Wexler B C
Paroi Arterielle. 1979 Jul;5(2):99-113.
Male and female, 100 days old, spontaneously hypertensive rats (SHR) were divided into two major groups: intact and uninephrectomized, given either no treatment, 1p.100 saline drinking water, 1p.100 saline + Deoxycorticosterone (DOC), or DOC alone. The DOC (Percorten pivalate) was given subcutaneously 2 times weekly, at a dose level of 2 mg/rat for 8 weeks. At autopsy, the combination of DOC + saline caused: the greatest exacerbation of blood pressure, marked catabolism, adrenal hypertrophy and thymic involution, little increase in heart weight, but a marked increase in kidney weight, elevated triglyceride and free fatty acids, cerebral and myocardial necrosis, fibrinous hyalinization of the cerebral, coronary, mesenteric, renal, testicular and ovarian arteries, foci of aortic cartilaginous metaplasia, PAN, foci of hepatic necrosis, and extensive lipid depletion from the zonae glomerulosa. Circulating corticosterone levels were suppressed to below normal levels. Excursion of circulating CPK levels coincided with the finding of myocardial necrosis and cerebral damage. It is suggested that the genetically-mediated hypertension of SHR is programmed through abnormal activity of the hypothalamic-pituitary axis and the specific morphologic make-up of arterial lesions is dependent upon the variety of adrenal or gonadal steroids secreted and their conditioning effect on the arterial wall.
100日龄的雄性和雌性自发性高血压大鼠(SHR)被分为两大组:完整组和单侧肾切除组,分别给予无处理、1:100盐水饮用水、1:100盐水+脱氧皮质酮(DOC)或仅给予DOC。DOC(新戊酸去氧皮质酮)每周皮下注射2次,剂量为2mg/大鼠,共8周。尸检时,DOC+盐水的联合使用导致:血压加剧最明显、明显的分解代谢、肾上腺肥大和胸腺萎缩、心脏重量增加不多,但肾脏重量明显增加、甘油三酯和游离脂肪酸升高、脑和心肌坏死、脑、冠状动脉、肠系膜、肾、睾丸和卵巢动脉的纤维蛋白样玻璃样变、主动脉软骨化生灶、PAN、肝坏死灶以及肾小球带广泛的脂质耗竭。循环皮质酮水平被抑制到正常水平以下。循环CPK水平的波动与心肌坏死和脑损伤的发现一致。有人提出,SHR的遗传介导性高血压是通过下丘脑-垂体轴的异常活动编程的,动脉病变的特定形态组成取决于分泌的肾上腺或性腺类固醇的种类及其对动脉壁的调节作用。