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补钾可降低 Dahl 盐敏感大鼠中枢神经系统过度活跃的升压反应。

Potassium feeding reduces hyperactive central nervous system pressor responses in Dahl salt-sensitive rats.

作者信息

Goto A, Tobian L, Iwai J

出版信息

Hypertension. 1981 May-Jun;3(3 Pt 2):I128-34. doi: 10.1161/01.hyp.3.3_pt_2.i128.

Abstract

Dahl showed that feeding KCl prevents the rise in blood pressure caused by a high NaCl diet in salt-sensitive Dahl "S" rats. Such S rats when normotensive on a low NaCl diet have a 2 to 3 times greater pressor response than Dahl "R" rats to intracerebroventricular hypertonic saline (600 mOsm/liter) or angiotensin II (AII) (500 ng). Does dietary KCl prevent NaCl hypertension in S rats partly by abolishing these hyperactive central nervous system (CNS) pressor responses? The effect of potassium-loading on CNS pressor responses was studied in S rats on a low (0.3%) NaCl diet. Drinking a 2% KCl solution reduced the CNS pressor responses in S rats to both AII and hypertonic saline by 44% (p less than 0.025) and brought them down almost as low as in R rats. KCl added to the low NaCl dry diet also decreased the CNS pressor responses in S rats to AII and to hypertonic saline by 39% (p less than 0.01) and 59% (p less than 0.02) respectively. K-citrate added to the low NaCl diet was generally as effective as KCl in reducing CNS pressor responses. K-citrate reduced the angiotensin pressor response by 44% (p less than 0.001) and the hypertonic saline pressor response by 46% (p less than 0.05). Thus, potassium feeding greatly diminished the hyperactive CNS pressor responses in S rats. This CNS action may well explain a good part of the protective effect of KCl against NaCl hypertension in S rats.

摘要

达尔发现,给盐敏感的达尔“S”大鼠喂食氯化钾可防止高氯化钠饮食引起的血压升高。这类S大鼠在低氯化钠饮食时血压正常,与达尔“R”大鼠相比,对脑室内高渗盐水(600毫渗摩尔/升)或血管紧张素II(AII)(500纳克)的升压反应要高2至3倍。饮食中的氯化钾是否部分通过消除这些过度活跃的中枢神经系统(CNS)升压反应来预防S大鼠的氯化钠性高血压呢?研究了在低(0.3%)氯化钠饮食的S大鼠中补钾对CNS升压反应的影响。饮用2%的氯化钾溶液可使S大鼠对AII和高渗盐水的CNS升压反应降低44%(p<0.025),并使其几乎降至与R大鼠相同的水平。添加到低氯化钠干饮食中的氯化钾也分别使S大鼠对AII和高渗盐水的CNS升压反应降低了39%(p<0.01)和59%(p<0.02)。添加到低氯化钠饮食中的柠檬酸钾在降低CNS升压反应方面通常与氯化钾一样有效。柠檬酸钾使血管紧张素升压反应降低44%(p<0.001),使高渗盐水升压反应降低46%(p<0.05)。因此,补钾大大降低了S大鼠过度活跃的CNS升压反应。这种CNS作用很可能很好地解释了氯化钾对S大鼠氯化钠性高血压保护作用的很大一部分。

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