Pons M, Schnecko A, Witte K, Lemmer B, Waterhouse J M, Cambar J
Groupe d'Etude de Physiolgie et Physiopathologie Rénales, Unité de Formation et de Recherche des Sciences Pharmaceutiques, Bordeaux, France.
Am J Physiol. 1996 Oct;271(4 Pt 2):R1002-8. doi: 10.1152/ajpregu.1996.271.4.R1002.
Patients with secondary hypertension frequently display abnormal circadian blood pressure profiles, characterized by a failure to decrease blood pressure at night. The transgenic TGR(mRen-2)27 rat strain, developing fulminant hypertension after the mouse salivary Ren-2 renin gene has been integrated into its genome, provides a fundamental model of genetic hypertension. Because of an inverse circadian blood pressure profile and an unchanged rhythmic pattern of heart rate compared with the normotensive Sprague-Dawley (SPR) strain, it was proposed to serve as an animal model of genetic hypertension. It was the aim of the present study to investigate the circadian rhythmicity in renal function of the transgenic rat to determine whether hypertension and disturbed circadian blood pressure profile would affect kidney function. Urinary water, electrolyte, and protein excretion, as well as glomerular filtration rate and renal plasma flow, were determined in unrestrained freely moving transgenic hypertensive (TGR) and SPR normotensive control rats by collecting urine and arterial blood every 4 h. Significant and similar circadian rhythms were found in renal excretion and hemodynamics in both normotensive and hypertensive strains. Peaks occurred in the active dark period, whereas troughs were found in daytime for all parameters. However, it has to be pointed out that, although the circadian profiles were not grossly perturbed in hypertensive animals, some small differences between SPR and TGR strains did exist in renal function. These discrepancies were precisely related to acrophase, showing a slight phase delay, and also to relative amplitude in TGR. This study demonstrates that the inverted circadian blood pressure profile affected only slightly the circadian rhythms in kidney function in TGR compared with SPR. These findings support the notion that time-dependent changes in systemic blood flow may be of greater importance for circadian regulation of kidney function than systemic blood pressure.
继发性高血压患者常表现出异常的昼夜血压模式,其特征是夜间血压未能降低。转基因TGR(mRen-2)27大鼠品系在小鼠唾液Ren-2肾素基因整合到其基因组后会发生暴发性高血压,它提供了一种遗传性高血压的基础模型。与正常血压的斯普拉格-道利(SPR)品系相比,由于其昼夜血压模式相反且心率节律模式不变,它被提议作为遗传性高血压的动物模型。本研究的目的是调查转基因大鼠肾功能的昼夜节律性,以确定高血压和紊乱的昼夜血压模式是否会影响肾功能。通过每4小时收集尿液和动脉血,测定了自由活动不受限制的转基因高血压(TGR)大鼠和SPR正常血压对照大鼠的尿水、电解质和蛋白质排泄,以及肾小球滤过率和肾血浆流量。在正常血压和高血压品系的肾脏排泄和血液动力学方面均发现了显著且相似的昼夜节律。所有参数的峰值出现在活跃的黑暗期,而低谷出现在白天。然而,必须指出的是,尽管高血压动物的昼夜模式没有受到严重干扰,但SPR和TGR品系在肾功能方面确实存在一些小差异。这些差异与相位峰精确相关,表现为轻微的相位延迟,也与TGR中的相对振幅有关。本研究表明,与SPR相比,昼夜血压模式倒置对TGR肾功能昼夜节律的影响较小。这些发现支持了这样一种观点,即全身血流的时间依赖性变化对肾功能的昼夜调节可能比全身血压更为重要。