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老年自发性高血压大鼠序贯双侧颈动脉结扎的脑血管保护作用

Cerebrovascular protection by sequential bilateral carotid artery ligation in aged spontaneously hypertensive rats.

作者信息

Horie R, Mano M, Omura K

机构信息

Department of Pathology, Shimane Medical University, Izumo, Japan.

出版信息

Clin Exp Pharmacol Physiol. 1993 Feb;20(2):71-6. doi: 10.1111/j.1440-1681.1993.tb00577.x.

DOI:10.1111/j.1440-1681.1993.tb00577.x
PMID:8443976
Abstract
  1. Sequential bilateral carotid artery ligation (BCL) separated by a 1 week interval was performed on 5 month spontaneously hypertensive rats (SHR) (i.e. SHRSR-B1/Izm) and the developmental course of hypertension and cerebrovascular lesions in advanced age were analysed as compared with those in age-matched sham-operated controls. 2. Behavioural activity and behavioural reaction to light were also investigated in the above-mentioned SHR, young and adult stroke-prone SHR (i.e. SHRSP-A3/Izm), SHR (i.e. B1/Izm) and Wistar-Kyoto rats (i.e. WKY/Izm). 3. All of the control SHR developed severe hypertension resulting in cerebral stroke with focal oedema due to cerebral haemorrhage and infarction as a result of arterionecrosis 18 months after birth. 4. SHR usually die within a few days of BCL. In the present study, however, they successfully survived without cerebrovascular damage for a long time, although they developed a similar severe hypertension in a significantly shorter period of time (P < 0.05) and showed behavioural abnormalities that were probably due to severe cerebral ischaemia. 5. These experimental results suggest an ischaemic tolerance phenomenon in a hypertensive model that was exposed to mild ischaemic stress by unilateral carotid artery ligation (UCL) before the subsequent induction of severe ischaemia by BCL. The results also suggest that an aggravation of hypertensive cerebrovascular changes due to long-lasting ischaemia after BCL was prevented through a possible cumulative effect of ischaemic stress.
摘要
  1. 对5月龄自发性高血压大鼠(SHR,即SHRSR - B1/Izm)进行间隔1周的序贯双侧颈动脉结扎(BCL),并与年龄匹配的假手术对照组相比,分析老年期高血压和脑血管病变的发展过程。2. 还对上述SHR、年轻和成年易卒中型SHR(即SHRSP - A3/Izm)、SHR(即B1/Izm)和Wistar - Kyoto大鼠(即WKY/Izm)的行为活动和对光的行为反应进行了研究。3. 所有对照SHR在出生后18个月时都发展为严重高血压,导致因动脉坏死引起脑出血和梗死,伴有局灶性水肿的脑卒。4. SHR通常在BCL后几天内死亡。然而,在本研究中,它们成功存活且长时间无脑血管损伤,尽管它们在明显更短的时间内(P < 0.05)发展出类似的严重高血压,并表现出可能归因于严重脑缺血的行为异常。5. 这些实验结果表明,在高血压模型中存在缺血耐受现象,该模型在随后通过BCL诱导严重缺血之前,先通过单侧颈动脉结扎(UCL)暴露于轻度缺血应激。结果还表明,通过缺血应激的可能累积效应,可预防BCL后由于长期缺血导致的高血压性脑血管变化加重。

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