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肾去神经支配延缓DOCA-盐大鼠高血压的发展

Retardation of the development of hypertension in DOCA-salt rats by renal denervation.

作者信息

Takahashi H, Iyoda I, Yamasaki H, Takeda K, Okajima H, Sasaki S, Yoshimura M, Nakagawa M, Ijichi H

出版信息

Jpn Circ J. 1984 Jun;48(6):567-74. doi: 10.1253/jcj.48.567.

Abstract

To determine the importance of the renal nerves in DOCA-salt hypertension, either renal denervation or a sham-operation was carried out on both DOCA-salt-treated and non-DOCA-treated rats. The systolic blood pressure of the non-DOCA rats remained within normotensive levels, in which the difference in blood pressure levels between the renal denervated and the sham-operated groups was not significant. On the other hand, the blood pressure of the rats treated with DOCA, and having intact renal nerves, began to rise by the end of the first week and rose consistently thereafter, whereas, in the renal denervated DOCA-salt rats, the blood pressure started to rise by the second week and then proceeded to increase gradually. The differences between the sham and the denervated rat groups were significant throughout the four weeks. The mean arterial pressure, directly measured from the caudal artery of conscious rats during the fourth week of this study, was 166 +/- 7 mmHg in the sham-operated and 129 +/- 4 mmHg in the renal-denervated rats (the data having an 1% significant difference). To test the effects of renal denervation on the natriuresis, pentobarbital-anesthetized rats were infused intravenously with physiological saline. The renal denervated rats which had received DOCA excreted more sodium than did the sham-operated rats. When the rats were later anesthetized with urethane to allow intracisternal injections of hypertonic saline, the mean blood pressure in renal denervated rat groups was again lower than that of the sham-denervated rat groups. However, subsequent intracisternal injections of 5% saline produced similar pressor responses as well as tachycardia in both DOCA groups.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为了确定肾神经在去氧皮质酮-盐性高血压中的重要性,对接受去氧皮质酮-盐处理和未接受去氧皮质酮处理的大鼠均进行了肾去神经支配或假手术。未接受去氧皮质酮处理的大鼠收缩压保持在正常血压水平,肾去神经支配组和假手术组之间的血压水平差异不显著。另一方面,接受去氧皮质酮处理且肾神经完整的大鼠血压在第一周结束时开始升高,此后持续上升,而在肾去神经支配的去氧皮质酮-盐大鼠中,血压在第二周开始升高,然后逐渐上升。在整个四周内,假手术组和去神经支配大鼠组之间的差异均显著。在本研究的第四周,从清醒大鼠尾动脉直接测量的平均动脉压,假手术组为166±7 mmHg,肾去神经支配组为129±4 mmHg(数据有1%的显著差异)。为了测试肾去神经支配对利钠作用的影响,用戊巴比妥麻醉的大鼠静脉输注生理盐水。接受去氧皮质酮处理的肾去神经支配大鼠比假手术大鼠排泄更多的钠。当大鼠后来用氨基甲酸乙酯麻醉以允许脑池内注射高渗盐水时,肾去神经支配大鼠组的平均血压再次低于假手术大鼠组。然而,随后在两个去氧皮质酮组中,脑池内注射5%盐水均产生了类似的升压反应和心动过速。(摘要截断于250字)

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