Ito S, Kawamura H, Maki M, Tsukamoto K, Komatsu K, Mitsubayashi H, Hara K, Suzuki K, Usui W, Kanmasse K
Second Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.
Nihon Jinzo Gakkai Shi. 1994 Mar;36(3):209-17.
Renal hemodynamic responses were studied in spontaneously hypertensive rats (SHR) and Wistar-Kyoto Rats (WKY) to two acute stresses: environmental stress (foot shock (FS) and air jet (AS)). The effects of calcium channel blocker (benidipine) and alpha 1 blocker (urapidil) on these responses were studied using an ultrasonic pulsed Doppler flowmeter. The increments in mean arterial pressure (MAP) and renal vascular resistance (RVR) were greater in SHR during both stresses. On the other hand, the decrease in the renal blood flow (RBF) with these stresses almost disappeared with renal denervation. These renal hemodynamic responses in SHR disappeared with alpha 1 blocker (urapidil), but not with calcium channel blocker (benidipine). The sympathetic nervous system became hyperactive in SHR under environmental stress, Which induced specific renal hemodynamic change. These results suggest that investigations on essential hypertension should focus on clarifying not only systemic hypertensive reaction, but also changes in renal hemodynamics. Furthermore, it is necessary for antihypertensive therapy to take these hemodynamic changes into consideration.
研究了自发性高血压大鼠(SHR)和Wistar-Kyoto大鼠(WKY)对两种急性应激:环境应激(足部电击(FS)和喷气(AS))的肾血流动力学反应。使用超声脉冲多普勒流量计研究了钙通道阻滞剂(贝尼地平)和α1阻滞剂(乌拉地尔)对这些反应的影响。在两种应激期间,SHR的平均动脉压(MAP)和肾血管阻力(RVR)的增量更大。另一方面,这些应激导致的肾血流量(RBF)减少在肾去神经后几乎消失。SHR的这些肾血流动力学反应在使用α1阻滞剂(乌拉地尔)后消失,但使用钙通道阻滞剂(贝尼地平)后未消失。在环境应激下,SHR的交感神经系统变得活跃,这导致了特定的肾血流动力学变化。这些结果表明,对原发性高血压的研究不仅应关注全身性高血压反应的阐明,还应关注肾血流动力学的变化。此外,抗高血压治疗有必要考虑这些血流动力学变化。