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肾切除术后遗传性高血压大鼠和正常血压大鼠脑内血管紧张素II的差异调节

Differential regulation of brain angiotensin II in genetically hypertensive and normotensive rats after nephrectomy.

作者信息

Morishita R, Rakugi H, Higaki J, Tomita N, Nakamura F, Yu H, Katsuya T, Mikami H, Ogihara T

机构信息

Department of Geriatric Medicine, Osaka University Medical School, Suita, Japan.

出版信息

Blood Press. 1994 Jul;3(4):265-9. doi: 10.3109/08037059409102268.

Abstract

To investigate the role of tissue angiotensin II (Ang II) in the maintenance of hypertension after nephrectomy in spontaneously hypertensive rats (SHR), Ang II levels were measured in various tissues of both 12-week-old SHR and normotensive control, Wistar-Kyoto rats (WKY), 48 h after nephrectomy or sham operation. Ang II was determined by radioimmunoassay coupled with high performance liquid chromatography. Nephrectomy caused a decrease of plasma renin activity and plasma Ang II concentration in both SHR and WKY. Aortic Ang II levels were significantly lowered by nephrectomy only in WKY, and not in SHR. Ang II levels in hypothalamic block, brainstem and cerebellum of SHR increased after nephrectomy, whereas those of WKY were unchanged. Intracerebroventricular administration of ceronapril, an angiotensin converting enzyme inhibitor, significantly decreased sustained high blood pressure in SHR 48 h after nephrectomy compared with vehicle administration, whereas intravenous administration had no effect. These results suggest that in spite of the important role of the renal renin-angiotensin system in maintenance of high blood pressure in SHR, control mechanisms may switch to other systems after nephrectomy, and that the increased brain Ang II levels after nephrectomy may be related to these mechanisms.

摘要

为研究组织血管紧张素II(Ang II)在自发性高血压大鼠(SHR)肾切除术后维持高血压中的作用,在肾切除或假手术后48小时,测定12周龄SHR和正常血压对照Wistar-Kyoto大鼠(WKY)各种组织中的Ang II水平。通过放射免疫分析结合高效液相色谱法测定Ang II。肾切除术导致SHR和WKY的血浆肾素活性和血浆Ang II浓度降低。仅在WKY中,肾切除术使主动脉Ang II水平显著降低,而在SHR中则未降低。肾切除术后,SHR下丘脑、脑干和小脑的Ang II水平升高,而WKY的Ang II水平未改变。与给予赋形剂相比,肾切除术后48小时,向脑室内注射血管紧张素转换酶抑制剂西拉普利可显著降低SHR的持续性高血压,而静脉注射则无效果。这些结果表明,尽管肾素-血管紧张素系统在SHR维持高血压中起重要作用,但肾切除术后控制机制可能会转向其他系统,且肾切除术后脑内Ang II水平升高可能与这些机制有关。

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