Stewart P M, Whorwood C B, Valentino R, Burt D, Sheppard M C, Edwards C R
University of Birmingham, Department of Medicine, Queen Elizabeth Hospital, UK.
J Hypertens. 1993 Apr;11(4):349-54. doi: 10.1097/00004872-199304000-00004.
11 beta-Hydroxysteroid dehydrogenase (11 beta-HSD), by converting the active steroids cortisol and corticosterone to their inactive metabolites, regulates steroid exposure to the mineralocorticoid and glucocorticoid receptors. We explored the hypothesis that a defect in 11 beta-HSD could result in overstimulation of either the mineralocorticoid or glucocorticoid receptors with subsequent hypertension in an established animal model of hypertension, the Bianchi-Milan hypertensive (BMH) rat.
Groups of BMH rats with established hypertension (42-46 days old) and prehypertensive rats (22 days old) were compared with age-matched normotensive control rats. Kidney and liver 11 beta-HSD and glucocorticoid receptor messenger RNA (mRNA) levels were assessed by Northern and dot-blot analyses, and 11 beta-HSD activity as percentage conversion of [3H]-corticosterone to [3H]11-dehydrocorticosterone by tissue homogenate.
Hepatic 11 beta-HSD activity and gene expression were significantly reduced in the hypertensive BMH rat compared with its normotensive genetic control. 11 beta-HSD activity was also reduced in the prehypertensive BMH rat (aged 25 days) from hypertensive parents, excluding hypertension per se as the cause of the abnormality. Plasma corticosterone was higher in the hypertensive rats. There was no difference in renal 11 beta-HSD activity or gene expression between hypertensive and normotensive BMH rats, or in glucocorticoid receptor gene expression in the liver or kidney.
Normal levels of renal 11 beta-HSD mRNA and activity are found in the BMH rat. However, the hypertensive BMH rat does demonstrate impaired hepatic 11 beta-HSD activity which occurs at a pretranslational level, although it is not clear how this relates to the pathogenesis of hypertension in this model.
11β-羟类固醇脱氢酶(11β-HSD)通过将活性类固醇皮质醇和皮质酮转化为其无活性代谢产物,调节类固醇对盐皮质激素和糖皮质激素受体的暴露。我们探讨了这样一种假说,即在已建立的高血压动物模型——比安奇-米兰高血压(BMH)大鼠中,11β-HSD缺陷可能导致盐皮质激素或糖皮质激素受体过度刺激,继而引发高血压。
将已患高血压的BMH大鼠组(42 - 46日龄)和高血压前期大鼠组(22日龄)与年龄匹配的正常血压对照大鼠进行比较。通过Northern印迹分析和斑点印迹分析评估肾脏和肝脏中11β-HSD及糖皮质激素受体信使核糖核酸(mRNA)水平,并用组织匀浆将[3H]-皮质酮转化为[3H] - 11 - 脱氢皮质酮的转化率来评估11β-HSD活性。
与正常血压的基因对照相比,高血压BMH大鼠肝脏中的11β-HSD活性和基因表达显著降低。来自高血压亲本的高血压前期BMH大鼠(25日龄)的11β-HSD活性也降低,排除了高血压本身作为异常原因的可能性。高血压大鼠的血浆皮质酮水平较高。高血压和正常血压的BMH大鼠之间肾脏11β-HSD活性或基因表达,以及肝脏或肾脏中糖皮质激素受体基因表达均无差异。
在BMH大鼠中发现肾脏11β-HSD mRNA和活性水平正常。然而,高血压BMH大鼠确实表现出肝脏11β-HSD活性受损,这种损害发生在翻译前水平,尽管尚不清楚这与该模型中高血压的发病机制有何关联。