Takeda K, Buñag R D
J Clin Invest. 1978 Sep;62(3):642-8. doi: 10.1172/JCI109171.
To determine whether sympathetic hyperactivity of hypothalamic origin contributes to keep blood pressures high in spontaneous hypertension, aortic pressures and sympathetic nerve spike potentials were recorded during electrical stimulation of the posterior hypothalamus in urethane-anesthetized normotensive or hypertensive rats. Basal sympathetic nerve activity was higher in spontaneously hypertensive rats than in either normotensive or deoxycorticosterone acetate-salt hypertensive ones even before stimulation began. Blood pressure elevations produced by hypothalamic stimulation were always preceded by substantial increases in amplitude and rate of neural firing. Changes in amplitude could not be quantified, but rates of neural firing accelerated much more in spontaneous hypertensives than in normotensives during stimulation with 50- and 100-muA currents. Similar differences between deoxycorticosterone acetate-salt hypertensives and either normotensives or spontaneous hypertensives were not statistically significant. Nerve activity invariably became quiescent immediately after hypothalamic stimulation was discontinued, and recovery from this poststimulatory inhibition was faster in spontaneously hypertensive than in normotensive rats. Although spontaneous hypertensives generally also had stronger pressor responses to various sympathomimetic stimuli, responses to hypothalamic stimulation were enhanced to a greater extent than those to either norepinephrine or sympathetic nerve stimulation. Because this selectivity indicates participation of mechanisms other than augmented cardiovascular reactivity, further enhancement of responsiveness to hypothalamic stimuli was attributed to the associated increase in sympathetic nerve firing. These results are in accord with the hypothesis that the blood pressure elevation in rats with established spontaneous hypertension is a result, at least in part, of sympathetic hyperactivity emanating from the posterior hypothalamus.
为了确定下丘脑源性交感神经过度活跃是否会导致自发性高血压患者血压持续升高,在氨基甲酸乙酯麻醉的正常血压或高血压大鼠中,对下丘脑后部进行电刺激时记录主动脉压和交感神经锋电位。即使在刺激开始前,自发性高血压大鼠的基础交感神经活动就高于正常血压大鼠或醋酸脱氧皮质酮-盐高血压大鼠。下丘脑刺激引起的血压升高总是先于神经放电幅度和频率的大幅增加。幅度变化无法量化,但在50μA和100μA电流刺激期间,自发性高血压大鼠的神经放电频率加速比正常血压大鼠更多。醋酸脱氧皮质酮-盐高血压大鼠与正常血压大鼠或自发性高血压大鼠之间的类似差异无统计学意义。下丘脑刺激停止后,神经活动立即总是变得静止,自发性高血压大鼠从这种刺激后抑制中恢复比正常血压大鼠更快。虽然自发性高血压大鼠通常对各种拟交感神经刺激也有更强的升压反应,但对下丘脑刺激的反应增强程度大于对去甲肾上腺素或交感神经刺激的反应。由于这种选择性表明除了增强的心血管反应性之外还有其他机制参与,对下丘脑刺激反应性的进一步增强归因于交感神经放电的相关增加。这些结果与以下假设一致,即已建立自发性高血压的大鼠血压升高至少部分是下丘脑后部交感神经过度活跃的结果。