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内皮素受体拮抗剂对成年自发性高血压大鼠的长期治疗效果。

Effect of chronic treatment of adult spontaneously hypertensive rats with an endothelin receptor antagonist.

作者信息

Li J S, Schiffrin E L

机构信息

MRC Multidisciplinary Research Group on Hypertension, University of Montréal, Quebec, Canada.

出版信息

Hypertension. 1995 Apr;25(4 Pt 1):495-500. doi: 10.1161/01.hyp.25.4.495.

Abstract

We previously showed that endothelin-1 expression was increased in vascular endothelium of deoxycorticosterone acetate-salt hypertensive rats, whereas in spontaneously hypertensive rats (SHR) it is similar to or less than that in normotensive rats. Treatment with the combined endothelin type A/endothelin type B receptor antagonist bosentan moderately reduced blood pressure rise and nearly completely blunted the development of vascular hypertrophy, particularly in small arteries, in the deoxycorticosterone acetate-salt hypertensive model, suggesting a paracrine role for vascular endothelin-1 in the induction of blood vessel hypertrophy in some forms of experimental hypertension. In the present study we examined the effect of chronic oral treatment for 4 weeks of 12-week-old SHR and Wistar-Kyoto rats (WKY) with 100 mg/kg per day bosentan. Blood pressure rose to hypertensive levels similarly in bosentan-treated and untreated SHR; systolic pressure of WKY was also unaffected. The wet weights of the heart, of aortic segments, and of the mesenteric arterial bed were similar in treated and untreated SHR. When coronary, renal arcuate, mesenteric, and femoral small arteries were evaluated on a wire myograph, the media width and media-to-lumen ratio were greater and the lumen diameter was smaller in vessels from SHR relative to those from WKY, except in small arteries from the renal cortex, in which the lumen was not significantly different in both strains. The media cross-sectional area of small arteries fom the four vascular beds was similar in both strains. Identical morphometric parameters were found in the four vascular beds in bosentan-treated and untreated rats of eh strain.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们先前发现,在醋酸脱氧皮质酮-盐性高血压大鼠的血管内皮中,内皮素-1的表达增加,而在自发性高血压大鼠(SHR)中,其表达与正常血压大鼠相似或低于正常血压大鼠。在醋酸脱氧皮质酮-盐性高血压模型中,使用内皮素A/内皮素B受体拮抗剂波生坦联合治疗可适度降低血压升高,并几乎完全抑制血管肥大的发展,尤其是在小动脉中,这表明血管内皮素-1在某些形式的实验性高血压中诱导血管肥大方面具有旁分泌作用。在本研究中,我们检测了对12周龄的SHR和Wistar-Kyoto大鼠(WKY)每日口服100 mg/kg波生坦,持续4周的慢性治疗效果。波生坦治疗组和未治疗组的SHR血压均同样升高至高血压水平;WKY的收缩压也未受影响。治疗组和未治疗组的SHR心脏、主动脉段和肠系膜动脉床的湿重相似。当在血管张力描记仪上评估冠状动脉、肾弓状动脉、肠系膜动脉和股小动脉时,相对于WKY的血管,SHR的血管中膜宽度和中膜与管腔比值更大,管腔直径更小,但肾皮质的小动脉除外,在这两个品系中该部位的管腔直径无显著差异。两个品系中来自四个血管床的小动脉中膜横截面积相似。在该品系的波生坦治疗组和未治疗组大鼠的四个血管床中发现了相同的形态学参数。(摘要截断于250字)

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