Institute of Physiology, Czech Academy of Sciences, Prague, Czech Republic.
Physiol Res. 2022 Dec 16;71(6):763-770. doi: 10.33549/physiolres.935041. Epub 2022 Nov 25.
The agonists of alpha(2)-adrenergic receptors such as clonidine, rilmenidine or monoxidine are known to lower blood pressure (BP) through a reduction of brain sympathetic outflow but their chronic antihypertensive effects in rats with low-renin or high-renin forms of experimental hypertension were not studied yet. Moreover, there is no comparison of mechanisms underlying BP reduction elicited by chronic peroral (po) or intracerebroventricular (icv) clonidine treatment. Male salt-sensitive Dahl rats fed 4% NaCl diet and Ren-2 transgenic rats were treated with clonidine administered either in the drinking fluid (0.5 mg/kg/day po) or as the infusion into lateral brain ventricle (0.1 mg/kg/day icv) for 4 weeks. Basal BP and the contributions of renin-angiotensin system (captopril 10 mg/kg iv) or sympathetic nervous system (pentolinium 5 mg/kg iv) to BP maintenance were determined in conscious cannulated rats at the end of the study. Both peroral and intracerebroventricular clonidine treatment lowered BP to the same extent in either rat model. However, in both models chronic clonidine treatment reduced sympathetic BP component only in rats treated intracerebroventricularly but not in perorally treated animals. In contrast, peroral clonidine treatment reduced angiotensin II-dependent vasoconstriction in Ren-2 transgenic rats, whereas it lowered residual blood pressure in Dahl rats. In conclusions, our results indicate different mechanisms of antihypertensive action of clonidine when administered centrally or systemically.
α2-肾上腺素受体激动剂,如可乐定、利美尼定或单硝酸,通过降低脑交感传出而降低血压(BP)。然而,它们在低肾素或高肾素型实验性高血压大鼠中的慢性抗高血压作用尚未得到研究。此外,尚未比较慢性口服(po)或脑室内(icv)给予可乐定治疗引起的 BP 降低的机制。给予 4%NaCl 饮食的雄性盐敏感 Dahl 大鼠和 Ren-2 转基因大鼠,用可乐定治疗,方法为在饮用水中给药(0.5mg/kg/天 po)或作为侧脑室输注(0.1mg/kg/天 icv),持续 4 周。在研究结束时,通过在清醒的插管大鼠中给予卡托普利(10mg/kg iv)或戊烷脒(5mg/kg iv),确定基础 BP 和肾素-血管紧张素系统(captopril 10mg/kg iv)或交感神经系统(pentolinium 5mg/kg iv)对 BP 维持的贡献。无论是在 Dahl 大鼠还是在 Ren-2 转基因大鼠中,口服和脑室内给予可乐定都能使 BP 降低到相同的程度。然而,在这两种模型中,慢性可乐定治疗仅在脑室内给予的大鼠中降低交感 BP 成分,而在口服治疗的动物中则没有。相反,口服可乐定治疗降低了 Ren-2 转基因大鼠中血管紧张素 II 依赖性血管收缩,而在 Dahl 大鼠中降低了残余血压。总之,我们的结果表明,可乐定经中枢或系统给药时具有不同的降压作用机制。