Codde J P, Beilin L J
Clin Sci (Lond). 1985 Dec;69(6):691-9. doi: 10.1042/cs0690691.
This study was designed to examine the effect of dexamethasone treatment on tissue and urinary prostanoids, and to determine whether inhibition of prostaglandin biosynthesis by manipulation of dietary fatty acids accelerates the development of glucocorticoid hypertension. Forty-eight rats were placed on either a 2-series prostaglandin 'inhibitory' diet (cod liver oil/linseed oil) or a control diet of saturated fat for an initial period of 4 weeks. The groups were then divided into two so that half of each received dexamethasone in their drinking water (2.5 mg/l) for 1 week whilst continuing their respective dietary regimens. Rats on the cod liver oil diet incorporated eicosapentaenoic acid into tissue stores with a corresponding decrease in arachidonic acid, and significantly impaired ability to generate serum thromboxane B2 (33%), aortic 6-oxo-prostaglandin F1 alpha (44%), renal homogenate prostaglandin E2 (45%) and 6-oxo-prostaglandin F1 alpha (74%) and urinary prostaglandin E2 (84%) and 6-oxo-prostaglandin F1 alpha (79%). Despite the diminished levels of vasodilator 2-series prostaglandins, the cod liver oil diet prevented the development of glucocorticoid induced hypertension. Relative to their respective dietary controls, dexamethasone treatment resulted in decreased serum thromboxane B2 (20%) but increased aortic 6-oxo-prostaglandin F1 alpha (186%), renal homogenate prostaglandins (127-230%) and urinary excretion of prostaglandin E2 (640-860%) and 6-oxo-prostaglandin F1 alpha (230-365%) in both dietary groups. It therefore seems unlikely that glucocorticoid induced hypertension is a consequence of inhibition of vasodilator prostaglandin synthesis.
本研究旨在检测地塞米松治疗对组织和尿类前列腺素的影响,并确定通过控制饮食脂肪酸来抑制前列腺素生物合成是否会加速糖皮质激素性高血压的发展。48只大鼠最初4周分别给予2-系列前列腺素“抑制性”饮食(鱼肝油/亚麻籽油)或饱和脂肪对照饮食。然后将每组大鼠分为两组,每组中的一半在饮用的水中加入地塞米松(2.5毫克/升),持续1周,同时继续各自的饮食方案。食用鱼肝油饮食的大鼠将二十碳五烯酸纳入组织储备,同时花生四烯酸相应减少,并且生成血清血栓素B2(33%)、主动脉6-氧代前列腺素F1α(44%)、肾匀浆前列腺素E2(45%)和6-氧代前列腺素F1α(74%)以及尿前列腺素E2(84%)和6-氧代前列腺素F1α(79%)的能力显著受损。尽管血管舒张性2-系列前列腺素水平降低,但鱼肝油饮食可预防糖皮质激素诱导的高血压。相对于各自的饮食对照组,地塞米松治疗使两个饮食组的血清血栓素B2均降低(20%),但主动脉6-氧代前列腺素F1α增加(186%),肾匀浆前列腺素增加(127 - 230%),尿前列腺素E2排泄增加(640 - 860%)以及6-氧代前列腺素F1α排泄增加(230 - 365%)。因此,糖皮质激素诱导的高血压似乎不太可能是血管舒张性前列腺素合成受抑制的结果。