Hamed A T, Lokhandwala M F
Clin Exp Hypertens A. 1982;4(6):867-81. doi: 10.3109/10641968209060759.
Several biochemical studies indicate that hypertension produced by administration of deoxycorticosterone acetate (DOCA) plus saline as the drinking fluid is accompanied by significant increases in catecholamine turnover rates and a decrease in catecholamine content of peripheral tissues. In the present study the functional significance of such biochemical changes was assessed by evaluating vasoconstrictor responsiveness to neurogenic and humoral interventions in DOCA-salt hypertensive dogs. Administration of DOCA, 5 mg/kg subcutaneously twice a week for four weeks to unilaterally nephrectomized dogs given drinking fluid containing 1% sodium chloride produced a significant increase in blood pressure within one week. At the end of 4 week treatment period, the animals were anesthetized with pentobarbital (35 mg/kg) and sympathetic neurotransmission to the hindlimb and kidney was evaluated. Femoral as well as renal vasoconstrictor responses to sympathetic nerve stimulation were significantly inhibited in the hypertensive group in comparison with control animals. Vasoconstriction elicited by exogenous norepinephrine in both these vasculatures was similar in control and hypertensive groups. Femoral vasodilator responses to adenosine, bradykinin and PGE2 were significantly attenuated in the hypertensive group. While indomethacin (10 mg/kg) did not significantly affect renal vasoconstrictor responses to renal nerve stimulation in both the groups of animals, it caused a significant increase in the blood pressure of hypertensive group but not of control group. These results do not support the hypothesis of an increase in neurogenic function contributing to DOCA-salt hypertension. It is suggested that a reduction in sympathetic neurogenic influence may serve to protect against the rise in blood pressure during DOCA-salt administration.
多项生化研究表明,通过给予醋酸脱氧皮质酮(DOCA)并饮用生理盐水所诱发的高血压,伴随着儿茶酚胺周转率显著增加以及外周组织中儿茶酚胺含量降低。在本研究中,通过评估DOCA-盐性高血压犬对神经源性和体液性干预的血管收缩反应性,来评估此类生化变化的功能意义。对单侧肾切除且饮用含1%氯化钠溶液的犬,每周两次皮下注射5mg/kg的DOCA,持续四周,一周内血压显著升高。在4周治疗期结束时,用戊巴比妥(35mg/kg)麻醉动物,并评估后肢和肾脏的交感神经传递。与对照动物相比,高血压组对交感神经刺激的股动脉和肾血管收缩反应显著受到抑制。在对照组和高血压组中,外源性去甲肾上腺素在这两种血管系统中所引发的血管收缩作用相似。高血压组对腺苷、缓激肽和前列腺素E2的股动脉舒张反应显著减弱。虽然吲哚美辛(10mg/kg)对两组动物肾神经刺激所引起的肾血管收缩反应均无显著影响,但它使高血压组血压显著升高,而对照组血压未升高。这些结果不支持神经源性功能增强导致DOCA-盐性高血压的假说。提示交感神经源性影响的降低可能有助于预防DOCA-盐给药期间血压升高。