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肾去神经支配对实验性高血压大鼠下丘脑交感神经过度活动的抑制作用

Attenuation of hypothalamo-sympathetic hyperactivity by renal denervation in experimental hypertensive rats.

作者信息

Takeda K, Okajima H, Hayashi J, Kawasaki S, Sasaki S, Nakagawa M, Ijichi H

机构信息

Second Department of Medicine, Kyoto Prefectural University of Medicine, Japan.

出版信息

Clin Exp Hypertens A. 1987;9 Suppl 1:75-88. doi: 10.3109/10641968709160165.

Abstract

To clarify the effect of renal nerves on hypothalamic cardiovascular regulation in hypertension, posterior hypothalamus was electrically stimulated in renal denervated SHR (RD-SHR) and DOCA hypertensive (RD-DOCA) rats during recording blood pressure and sympathetic nerve activity. In urethane anesthetized SHR, mean blood pressure was not different between RD- and sham-operated SHR 48 hours after denervation, but two weeks later, blood pressure was lower in RD-SHR. Pressor and sympathetic nerve responses to hypothalamic stimulation were partly attenuated 48 hours after denervation, but two weeks later, attenuation was strong. The development of hypertension was abolished during two weeks observation in RD-SHR. In DOCA hypertensive rats, the development of hypertension was significantly inhibited by renal denervation. Pressor and sympathetic nerve responses to hypothalamic stimulation were significantly diminished in RD-DOCA rats. Water intake and urine volume was identical in both groups. These results suggest that renal denervation inhibited the development of hypertension accompanied with the inhibition of hypothalamo-sympathetic nerve system, furthermore, it is indicated that hypothalamic cardiovascular regulation controlled by afferent renal nerve could contribute to the development of hypertension in SHR and DOCA hypertensive rats.

摘要

为阐明肾神经对高血压状态下下丘脑心血管调节的影响,在记录血压和交感神经活动期间,对去肾神经的自发性高血压大鼠(RD-SHR)和去氧皮质酮高血压大鼠(RD-DOCA)进行下丘脑后部电刺激。在乌拉坦麻醉的SHR中,去神经后48小时,RD-SHR与假手术SHR的平均血压无差异,但两周后,RD-SHR的血压较低。去神经后48小时,对下丘脑刺激的升压和交感神经反应部分减弱,但两周后,减弱明显。在RD-SHR的两周观察期内,高血压的发展被消除。在去氧皮质酮高血压大鼠中,肾去神经显著抑制了高血压的发展。RD-DOCA大鼠对下丘脑刺激的升压和交感神经反应显著减弱。两组的饮水量和尿量相同。这些结果表明,肾去神经抑制了高血压的发展,同时伴有下丘脑-交感神经系统的抑制,此外,提示肾传入神经控制的下丘脑心血管调节可能参与了SHR和去氧皮质酮高血压大鼠高血压的发生发展。

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