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多巴胺在纹状体、肾素 - 血管紧张素系统及肾交感神经在二肾一夹型戈德布拉特高血压发展过程中的作用

Role of dopamine in the striatum, renin-angiotensin system and renal sympathetic nerve on the development of two-kidney, one-clip Goldblatt hypertension.

作者信息

Sawamura T, Nakada T

机构信息

Department of Urology, Yamagata University, School of Medicine, Japan.

出版信息

J Urol. 1996 Mar;155(3):1108-11.

PMID:8583574
Abstract

PURPOSE

The possible role of the striatum and renin-angiotensin (R-A) system for the development of two kidney-one clip (2K-1C) Goldblatt hypertension is examined.

MATERIALS AND METHODS

Monoamine contents of the striatum were determined by brain dialysis techniques, and plasma and kidney levels of the R-A system were measured by radioimmunoassay in sham-operated rats (experiment 1), 2K-1C hypertension (experiment 2), left renal denervation only (experiment 3), renal denervation of left clipped-kidney (experiment 4) and left renal artery clipping with renal denervation of right nonclipped kidney (experiment 5) in the acute phase.

RESULTS

Plasma angiotensin I (ANG I) and plasma angiotensin II (ANG II) were initially increased between the first day and the first week, were suppressed at the second week, then increased again at the third week. Renal denervation of clipped or nonclipped kidneys did not influence the plasma R-A system in 2K-1C rats. The levels of striatum dopamine (DA), dihidroxyphenylacetic acid (Dopac) and homovanillic acid (HVA) in hypertensive 2K-1C rats were higher than those in normotensive sham-operated rats. There were significant positive relationships between these monoamines and systolic blood pressure. Renal levels of ANG I, II and angiotensin I converting enzyme activity (ACE) in the clipped-kidney were significantly higher than in sham-operated and nonclipped kidneys of 2K-1C rats.

CONCLUSION

The enhanced R-A system in clipped-kidney and high levels of monoamines described above in the striatum appear to participate in the development of 2K-1C hypertensive rats.

摘要

目的

研究纹状体和肾素 - 血管紧张素(R - A)系统在二肾一夹(2K - 1C)型Goldblatt高血压发展过程中的可能作用。

材料与方法

通过脑透析技术测定纹状体的单胺含量,采用放射免疫分析法测量假手术大鼠(实验1)、2K - 1C高血压大鼠(实验2)、仅左侧肾去神经大鼠(实验3)、左侧夹闭肾去神经大鼠(实验4)以及左侧肾动脉夹闭并右侧未夹闭肾去神经大鼠(实验5)急性期血浆和肾脏中R - A系统的水平。

结果

血浆血管紧张素I(ANG I)和血浆血管紧张素II(ANG II)在第1天至第1周最初升高,第2周受到抑制,然后在第3周再次升高。夹闭或未夹闭肾脏的去神经支配对2K - 1C大鼠的血浆R - A系统无影响。高血压2K - 1C大鼠纹状体中多巴胺(DA)、二羟苯乙酸(Dopac)和高香草酸(HVA)的水平高于正常血压假手术大鼠。这些单胺与收缩压之间存在显著正相关。2K - 1C大鼠夹闭肾中ANG I、II的肾脏水平和血管紧张素I转换酶活性(ACE)显著高于假手术和未夹闭肾。

结论

夹闭肾中增强的R - A系统以及上述纹状体中高水平的单胺似乎参与了2K - 1C高血压大鼠的发展。

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