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遗传性高血压中肾小管-肾小球反馈活动的增强由血管紧张素II和1型血管紧张素受体介导。

Exaggerated tubuloglomerular feedback activity in genetic hypertension is mediated by ANG II and AT1 receptors.

作者信息

Brännström K, Morsing P, Arendshorst W J

机构信息

Department of Physiology, University of North Carolina at Chapel Hill 27599, USA.

出版信息

Am J Physiol. 1996 May;270(5 Pt 2):F749-55. doi: 10.1152/ajprenal.1996.270.5.F749.

Abstract

The purpose of the present study was to determine the role of endogenous angiotensin II in exaggerated tubuloglomerular feedback (TGF) in young euvolemic spontaneously hypertensive rats (SHR). TGF was characterized by measuring proximal tubular stop-flow pressure (Psf) responses to loop of Henle perfusion before and during losartan infusion in 7-wk-old SHR and Wistar-Kyoto rats (WKY). In the control period, TGF responses were exaggerated in SHR compared with WKY. This was evidenced by a larger flow-induced maximum decrease in Psf (19 vs. 13 mmHg), lower turning point (8 vs.12 nl/min), and higher reactivity (-6.4 vs. -3.0 mmHg.nl-1.min-1) in SHR. Losartan (DuP-753) was infused into the renal artery to antagonize angiotensin AT1 receptors in the experimental period. This was verified by losartan inhibiting > 90% of the decrease in whole kidney and superficial cortical blood flow produced by exogenous angiotensin II in both strains. Losartan infusion significantly attenuated TGF activity in SHR but not in WKY. In SHR losartan reduced the maximum Psf response (from 19 to 10 mmHg) and increased the turning point (from 8 to 11 nl/min). SHR values during losartan administration were similar to those obtained in WKY. WKY values were unaffected by losartan. The lack of change in maximum TGF responses after losartan treatment was not unique to WKY, inasmuch as similar results were obtained in euvolemic Munich-Wistar rats (-2.0 +/- 0.7 and -1.1 +/- 1.0 mmHg vs. -8.4 +/- 0.7 mmHg in SHR). Thus angiotensin II does not appear to play an essential role in basal TGF activity during euvolemia in normotensive animals when there is minimal stimulation of the renin-angiotensin system. In contrast, our observations indicate that the exaggerated TGF in young euvolemic SHR represents a functional resetting that is dependent on angiotensin II and losartan-sensitive AT1 receptors during the development of genetic hypertension.

摘要

本研究的目的是确定内源性血管紧张素II在年轻的血容量正常的自发性高血压大鼠(SHR)中肾小管-肾小球反馈(TGF)增强中所起的作用。通过测量7周龄SHR和Wistar-Kyoto大鼠(WKY)在输注氯沙坦之前和期间髓袢灌注时近端肾小管停流压力(Psf)的反应来表征TGF。在对照期,与WKY相比,SHR中的TGF反应增强。这表现为SHR中Psf因流量诱导的最大降低幅度更大(19对13 mmHg)、转折点更低(8对12 nl/min)以及反应性更高(-6.4对-3.0 mmHg·nl-1·min-1)。在实验期,将氯沙坦(DuP-753)注入肾动脉以拮抗血管紧张素AT1受体。这通过氯沙坦抑制两种品系中外源性血管紧张素II引起的全肾和浅表皮质血流降低的90%以上得到证实。输注氯沙坦可显著减弱SHR中的TGF活性,但对WKY无影响。在SHR中,氯沙坦降低了最大Psf反应(从19 mmHg降至10 mmHg)并提高了转折点(从8 nl/min升至11 nl/min)。氯沙坦给药期间SHR的值与WKY中获得的值相似。WKY的值不受氯沙坦影响。氯沙坦治疗后最大TGF反应缺乏变化并非WKY所特有,因为在血容量正常的慕尼黑-威斯塔尔大鼠中也获得了类似结果(分别为-2.0±0.7和-1.1±1.0 mmHg,而SHR为-8.4±0.7 mmHg)。因此,在肾素-血管紧张素系统受到最小刺激时,血管紧张素II在正常血压动物血容量正常期间的基础TGF活性中似乎不发挥重要作用。相反,我们的观察结果表明,年轻的血容量正常的SHR中TGF增强代表了一种功能重置,这种重置在遗传性高血压发展过程中依赖于血管紧张素II和对氯沙坦敏感的AT1受体。

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