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易卒中型自发性高血压大鼠主动脉硝苯地平敏感性与血压的关系

Relationship between nifedipine sensitivity of aortae and blood pressure of stroke-prone spontaneously hypertensive rats.

作者信息

Jiang G C, Iwanov V, Moulds R F

机构信息

Department of Medicine, University of Melbourne, Parkville, Victoria, Australia.

出版信息

Clin Exp Pharmacol Physiol. 1996 Mar;23(3):218-21. doi: 10.1111/j.1440-1681.1996.tb02599.x.

Abstract
  1. We have previously described an increased sensitivity to inhibition by nifedipine of noradrenaline-induced contractures of blood vessels in hypertension. In this study we have investigated whether changes in blood pressure (BP) change the sensitivity to nifedipine and K+ of aortic rings from normotensive (Wistar-Kyoto rats, WKY) and stroke-prone spontaneously hypertensive rats (SHRSP). 2. SHRSP were treated with: hydralazine plus hydrochlorothiazide; captopril plus hydrochlorothiazide; hydralazine plus guanethidine; or captopril alone. WKY rats were treated with deoxycorticosterone acetate (DOCA) and NaCl. Treatment commenced from 5 weeks of age and continued until 13-15 weeks. 3. The SHRSP treatments produced similar reductions in BP, and the BP of all the treated groups were significantly lower than the mean BP of untreated SHRSP (201.0 +/- 7.7 mmHg). The mean BP of the treated WKY rats (134.2 +/- 7.6 mmHg) was significantly higher than the mean BP of the untreated WKY rats (86.8 +/- 7.4 mmHg). 4. An area-under-curve (AUC) analysis of the inhibitory effects of nifedipine on responses of aortae to noradrenaline showed no differences between treated and untreated SHRSP groups (overall mean 40.6 +/- 1.9% and 43.4 +/- 3.4% inhibition of control AUC, respectively), or between DOCA-salt treated WKY and untreated WKY groups (58.8 +/- 5.9 and 64.8 +/- 2.3, respectively). Noradrenaline-induced contractures of aortae from all SHRSP groups were significantly more sensitive to inhibition by nifedipine than aortae from both WKY groups. 5. The molar concentration of agonist required to evoke 50% of the maximum response (EC50) values for potassium chloride (KCl) were significantly increased in the aortae of all treated SHRSP groups in comparison to those from untreated SHRSP (treated SHRSP groups, 15.53 +/- 0.68 mmol/L vs untreated SHRSP group, 11.36 +/- 1.10 mmol/L). The EC50 values for KCl for the aortae from the DOCA-treated WKY rats were significantly less than those from aortae of the untreated WKY (11.80 +/- 0.80 and 17.08 +/- 1.50 mmol/L, respectively). 6. We conclude that reduction (in SHRSP) or increase (in WKY) of the BP has no effect on the sensitivity of aortic smooth muscle to the inhibitory effects of nifedipine on responses to noradrenaline, suggesting that alterations in voltage-dependent Ca2+ mechanisms may be a primary phenomenon in the SHRSP. In contrast, the fact that sensitivity to KCl changes in the treated SHRSP and WKY aortae suggests such sensitivity is secondary to the BP and thus a separate phenomenon from voltage-dependent Ca2+ mechanisms.
摘要
  1. 我们之前曾描述过高血压患者中硝苯地平对去甲肾上腺素诱导的血管挛缩的抑制敏感性增加。在本研究中,我们调查了血压(BP)的变化是否会改变正常血压大鼠(Wistar-Kyoto大鼠,WKY)和易中风自发性高血压大鼠(SHRSP)主动脉环对硝苯地平和钾离子(K⁺)的敏感性。2. SHRSP接受以下治疗:肼屈嗪加氢氯噻嗪;卡托普利加氢氯噻嗪;肼屈嗪加胍乙啶;或单独使用卡托普利。WKY大鼠接受醋酸脱氧皮质酮(DOCA)和氯化钠治疗。治疗从5周龄开始,持续至13 - 15周。3. SHRSP的治疗使血压有类似程度的降低,所有治疗组的血压均显著低于未治疗的SHRSP的平均血压(201.0±7.7 mmHg)。治疗后的WKY大鼠的平均血压(134.2±7.6 mmHg)显著高于未治疗的WKY大鼠的平均血压(86.8±7.4 mmHg)。4. 对硝苯地平对主动脉对去甲肾上腺素反应的抑制作用进行曲线下面积(AUC)分析,结果显示治疗组和未治疗组的SHRSP之间无差异(分别对对照AUC的总体平均抑制率为40.6±1.9%和43.4±3.4%),DOCA - 盐处理的WKY组和未治疗的WKY组之间也无差异(分别为58.8±5.9和64.8±2.3)。所有SHRSP组的主动脉去甲肾上腺素诱导的挛缩对硝苯地平抑制的敏感性显著高于两个WKY组的主动脉。5. 与未治疗的SHRSP相比,所有治疗的SHRSP组主动脉中诱发最大反应的50%(EC50)所需的氯化钾(KCl)激动剂摩尔浓度显著增加(治疗的SHRSP组,15.53±0.68 mmol/L,未治疗的SHRSP组,11.36±1.10 mmol/L)。DOCA处理的WKY大鼠主动脉的KCl的EC50值显著低于未治疗的WKY大鼠主动脉的EC50值(分别为11.80±0.80和17.08±1.50 mmol/L)。6. 我们得出结论,(SHRSP中)血压降低或(WKY中)血压升高对主动脉平滑肌对硝苯地平对去甲肾上腺素反应的抑制作用的敏感性没有影响,这表明电压依赖性Ca²⁺机制的改变可能是SHRSP中的主要现象。相比之下,治疗的SHRSP和WKY主动脉中对KCl的敏感性发生变化这一事实表明,这种敏感性继发于血压,因此是与电压依赖性Ca²⁺机制不同的现象。

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