Sumikura T, Yuasa S, Miki S, Yura T, Takahashi N, Shoji T, Uchida K, Fujioka H, Fujita Y, Matsuo H
Second Department of Internal Medicine, Kagawa Medical School, Japan.
Nihon Jinzo Gakkai Shi. 1994 Jun;36(6):702-8.
Dietary Ca is an important modulator of arterial blood pressure in humans and rats. Since the kidney plays a key role in the pathogenesis of hypertension, the effect of a low Ca diet (0.01%Ca) on blood pressure and pressure natriuresis response was studied in Sprague-Dawley rats. In addition, a possible role of the renin-angiotensin system in the development of hypertension and an altered pressure natriuresis response resulting from low dietary Ca intake was investigated. In the low Ca diet group, systolic blood pressure determined by the tail-cuff method was significantly higher than in the normal Ca diet group (1.1%Ca) 1 week after the diet (113.0 +/- 7.1 vs. 105.0 +/- 9.5 mmHg, p < 0.05). Furthermore, low dietary Ca treatment significantly inhibited the water and sodium excretory responses to acute elevation of renal perfusion pressure. Treatment with an inhibitor of angiotensin converting enzyme, captopril (30 mg/kg/day), attenuated both the development of hypertension and the reduced pressure natriuresis response observed in Ca-deficient rats. Although plasma renin activity was not different between the low and normal Ca diet groups after the 2-week dietary regimen, the pressor response to angiotensin II injection was significantly greater in the low Ca diet group. These results indicate a possible involvement of the renin-angiotensin system in the development of hypertension and the inhibitory effects of the pressure natriuresis response caused by low dietary Ca intake, via enhanced sensitivity to angiotensin II.
膳食钙是人类和大鼠动脉血压的重要调节因子。由于肾脏在高血压发病机制中起关键作用,因此研究了低钙饮食(0.01%钙)对Sprague-Dawley大鼠血压和压力性利钠反应的影响。此外,还研究了肾素-血管紧张素系统在高血压发展中的可能作用以及低钙饮食摄入导致的压力性利钠反应改变。在低钙饮食组中,采用尾套法测定的收缩压在饮食1周后显著高于正常钙饮食组(1.1%钙)(113.0±7.1 vs. 105.0±9.5 mmHg,p<0.05)。此外,低钙饮食处理显著抑制了对肾灌注压急性升高的水和钠排泄反应。用血管紧张素转换酶抑制剂卡托普利(30 mg/kg/天)治疗可减轻缺钙大鼠中观察到的高血压发展和压力性利钠反应降低。尽管在2周饮食方案后,低钙饮食组和正常钙饮食组之间的血浆肾素活性没有差异,但低钙饮食组对血管紧张素II注射的升压反应明显更大。这些结果表明,肾素-血管紧张素系统可能通过增强对血管紧张素II的敏感性参与高血压的发展以及低钙饮食摄入引起的压力性利钠反应的抑制作用。