Rioux F, Berkowitz B A
Circ Res. 1977 Mar;40(3):306-12. doi: 10.1161/01.res.40.3.306.
We studied the vascular mechanisms involved in the prevention of the development of hypertension following thyroidectomy. Ablation of the thyroid gland of 4-week-old spontaneously hypertensive (SH) rats inhibited the development of hypertension and reduced the sensitivity of aortic strips to the vasoconstrictors phenylephrine, norepinephrine, and potassium chloride and the vasodilator isoproterenol. Daily injections of a replacement dose of L-thyroxine caused a complete recurrence of hypertension in these rats. This was accompanied by complete recovery of the aortic sensitivity to the vasconstrictors and isoproterenol. In 10-week-old SH rats thyroidectomy prevented a further increase of blood pressure but did not reverse the hypertention. Here, the aortic sensitivity to vasoactive substances also was reduced but to a lesser extent than in the SH rats thyroidectomized at 4 weeks of age. Hypertension was not obviously associated with hyperfunction of the thyroid gland. Furthermore, we found that at 4 weeks of age, during the prehypertensive period, SH rats have a significantly lower (42%) serum thyroxine level than age-matched normotensive Kyoto Wistar, American Wistar, and Sprague-Dawley rats. However, at 6 and 9 weeks, the serum thyroxine levels of SH rats are similar to those of the normotensive rats. In conclusion, we propose that the reduced sensitivity to endogenous vasoconstrictors in arteries of SH rats following juvenile ablation of the thyroid gland may prevent the development of hypertension in these rats. Moreover, the low serum thyroxine level in SH rats during the prehypertensive period may explain why young SH rats do not develop hypertension before 6 weeks of age.
我们研究了甲状腺切除术后预防高血压发生所涉及的血管机制。对4周龄自发性高血压(SH)大鼠进行甲状腺切除,可抑制高血压的发展,并降低主动脉条对血管收缩剂去氧肾上腺素、去甲肾上腺素、氯化钾以及血管舒张剂异丙肾上腺素的敏感性。每日注射替代剂量的L-甲状腺素可使这些大鼠的高血压完全复发。与此同时,主动脉对血管收缩剂和异丙肾上腺素的敏感性也完全恢复。对于10周龄的SH大鼠,甲状腺切除术可防止血压进一步升高,但不能逆转高血压状态。在此情况下,主动脉对血管活性物质的敏感性也有所降低,但降低程度小于4周龄时接受甲状腺切除术的SH大鼠。高血压与甲状腺功能亢进并无明显关联。此外,我们发现,在4周龄的高血压前期,SH大鼠的血清甲状腺素水平显著低于年龄匹配的正常血压京都Wistar大鼠、美国Wistar大鼠和Sprague-Dawley大鼠(低42%)。然而,在6周龄和9周龄时,SH大鼠的血清甲状腺素水平与正常血压大鼠相似。总之,我们认为幼年切除甲状腺后,SH大鼠动脉对内源性血管收缩剂的敏感性降低可能是其预防高血压发生的原因。此外,高血压前期SH大鼠血清甲状腺素水平较低,这或许可以解释为何幼年SH大鼠在6周龄前不会发生高血压。