absence of adrenergic nerves in the mesenteric arteries of treated rats. A supersensitivity to norepinephrine was exhibited by mesenteric arteries, anococcygeus muscle, and tail arteries from the treated SHR and WKY. In the mesenteric vascular bed, maximal response to norepinephrine was significantly reduced by sympathectomy. Sympathectomy also abolished the responses (e.g., generation of excitatory junctional potentials) of tail arteries to electrical stimulation of perivascular nerves. Morphometric measurements of three categories of mesenteric arteries showed that sympathectomy had no effect on the hypertrophic change of smooth muscle cells in the conducting vessels, but it prevented the hyperplastic changes of the muscle cells from reactive, muscular arteries and small resistance vessels. These results suggest that one of the primary roles of the overactive sympathetic nervous system in the development of hypertension in SHR is manifested through its trophic effect on the arteries of SHR. This trophic effect appears to cause a hyperplastic change in the smooth muscle cells in the reactive and resistance vessels, thereby contributing to the development of hypertension in older SHR.

摘要

在出生后的前4周,通过联合使用神经生长因子抗血清和胍乙啶对自发性高血压大鼠(SHR)和对照Wistar-Kyoto大鼠(WKY)进行新生期交感神经切除术。接受治疗的SHR的高血压发展完全得到预防:在28至30周龄时,接受治疗的SHR的收缩压为139±2 mmHg,而未治疗的SHR为195±8 mmHg。通过组织荧光法验证交感神经切除术的程度。含儿茶酚胺神经的荧光组织化学显示,治疗大鼠的肠系膜动脉中完全没有肾上腺素能神经。接受治疗的SHR和WKY的肠系膜动脉、肛门尾骨肌和尾动脉对去甲肾上腺素表现出超敏反应。在肠系膜血管床中,交感神经切除术显著降低了对去甲肾上腺素的最大反应。交感神经切除术还消除了尾动脉对血管周围神经电刺激的反应(例如兴奋性接头电位的产生)。对三类肠系膜动脉的形态测量表明,交感神经切除术对传导血管中平滑肌细胞的肥大变化没有影响,但它阻止了反应性肌性动脉和小阻力血管中肌细胞的增生性变化。这些结果表明,过度活跃的交感神经系统在SHR高血压发展中的主要作用之一是通过其对SHR动脉的营养作用表现出来的。这种营养作用似乎导致反应性和阻力血管中平滑肌细胞的增生性变化,从而促进老年SHR高血压的发展。

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