Greenberg S
Am J Physiol. 1981 Oct;241(4):H525-40. doi: 10.1152/ajpheart.1981.241.4.H525.
This study evaluates whether changes in arterial and venous smooth muscle contractility and extensibility precede or result from the elevated arterial pressure (MAP) and total peripheral resistance (TPR) of two-kidney one-clip Goldblatt hypertension (2-KGH). The experiments measure the contractile and extensibility properties of rings of canine mesenteric, cutaneous, gracilis, and pulmonary arteries and veins (0.4-1.0 mm OD) prior to and days 1 and 32 after the initiation of two-kidney one-clip Goldblatt hypertension (2-KGH), produced by unilateral constriction of the renal artery (URAC). The reactivity (ED50) and tension development to norepinephrine (NE), angiotensin II (ANG II), potassium chloride (KCl), serotonin (5-HT), 9 alpha, 11 alpha-epoxymethano prostaglandin H2 (EMP), prostaglandin B2 (PGB2), and CaCl2 were determined. Mean arterial pressure (MAP) and TPR were unchanged from pre-URAC values 24 h post-URAC but were significantly elevated 32 days post-URAC. The ED50's for 5-HT, ANG II, EMP, and PGB2 were decreased in each of the arteries and veins obtained from dogs with 2-KGH, within 24 h post-URAC, and either became more pronounced (PGB2, EMP, and 5-HT) or returned to pre-URAC values by day 32 post-URAC. The ED50's for NE, KCl, and CaCl2 were unchanged from pre-URAC values. Maximal tension development of the arteries and veins to each of the agonists increased within 24 h post-URAC, prior to an increase in MAP or TRP. Within 32 days post-URAC, maximal tension development of the veins obtained from 2-KGH was increased from pre-URAC values, whereas tension development by the arteries was decreased. Extensibility decreased in each of the arteries and veins obtained from dogs with 2-KGH 24 h post-URAC. The extensibility decreased further by day 32 post-URAC as the level of MAP and TPR increased. These data support the postulate that altered venous and arterial smooth muscle contractility and extensibility precede the elevated MAP and TPR of 2-KGH in dogs. Moreover, since these changes occur in both artery and vein, they must reflect the action of circulating humoral or intrinsic vascular or neural substances. Finally, the decrease in arterial contractility suggests that the enhanced vascular responses in vivo and in situ may reflect the greater mechanical advantage of the hypertrophied blood vessel and not an arterial vasculature with enhanced contractility.
本研究评估了在二肾一夹型Goldblatt高血压(2-KGH)中,动脉和静脉平滑肌收缩性及伸展性的变化是先于还是继发于动脉压(MAP)升高和总外周阻力(TPR)升高。实验测量了在通过单侧肾动脉缩窄(URAC)诱发二肾一夹型Goldblatt高血压(2-KGH)之前以及开始后的第1天和第32天,犬肠系膜、皮肤、股薄肌和肺动脉及静脉环(外径0.4 - 1.0毫米)的收缩和伸展特性。测定了对去甲肾上腺素(NE)、血管紧张素II(ANG II)、氯化钾(KCl)、5-羟色胺(5-HT)、9α,11α-环氧甲撑前列腺素H2(EMP)、前列腺素B2(PGB2)和氯化钙(CaCl2)的反应性(ED50)及张力发展情况。URAC后24小时,平均动脉压(MAP)和TPR与URAC前的值无变化,但URAC后32天显著升高。在URAC后24小时内,从患有2-KGH的犬获取的每条动脉和静脉中,5-HT、ANG II、EMP和PGB2的ED50均降低,并且在URAC后32天要么变得更明显(PGB2、EMP和5-HT),要么恢复到URAC前的值。NE、KCl和CaCl2的ED50与URAC前的值无变化。URAC后24小时内,各激动剂使动脉和静脉产生的最大张力发展在MAP或TRP升高之前增加。URAC后32天内,从2-KGH犬获取的静脉的最大张力发展较URAC前的值增加,而动脉的张力发展降低。URAC后24小时,从患有2-KGH的犬获取的每条动脉和静脉的伸展性均降低。随着MAP和TPR水平升高,URAC后32天伸展性进一步降低。这些数据支持这样的假设,即犬2-KGH中静脉和动脉平滑肌收缩性及伸展性的改变先于MAP和TPR升高。此外,由于这些变化在动脉和静脉中均发生,它们必定反映了循环体液或内在血管或神经物质的作用。最后,动脉收缩性降低表明体内和原位增强的血管反应可能反映了肥大血管更大的机械优势,而非收缩性增强的动脉血管系统。