Simon G
Hypertension. 1980 Mar-Apr;2(2):192-7. doi: 10.1161/01.hyp.2.2.192.
The effect of reversal of hypertension on vascular function and composition was investigated in renal-hypertensive rats. The study comprised three groups of rats: 1) 21 male Sprague-Dawley rats with one-kidney, one clip Goldblatt hypertension of 9 weeks' duration; 2) 20 rats with one-kidney, one clip hypertension that underwent removal of renal artery clip (were "unclipped") at 6 weeks of hypertension, 3 weeks prior to the study; and 3) sham-operated normotensive control rats. Venous pressure-volume and arterial pressure-flow relationships were measured at maximal vasodilation (sodium nitroprusside and papaverine) in the denervated, pump-perfused vascular beds of the hindquarters of rats. Anatomically defined segments of the aorta and of the vena cava were removed from rats for water, sodium, and potassium analysis. Hypertension was completely reversed in the "unclipped" rats. Compared to values obtained in normotensive control rats, the water concentration of the aorta and of the vena cava, the potassium concentration of the aorta, and the sodium concentration of the vena cava were increased (p less than 0.05) in rats with one-kidney, one clip hypertension. These changes were reversed in the "unclipped" rats. In contrast, the shift of the venous pressure-volume and of the arterial pressure-flow curves toward the pressure axis at maximal vasodilation in hypertensive rats (p less than 0.02) persisted following reversal of hypertension in the "unclipped" rats (p less than 0.05). In chronic, one-kidney renovascular hypertension, the contribution of vascular wall "water-logging" to increased structural arterial resistance and decreased structural venous capacity appears to be minor.
在肾性高血压大鼠中研究了高血压逆转对血管功能和结构的影响。该研究包括三组大鼠:1)21只雄性斯普拉格-道利大鼠,患有单肾单夹型戈德布拉特高血压,病程9周;2)20只患有单肾单夹型高血压的大鼠,在高血压6周时(研究前3周)进行了肾动脉夹移除(“解除夹闭”);3)假手术正常血压对照大鼠。在大鼠后肢去神经、泵灌注的血管床中,于最大血管舒张状态(使用硝普钠和罂粟碱)下测量静脉压力-容积关系和动脉压力-流量关系。从大鼠身上取出解剖学定义的主动脉和腔静脉节段,进行水、钠和钾分析。“解除夹闭”的大鼠高血压完全逆转。与正常血压对照大鼠相比,单肾单夹型高血压大鼠的主动脉和腔静脉的水浓度、主动脉的钾浓度以及腔静脉的钠浓度均升高(p<0.05)。这些变化在“解除夹闭”的大鼠中逆转。相比之下,高血压大鼠在最大血管舒张时静脉压力-容积曲线和动脉压力-流量曲线向压力轴的偏移(p<0.02)在“解除夹闭”的大鼠高血压逆转后仍然存在(p<0.05)。在慢性单肾肾血管性高血压中,血管壁“积水”对动脉结构阻力增加和静脉结构容量降低的作用似乎较小。