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衰老和高血压对离体的传导血管和阻力血管反应性的影响。

Effects of aging and hypertension on the reactivity of isolated conduit and resistance vessels.

作者信息

Hüsken B C, Hendriks M G, Pfaffendorf M, Van Zwieten P A

机构信息

Department of Pharmacotherapy, University of Amsterdam, Academic Medical Centre, The Netherlands.

出版信息

Microvasc Res. 1994 Nov;48(3):303-15. doi: 10.1006/mvre.1994.1057.

Abstract

We have studied the effects of hypertension and aging on the concentration-response curves for alpha 1-adrenoceptor-mediated vasoconstriction and methacholine-induced endothelium-dependent relaxation. The experiments were performed in aortic rings and in perfused mesenteric vascular bed preparations taken from WKY rats, from SHR of 16-18, 28-30, and 58-60 weeks, and from 16- to 18-week-old SHRSP rats, respectively. The influence of aging and/or hypertension caused no alterations of the alpha 1-agonist response provoked by phenylephrine in aortic rings. Mesenteric vascular bed preparations showed an increase in maximal response to methoxamine when taken from hypertensive animals. Age per se did not change the contraction in the mesenteric arteries. Hypertension in combination with age caused a decrease in endothelium-dependent vasodilation induced by methacholine in aortic rings, but not in mesenteric arteries. However, the sensitivity to methacholine decreased age-dependently in the mesenteric vascular bed preparation taken from the WKY and SHR. The endothelium-independent relaxation induced by sodium nitroprusside showed a decrease in sensitivity in aortic rings taken from 58- to 60-week-old SHR when compared with the age-matched WKY. These findings suggest that the mechanisms beyond the endothelium involved in vasodilation are not responsible for the decreased methacholine-induced relaxation in aortic rings. It is concluded that (1) the responsiveness of resistance arteries to adrenoceptor stimulation only changes with elevated blood pressure and (2) hypertension in combination with aging induces an endothelial dysfunction in conduit arteries but not in resistance vessels.

摘要

我们研究了高血压和衰老对α1-肾上腺素能受体介导的血管收缩以及乙酰甲胆碱诱导的内皮依赖性舒张的浓度-反应曲线的影响。实验分别在取自WKY大鼠、16 - 18周、28 - 30周和58 - 60周的SHR以及16 - 18周龄的SHRSP大鼠的主动脉环和灌注肠系膜血管床标本上进行。衰老和/或高血压的影响并未改变去氧肾上腺素在主动脉环中引发的α1-激动剂反应。取自高血压动物的肠系膜血管床标本对甲氧明的最大反应增加。年龄本身并未改变肠系膜动脉的收缩。高血压与年龄相结合导致主动脉环中乙酰甲胆碱诱导的内皮依赖性血管舒张减少,但在肠系膜动脉中未出现这种情况。然而,在取自WKY和SHR的肠系膜血管床标本中,对乙酰甲胆碱的敏感性随年龄增长而降低。与年龄匹配的WKY相比,硝普钠诱导的非内皮依赖性舒张在取自58 - 60周龄SHR的主动脉环中敏感性降低。这些发现表明,参与血管舒张的内皮以外的机制并非主动脉环中乙酰甲胆碱诱导的舒张减少的原因。得出的结论是:(1) 阻力动脉对肾上腺素能受体刺激的反应性仅随血压升高而改变;(2) 高血压与衰老相结合会导致传导动脉而非阻力血管出现内皮功能障碍。

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