Vandongen R, McGowan H, Anderson H, Barden A
Am J Physiol. 1985 Oct;249(4 Pt 2):F542-5. doi: 10.1152/ajprenal.1985.249.4.F542.
The contribution of the renal nerves in maintaining blood pressure and modulating renal prostanoid synthesis was examined in established (less than 8 wk in duration) one-kidney, one-clip (1K,1C) hypertension in the rat. Systolic blood pressure was measured for 7 days after renal denervation, at which time the renal artery clip was removed. Twenty-four-hour urinary excretion of PGE2 and 6-keto-PGF1 alpha (stable degradation product of PGI2) was determined before and after denervation and unclipping. Compared with sham-denervated rats, denervation (n = 15) resulted in a small but significant fall in blood pressure (from 216 +/- 4 to 182 +/- 4 mmHg after 48 h) and an increase in urinary 6-keto-PGF1 alpha (from 31 +/- 4 to 43 +/- 5 ng/24 h after 24 h). There was no change in PGE2 excretion. Seven days after surgery, blood pressures were similar in denervated (202 +/- 4 mmHg) and sham-denervated (211 +/- 5 mmHg) rats and fell to a similar extent 24 h after unclipping (142 +/- 3 and 147 +/- 4 mmHg, respectively). Urinary 6-keto-PGF1 alpha increased from 25 +/- 5 to 74 +/- 11 in denervated and 21 +/- 2 to 72 +/- 9 ng/24 h in sham-denervated rats in the 24 h after unclipping. PGE2 excretion increased approximately twofold over this period. These findings indicate that the renal nerves have only a minor role in established hypertension in the 1K,1C rat and that the reversal of hypertension and stimulation of renal prostanoid synthesis following unclipping is not dependent on neural mechanisms.
在已形成的(病程小于8周)大鼠单肾单夹(1K,1C)高血压模型中,研究了肾神经在维持血压和调节肾前列腺素合成中的作用。肾去神经支配后7天测量收缩压,此时移除肾动脉夹。在去神经支配和移除夹子前后,测定24小时尿中PGE2和6-酮-PGF1α(PGI2的稳定降解产物)的排泄量。与假去神经支配的大鼠相比,去神经支配(n = 15)导致血压小幅但显著下降(48小时后从216±4降至182±4 mmHg),尿中6-酮-PGF1α增加(24小时后从31±4增至43±5 ng/24 h)。PGE2排泄量无变化。术后7天,去神经支配的大鼠(202±4 mmHg)和假去神经支配的大鼠(211±5 mmHg)血压相似,移除夹子24小时后血压下降程度相似(分别为142±3和147±4 mmHg)。移除夹子后24小时内,去神经支配的大鼠尿中6-酮-PGF1α从25±5增至74±11,假去神经支配的大鼠从21±2增至72±9 ng/24 h。在此期间,PGE2排泄量增加约两倍。这些发现表明,肾神经在1K,1C大鼠已形成的高血压中仅起次要作用,移除夹子后高血压的逆转和肾前列腺素合成的刺激不依赖于神经机制。