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肾脏提取物和盐诱导大鼠高血压的病理生理学研究

Pathophysiological studies on hypertension induced in rats by kidney extract and salt.

作者信息

Yamamoto J, Matsunaga M, Komuro T, Hara A, Park C, Saito N, Ogino K, Kawai C

出版信息

Jpn Circ J. 1979 Dec;43(12):1072-80. doi: 10.1253/jcj.43.1072.

Abstract

The renin-angiotensin-aldosterone system, electrolyte and water balance, body fluid, and neurogenic tone and reactivity of the vasculature were studied in hypertension induced in uninephrectomized rats by repeated injection of renin-rich kidney extract and 1% saline drinking. The control rats were injected with physiological saline. Various measurements were made in conscious rats on the 10th day of the treatment. As compared with the control, plasma renin concentration and serum sodium increased significantly, while plasma aldosterone and renal excretory function did not differ. Blood volume (BV) expressed as per body weight increased significantly, but absolute BV, absolute or body weight-related plasma volume and hematocrit were not significantly different. The hypotensive effect of 1-Sar-8-Ile-angiotensin II was negligible 12 hours after the preceding injection of kidney extract. It was small but significant 1 hour after the injection. Increase in water turn-over and fractional sodium excretion occurred during the development of hypertension. Spironolactone did not significantly modify the developmental course. We observed increased depressor response to hexamethonium and increased reactivities to noradrenaline and angiotensin II (A II); these response curves relatively resembled those of spontaneously hypertensive rats. Hypertensive vascular changes were seen in the kidney and heart by histology. Thus, it was suggested that a direct vascular action of A II played a partial role in this hypertensive process while aldosterone played little role. The significance of BV increase and possible contribution of A II's other actions were discussed.

摘要

通过反复注射富含肾素的肾提取物和饮用1%盐水,在单侧肾切除的大鼠中诱导高血压,研究了肾素 - 血管紧张素 - 醛固酮系统、电解质和水平衡、体液以及血管的神经源性张力和反应性。对照大鼠注射生理盐水。在治疗第10天对清醒大鼠进行了各种测量。与对照组相比,血浆肾素浓度和血清钠显著升高,而血浆醛固酮和肾排泄功能无差异。以每体重表示的血容量(BV)显著增加,但绝对BV、绝对或与体重相关的血浆容量以及血细胞比容无显著差异。在前一次注射肾提取物12小时后,1 - Sar - 8 - Ile - 血管紧张素II的降压作用可忽略不计。注射后1小时作用较小但显著。在高血压发展过程中出现水周转率增加和钠排泄分数增加。螺内酯未显著改变高血压的发展进程。我们观察到对六甲铵的降压反应增加以及对去甲肾上腺素和血管紧张素II(A II)的反应性增加;这些反应曲线与自发性高血压大鼠的反应曲线相对相似。通过组织学观察到肾脏和心脏出现高血压性血管变化。因此,提示A II的直接血管作用在该高血压过程中起部分作用,而醛固酮作用较小。讨论了BV增加的意义以及A II其他作用的可能贡献。

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