Hermsmeyer K
Circ Res. 1976 Jun;38(6 Suppl 2):53-7. doi: 10.1161/01.res.38.6.53.
There is evidence that hypersensitivity of vascular muscle to neurotransmitters contributes to the development of hypertension. Comparison of the caudal arteries of spontaneously hypertensive rats (SHR) and their genetically related Kyoto-Wistar normotensive control rats (KNR) showed that although there is no difference in membrane potential under unstimulated conditions, greater depolarization of the SHR vascular muscle cells by norepinephrine occurs at concentrations which cause greater contraction. The mechanism for the increased depolarization and resulting increase in contraction appears to be a lower intracellular potassium ion activity in SHR vascular muscle cells, which results in a lower contribution of potassium gradient to membrane potential. Experiments to determine the sensitivity of isolated, dispersed chick omphalomesenteric vascular muscle cells to neurotransmitters showed remarkably low thresholds to the neutransmitters norepinephrine, serotonin, and acetylcholine, but not potassium chloride. The high sensitivity of isolated cells to neurotransmitters suggests that factors in the intact vessel may cause thresholds to be high, possibly implying that alterations in a neurotrophic mechanism might be responsible for changes in vascular muscle sensitivity in situ.
有证据表明,血管平滑肌对神经递质的超敏反应会导致高血压的发生。对自发性高血压大鼠(SHR)及其基因相关的京都-威斯塔正常血压对照大鼠(KNR)的尾动脉进行比较后发现,尽管在未受刺激的条件下膜电位没有差异,但去甲肾上腺素使SHR血管平滑肌细胞发生更大程度的去极化,且这种去极化发生在能引起更大收缩的浓度下。去极化增加及由此导致的收缩增加的机制似乎是SHR血管平滑肌细胞内钾离子活性较低,这使得钾离子梯度对膜电位的贡献降低。测定分离的、分散的鸡胚卵黄囊血管平滑肌细胞对神经递质敏感性的实验表明,这些细胞对去甲肾上腺素、5-羟色胺和乙酰胆碱等神经递质的阈值极低,但对氯化钾的阈值不低。分离细胞对神经递质的高敏感性表明,完整血管中的某些因素可能会使阈值升高,这可能意味着神经营养机制的改变可能是血管平滑肌原位敏感性变化的原因。