Shimosawa T, Ando K, Fujita T
Fourth Department of Internal Medicine, University of Tokyo School of Medicine, Japan.
Jpn Heart J. 1995 Nov;36(6):797-805. doi: 10.1536/ihj.36.797.
In the present study, we investigated the change in renal hemodynamics induced by a calcium antagonist in young (6 week-old) spontaneously hypertensive rats (SHR), a salt-sensitive hypertensive model. In acute experiments, SHR were fed either a 0.66% or 8.0% NaCl diet for 4 weeks. In acute experiments, manidipine, a calcium antagonist, was administered in a bolus dose of 10 microg/kg. In chronic experiments, SHR were fed a 0.66% NaCl, 0.66% NaCl plus 0.05% manidipine, 8.0% NaCl or 8.0% NaCl plus 0.05% manidipine diet for 4 weeks. Mean arterial pressure (MAP), glomerular filtration rate (GFR), and renal blood flow (RBF) were measured. Salt loading increased MAP in young SHR. Acute administration of manidipine decreased MAP more in salt-loaded SHR compared to non-salt-loaded SHR (-43.3 +/- 3.1 vs. -18.6 +/- 2.1 mmHg: p < 0.01). Moreover, chronic administration of manidipine attenuated the rise in MAP in salt-loaded SHR (155 +/- 3 mmHg vs. 196 +/- 5 mmHg; p < 0.01) and less so in non-salt-loaded SHR (150 +/-2 mmHg vs. 160 +/- 3 mmHg; p < 0.01). Salt loading elevated renal vascular resistance (RVR) but changed neither RBF nor GFR. The acute- and chronic-administration of manidipine increased RBF (Acute; +0.77 +/- 0.22 ml/min/g kidney: p < 0.05, Chronic; 4.32 +/- 0.29 vs. 5.50 +/- 0.90 ml/min/g kidney: p < 0.01) in non-salt-loaded SHR, which was greater in salt-loaded SHR (Acute; +2.19 +/- 0.52 ml/min/g kidney: p 0.05 vs. non-salt-loaded SHR, Chronic; 4.29 +/- 0.53 vs. 6.09 +/- 1.41 ml/min/g kidney: p < 0.01) Manidipine also decreased RVR (Acute; -10.2 +/- 2.2 mmHg/ml/min/g kidney: p < 0.01, Chronic; 35.3 +/- 1.6 vs. 27.3 +/- 4.1 mmHg/ml/min/g kidney: p < 0.01) in non-salt-loaded SHR, which was greater in salt-loaded SHR (Acute; -21.1 +/- 3.1 mmHg/ml/min/g kidney: p < 0.01 vs. non-salt-loaded SHR, Chronic; 44.9 +/- 2.6 vs. 27.6 +/- 4.1 mmHg/ml/min/g kidney: p < 0.01). GFR did not change significantly following manidipine. It is suggested that the antihypertensive effect of the calcium antagonist, manidipine, was greater in salt-loaded SHR and was accompanied by profound amelioration of the abnormal renal hemodynamics.
在本研究中,我们调查了钙拮抗剂对年轻(6周龄)自发性高血压大鼠(SHR,一种盐敏感性高血压模型)肾脏血流动力学的影响。在急性实验中,SHR分别喂食0.66%或8.0%的氯化钠饮食4周。在急性实验中,以10微克/千克的大剂量给予钙拮抗剂马尼地平。在慢性实验中,SHR分别喂食0.66%氯化钠、0.66%氯化钠加0.05%马尼地平、8.0%氯化钠或8.0%氯化钠加0.05%马尼地平饮食4周。测量平均动脉压(MAP)、肾小球滤过率(GFR)和肾血流量(RBF)。高盐饮食增加了年轻SHR的MAP。与未高盐饮食的SHR相比,急性给予马尼地平使高盐饮食的SHR的MAP下降幅度更大(-43.3±3.1对-18.6±2.1 mmHg:p<0.01)。此外,慢性给予马尼地平减弱了高盐饮食的SHR中MAP的升高(155±3 mmHg对196±5 mmHg;p<0.01),而在未高盐饮食的SHR中减弱程度较小(150±2 mmHg对160±3 mmHg;p<0.01)。高盐饮食升高了肾血管阻力(RVR),但对RBF和GFR均无影响。急性和慢性给予马尼地平均增加了未高盐饮食的SHR的RBF(急性;+0.77±0.22毫升/分钟/克肾脏:p<0.05,慢性;4.32±0.29对5.50±0.90毫升/分钟/克肾脏:p<0.01),在高盐饮食的SHR中增加幅度更大(急性;+2.19±0.52毫升/分钟/克肾脏:p<0.05,与未高盐饮食的SHR相比,慢性;4.29±0.53对6.09±1.41毫升/分钟/克肾脏:p<0.01)。马尼地平也降低了未高盐饮食的SHR的RVR(急性;-10.2±2.2 mmHg/毫升/分钟/克肾脏:p<0.01,慢性;35.3±1.6对27.3±4.1 mmHg/毫升/分钟/克肾脏:p<0.01),在高盐饮食的SHR中降低幅度更大(急性;-21.1±3.1 mmHg/毫升/分钟/克肾脏:p<0.01,与未高盐饮食的SHR相比,慢性;44.9±2.6对27.6±4.1 mmHg/毫升/分钟/克肾脏:p<0.