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血管反应性在自发性高血压发病机制中的作用

Vascular reactivity in the pathogenesis of spontaneous hypertension.

作者信息

Berecek K H, Rascher W, Gross F

出版信息

Clin Sci (Lond). 1979 Dec;57 Suppl 5:51s-53s. doi: 10.1042/cs057051s.

Abstract
  1. Alterations in vascular reactivity were assessed in isolated artificially perfused kidneys from stroke-prone spontaneously hypertensive (spSH) rats at different stages of hypertension and after neonatal sympathectomy with 6-hydroxydopamine (6-OHDA). 2. During the pre-hypertensive stage, and the early and chronic stages of hypertension, the responses to noradrenaline, vasopressin, serotonin and angiotensin II were enhanced in renal vascular beds from spSH animals compared with age- and sex-matched Wistar-Kyoto (WK) rats; dose-response curves were shifted to the left, had steeper slopes, greater maximal responses and decreased thresholds. 3. With increasing severity and duration of hypertension, renal vascular resistance at maximal vasodilatation increased, the slopes of the dose-response curves were steeper and maximal responses were greater. 4. Neonatal sympathectomy with 6-OHDA greatly attenuated but did not prevent the eventual development of hypertension; furthermore, this treatment had no effect on the enhanced resistance or reactivity in renal vascular beds from spSH rats. 5. The appearance of enhanced resistance and reactivity in the early stages of hypertension and the inability to prevent these vascular changes by neonatal sympathectomy suggest that these alterations are a primary pathogenic mechanism in spSH rats.
摘要
  1. 在易中风自发性高血压(spSH)大鼠不同高血压阶段以及用6-羟基多巴胺(6-OHDA)进行新生期交感神经切除术后,对分离的人工灌注肾脏的血管反应性改变进行了评估。2. 在高血压前期、高血压早期和慢性期,与年龄和性别匹配的Wistar-Kyoto(WK)大鼠相比,spSH动物肾血管床对去甲肾上腺素、血管加压素、5-羟色胺和血管紧张素II的反应增强;剂量反应曲线向左移动,斜率更陡,最大反应更大,阈值降低。3. 随着高血压严重程度和持续时间的增加,最大血管舒张时的肾血管阻力增加,剂量反应曲线的斜率更陡,最大反应更大。4. 用6-OHDA进行新生期交感神经切除术可大大减轻但不能阻止高血压的最终发展;此外,这种治疗对spSH大鼠肾血管床增强的阻力或反应性没有影响。5. 在高血压早期出现增强的阻力和反应性以及新生期交感神经切除术无法预防这些血管变化表明,这些改变是spSH大鼠的主要致病机制。

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