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醛固酮在自发性高血压大鼠高血压发展过程中的作用。

The role of aldosterone in the development of hypertension in spontaneously hypertensive rats.

作者信息

Kenyon C J, DeConti G A, Cupolo N A, Morris D J

出版信息

Endocrinology. 1981 Dec;109(6):1841-5. doi: 10.1210/endo-109-6-1841.

Abstract

A continuous sc infusion of aldosterone for 2 weeks (10 micrograms/day) markedly increased the blood pressure of male, adrenalectomized (ADX), spontaneously hypertensive rats (SHR) from 142 to 178 mm Hg, which was similar to the increase seen in a group of sham-operated SHR. The blood pressure in a group of ADX SHR maintained without aldosterone declined from 141 to 119 mm Hg during the 2 weeks after surgery. Wistar Kyoto (WKY) and Sprague-Dawley (SD) rats treated in an identical fashion remained normotensive throughout. Adrenalectomy caused hyperkalemia in all strains of rat. Plasma potassium levels in aldosterone-treated WKY and SD rats were lower than those in sham-operated controls, but were similar to those in corresponding groups of SHR. Acute renal responses of ADX male rats showed that SHR reabsorbed more water and sodium of an injected isotonic saline load than WKY rats and excreted less potassium than either WKY or SD rats. Sensitivity to aldosterone in the three strains of rats was compared using the urinary sodium to creatinine and potassium to creatinine ratios 1-3 h postinjection of aldosterone. Decreases in the urinary ratio of sodium to creatinine in response to various doses of aldosterone (0-1.25 micrograms aldosterone) were similar for the three strains of rat. ADX SHR appeared to be less responsive to the kaliuretic actions of aldosterone than WKY and SD rats. The present studies show that aldosterone is essential to the development of hypertension in SHR. The hypertensinogenic actions of aldosterone in these rats may be related to a blunted kaliuretic response to mineralocorticoids.

摘要

对雄性去肾上腺自发性高血压大鼠(SHR)持续皮下输注醛固酮2周(10微克/天),可使其血压从142毫米汞柱显著升至178毫米汞柱,这与一组假手术SHR的血压升高情况相似。一组未给予醛固酮的去肾上腺SHR在术后2周内血压从141毫米汞柱降至119毫米汞柱。以相同方式处理的Wistar Kyoto(WKY)大鼠和Sprague-Dawley(SD)大鼠在整个过程中血压保持正常。去肾上腺会导致所有品系大鼠出现高钾血症。接受醛固酮治疗的WKY和SD大鼠的血浆钾水平低于假手术对照组,但与相应SHR组相似。去肾上腺雄性大鼠的急性肾脏反应表明,SHR对注入的等渗盐溶液负荷的水和钠重吸收比WKY大鼠更多,钾排泄比WKY或SD大鼠更少。在注射醛固酮后1 - 3小时,使用尿钠与肌酐比值以及尿钾与肌酐比值比较了三种品系大鼠对醛固酮的敏感性。对于三种品系的大鼠,不同剂量醛固酮(0 - 1.25微克醛固酮)引起的尿钠与肌酐比值下降情况相似。去肾上腺SHR对醛固酮的促钾排泄作用似乎比WKY和SD大鼠反应更弱。本研究表明,醛固酮对SHR高血压的发生至关重要。醛固酮在这些大鼠中的致高血压作用可能与对盐皮质激素的促钾排泄反应减弱有关。

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