Braam B, Navar L G, Mitchell K D
Department Nephrology and Hypertension, University Hospital Utrecht, Netherlands.
Hypertension. 1995 Jun;25(6):1232-7. doi: 10.1161/01.hyp.25.6.1232.
It has been suggested that the increased levels of angiotensin II (Ang II) in the contralateral kidney of two-kidney, one clip (2K1C) Goldblatt hypertensive rats act to enhance tubuloglomerular feedback responsiveness and proximal tubular reabsorption and thereby exert a substantial sodium-retaining influence on the nonclipped kidney. The current study investigated the Ang II dependency of tubuloglomerular feedback responsiveness in the nonclipped kidney during the early stages of development of 2K1C hypertension. Stop-flow pressure feedback responses were assessed in the nonclipped kidney of 2K1C rats during control conditions and after systemic administration of the Ang II type 1 receptor antagonist losartan (10 mg/kg). In 1-week clipped and sham-operated rats, losartan administration decreased mean arterial pressure (from 143 +/- 6 to 123 +/- 2 mm Hg, P < .01, and from 129 +/- 2 to 106 +/- 5 mm Hg, P < .01, respectively) and attenuated the magnitude of the maximal feedback responses (from -12.9 +/- 1.2 to -3.0 +/- 0.3 mm Hg, P < .01, and from -13.2 +/- 1.5 to -3.6 +/- 1.1 mm Hg, P < .01, respectively). The decreases in mean arterial pressure were not significantly different in sham-operated and 1-week clipped rats. In 3-week clipped rats, mean arterial pressure was further elevated (163 +/- 6 mm Hg) compared with sham-operated rats (134 +/- 4 mm Hg, P < .01).(ABSTRACT TRUNCATED AT 250 WORDS)
有研究表明,双肾单夹(2K1C)Goldblatt高血压大鼠对侧肾脏中血管紧张素II(Ang II)水平升高,可增强肾小管-肾小球反馈反应性和近端肾小管重吸收,从而对未夹闭肾脏产生显著的保钠作用。本研究调查了2K1C高血压早期未夹闭肾脏中肾小管-肾小球反馈反应性对Ang II的依赖性。在对照条件下以及全身给予1型Ang II受体拮抗剂氯沙坦(10 mg/kg)后,评估2K1C大鼠未夹闭肾脏的停流压力反馈反应。在夹闭1周的大鼠和假手术大鼠中,给予氯沙坦可降低平均动脉压(分别从143±6降至123±2 mmHg,P<.01;从129±2降至106±5 mmHg,P<.01),并减弱最大反馈反应的幅度(分别从-12.9±1.2降至-3.0±0.3 mmHg,P<.01;从-13.2±1.5降至-3.6±1.1 mmHg,P<.01)。假手术大鼠和夹闭1周的大鼠平均动脉压的降低无显著差异。与假手术大鼠(134±4 mmHg,P<.01)相比,夹闭3周的大鼠平均动脉压进一步升高(163±6 mmHg)。(摘要截短至250字)