Nakamura T, Obata J, Kuroyanagi R, Kimura H, Ikeda Y, Takano H, Naito A, Sato T, Yoshida Y
Department of Internal Medicine, Yamanashi Medical College, Japan.
Kidney Int Suppl. 1996 Jun;55:S109-12.
Renal plasma flow (RPF), glomerular filtration rate (GFR), glomerular pathology and glomerular TGF-beta gene expression were examined in 12- and 24-week-old stroke-prone spontaneously hypertensive rats (SHRSP) and Wistar Kyoto rats (WKY). These parameters were also examined in SHRSP treated with equihypotensive doses of angiotensin II receptor antagonist (CV-11974:CV) and hydralazine (Hyd) for 12 weeks. Twelve-week-old SHRSP showed a decrease in RPF and GFR, and an increase in filtration fraction (FF) and urinary protein excretion (UP) compared to WKY. CV normalized these parameters, whereas although Hyd showed improved levels they were not to the levels achieved by the WKY. Glomerular TGF-beta expression was increased 2.0-fold in 12- and 24-week-old SHRSP, and CV, but not Hyd, decreased it to the control levels of WKY. At 24 weeks old, SHRSP showed a higher glomerulosclerosis index (GI) than WKY. CV, but not Hyd, lowered the GI to the level of the WKY controls. These data indicate that renal hemodynamic changes are closely associated with an increased TGF-beta expression in SHRSP and that this condition is caused by angiotensin II.
在12周龄和24周龄的易卒中型自发性高血压大鼠(SHRSP)和Wistar Kyoto大鼠(WKY)中检测了肾血浆流量(RPF)、肾小球滤过率(GFR)、肾小球病理学和肾小球转化生长因子-β(TGF-β)基因表达。还用等降压剂量的血管紧张素II受体拮抗剂(CV-11974:CV)和肼屈嗪(Hyd)对SHRSP进行了12周治疗,并检测了这些参数。与WKY相比,12周龄的SHRSP显示RPF和GFR降低,滤过分数(FF)和尿蛋白排泄(UP)增加。CV使这些参数恢复正常,而Hyd虽然显示水平有所改善,但未达到WKY的水平。12周龄和24周龄的SHRSP以及CV组中,肾小球TGF-β表达增加了2.0倍,而Hyd组未增加,CV将其降至WKY的对照水平。24周龄时,SHRSP的肾小球硬化指数(GI)高于WKY。CV可将GI降至WKY对照水平,而Hyd则不能。这些数据表明,肾血流动力学变化与SHRSP中TGF-β表达增加密切相关,且这种情况是由血管紧张素II引起的。