Ricksten S E, Yao T, di Bona G F, Thorén P
Acta Physiol Scand. 1981 Jun;112(2):161-7. doi: 10.1111/j.1748-1716.1981.tb06800.x.
Exaggerated natriuresis upon volume loading occurs in both human and animal hypertension and is mainly due to suppressed tubular reabsorption. To explore whether altered renal sympathetic activity contributes to this response, conscious male spontaneously hypertensive rats (SHR) were exposed to isotonic saline loading in comparison with normotensive male Wistar Kyoto rats (WKR). After a 60 min control hydropenic period, during which mean arterial pressure, heart rate, renal sympathetic nerve activity and urinary sodium excretion were followed, a 60 min period of intravenous volume expansion with isotonic saline (0.2 ml/min X 100 g b.w.) was started followed by a 60 min hydropenic recovery period. Already during the control period sodium excretion was significantly higher in SHR. During the volume load and subsequent recovery period a clearly exaggerated natriuresis occurred in SHR compared with WKR. Further, volume loading reduced renal sympathetic nerve activity in all animals, but significantly more in SHR. Moreover, volume loading reduced mean arterial pressure and heart rate in both groups. It is suggested that the accentuated reflex inhibition of renal sympathetic activity in SHR upon volume loading emanates from cardiac mechanoreceptors and partly explains the exaggerated natriuresis in SHR. This augmented "volume' reflex response is probably due to reduced systemic venous compliance in SHR with a consequently increased central filling and cardiac receptor activation.
在人和动物的高血压状态下,容量负荷时会出现钠排泄增加,这主要是由于肾小管重吸收受到抑制。为了探究肾交感神经活动的改变是否促成了这种反应,将清醒的雄性自发性高血压大鼠(SHR)与正常血压的雄性Wistar Kyoto大鼠(WKR)进行比较,使其接受等渗盐水负荷。在60分钟的对照禁水期内,监测平均动脉压、心率、肾交感神经活动和尿钠排泄,之后开始60分钟的静脉输注等渗盐水(0.2 ml/min×100 g体重)进行容量扩张,随后是60分钟的禁水恢复期。在对照期内,SHR的钠排泄就已经显著更高。在容量负荷期及随后的恢复期,与WKR相比,SHR出现了明显更夸张的钠排泄增加。此外,容量负荷降低了所有动物的肾交感神经活动,但SHR降低得更显著。而且,容量负荷降低了两组动物的平均动脉压和心率。提示SHR在容量负荷时肾交感神经活动的反射性抑制增强源自心脏机械感受器,这部分解释了SHR中夸张的钠排泄增加。这种增强的“容量”反射反应可能是由于SHR全身静脉顺应性降低,从而导致中心充盈增加和心脏感受器激活。