Oparil S, Yang R H, Jin H G, Chen S J, Meng Q C, Berecek K H, Wyss J M
Department of Medicine, University of Alabama at Birmingham 35294.
Am J Med Sci. 1994 Feb;307 Suppl 1:S26-37.
Selective alterations in noradrenergic mechanisms in the anterior hypothalamic area (AHA) of NaCl-sensitive spontaneously hypertensive rats (SHR-S) have been demonstrated during dietary NaCl supplementation. To test the hypothesis that endogenous angiotensin II (Ang II) in the AHA also plays a role in blood pressure regulation and in NaCl sensitive hypertension in the SHR-S, Type 1 Ang II (AT1) receptors in the AHA were blocked by local microinjection of losartan, a selective nonpeptide AT1 receptor antagonist, and the effects of the intervention on blood pressure were observed. Microinjection of losartan into the AHA of conscious rats caused a significant dose-related decrease in mean arterial pressure in SHR-S but not in Wistar-Kyoto (WKY) rats. To test the hypothesis that the depressor response to AHA AT1 receptor blockade is enhanced by high (8%) NaCl feeding in SHR-S, losartan was microinjected into the AHA of conscious SHR-S and WKY rats that had been fed 1% or 8% NaCl diets for 3 weeks. The magnitude and duration of the depressor response to losartan were significantly greater in the 8% NaCl fed SHR-S than in the 1% NaCl fed rats. These findings, along with the observation that Ang II receptor numbers are increased in neurons isolated from brain of SHR compared with WKY rats, suggest that endogenous Ang II acting on AT1 receptors in the AHA participates in the tonic control of blood pressure in SHR-S but not in normotensive WKY rats. In addition, it is involved in the pathogenesis of NaCl sensitive hypertension in the SHR-S.
在补充膳食氯化钠期间,已证明盐敏感型自发性高血压大鼠(SHR-S)下丘脑前部区域(AHA)的去甲肾上腺素能机制存在选择性改变。为了检验AHA中的内源性血管紧张素II(Ang II)在SHR-S的血压调节和盐敏感型高血压中也起作用这一假设,通过局部微量注射氯沙坦(一种选择性非肽类AT1受体拮抗剂)来阻断AHA中的1型Ang II(AT1)受体,并观察干预对血压的影响。向清醒大鼠的AHA中微量注射氯沙坦会导致SHR-S的平均动脉压出现显著的剂量相关性下降,但对Wistar-Kyoto(WKY)大鼠则无此作用。为了检验高盐(8%)喂养会增强SHR-S对AHA中AT1受体阻断的降压反应这一假设,将氯沙坦微量注射到喂食1%或8%氯化钠饮食3周的清醒SHR-S和WKY大鼠的AHA中。与喂食1%氯化钠的大鼠相比,喂食8%氯化钠的SHR-S对氯沙坦的降压反应的幅度和持续时间显著更大。这些发现,连同与WKY大鼠相比,从SHR大脑分离的神经元中Ang II受体数量增加的观察结果,表明作用于AHA中AT1受体的内源性Ang II参与了SHR-S而非正常血压WKY大鼠的血压稳态控制。此外,它还参与了SHR-S中盐敏感型高血压的发病机制。