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在自发性高血压大鼠中,肾功能损害先于高血压的形成。

Impairment of renal function precedes establishment of hypertension in spontaneously hypertensive rats.

作者信息

Uyehara C F, Gellai M

机构信息

Department of Renal Pharmacology, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406-0939.

出版信息

Am J Physiol. 1993 Oct;265(4 Pt 2):R943-50. doi: 10.1152/ajpregu.1993.265.4.R943.

Abstract

To determine renal function throughout development of hypertension in the spontaneously hypertensive rat (SHR) and its normotensive counterpart, the Wistar-Kyoto rat (WKY), renal clearance studies were performed at 2-wk intervals from 4 to 12 wk and again at 16 wk of age in conscious chronically instrumented rats after recovery (4-6 days) from surgery. The data indicate that the critical period for the development of hypertension in SHR was between 4 and 6 wk of age. Mean arterial pressure sharply increased from 107 +/- 5 (n = 6) to 145 +/- 6 mmHg (n = 6) between 4 and 6 wk of age, did not change between 6 and 10 wk of age, and gradually rose between 10 and 16 wk of age to 183 +/- 3 mmHg. In WKYs, blood pressure increased only slightly from 97 +/- 3 mmHg at 4 wk of age (n = 8) to 110 +/- 3 mmHg at 8 wk of age (n = 8), where it remained through adulthood. Glomerular filtration rate (GFR) in the 4-wk-old SHR was significantly decreased compared with WKY (0.94 +/- 0.03 vs. 1.11 +/- 0.04 ml.min-1 x g wet kidney wt-1), and it recovered to normal level and stabilized by 6 wk of age (1.14 +/- 0.04 ml.min-1 x g wet kidney wt-1). Renal blood flow was lower in the SHR only at 4 and 16 wk; it increased with age in both groups. Renal vascular resistance was higher in the SHR at 4 wk and remained elevated throughout the observation period.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为了在自发性高血压大鼠(SHR)及其血压正常的对照品系Wistar-Kyoto大鼠(WKY)高血压发展的整个过程中测定肾功能,在清醒的慢性插管大鼠手术后恢复(4 - 6天),于4至12周龄期间每隔2周进行一次肾清除率研究,并在16周龄时再次进行。数据表明,SHR高血压发展的关键时期在4至6周龄之间。平均动脉压在4至6周龄之间从107±5(n = 6)急剧升至145±6 mmHg(n = 6),在6至10周龄之间无变化,在10至16周龄之间逐渐升至183±3 mmHg。在WKY中,血压仅从4周龄时的97±3 mmHg(n = 8)轻微升至8周龄时的110±3 mmHg(n = 8),并在成年期保持稳定。4周龄SHR的肾小球滤过率(GFR)与WKY相比显著降低(0.94±0.03对1.11±0.04 ml·min-1·g湿肾重-1),并在6周龄时恢复至正常水平并稳定(1.14±0.04 ml·min-1·g湿肾重-1)。仅在4周龄和16周龄时SHR的肾血流量较低;两组肾血流量均随年龄增加。4周龄时SHR的肾血管阻力较高,并在整个观察期内保持升高。(摘要截断于250字)

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