Ichihara A, Inscho E W, Imig J D, Michel R E, Navar L G
Department of Physiology, Tulane University School of Medicine, New Orleans, La 70112, USA.
Hypertension. 1997 Jan;29(1 Pt 2):442-9. doi: 10.1161/01.hyp.29.1.442.
The objective of this study was to determine the contribution of renal nerves to the enhanced afferent arteriolar reactivity observed in angiotensin II (Ang II)-induced hypertension. Uninephrectomized Sprague-Dawley rats were divided into four groups: sham rats, renal-denervated rats, Ang II-infused (at 40 ng/min for 13 days) rats, and Ang II-infused+renal-denervated rats. With the use of an implanted arterial catheter, mean arterial pressure (MAP) was monitored in conscious rats. Ang II infusion resulted in a progressive increase in MAP from 98 +/- 1 (day 0) to 166 +/- 7 mm Hg (day 13). This increase in MAP was attenuated in denervated rats and averaged 136 +/- 3 mm Hg on day 13. Kidneys were harvested on day 13 for microcirculatory experiments or measurement of intrarenal Ang II levels. Basal afferent arteriolar diameter was similar in all groups, and group averages ranged from 19.6 to 20.7 microns. Chronic Ang II infusion increased intrarenal Ang II levels. Renal denervation did not alter this effect. Increasing perfusion pressure from 100 to 160 mm Hg reduced afferent arteriolar diameter significantly by 11.2 +/- 0.6% in the sham group and by a similar degree in the remaining three groups. Superfusion with Ang II (10 nmol/L) reduced afferent arteriolar diameter by 34.3 +/- 2.0% in the sham group. This response was enhanced in Ang II-infused (62.3 +/- 3.4%) but not in renal-denervated or Ang II-infused+renal-denervated rats. Additionally, the enhanced afferent arteriolar reactivity to Ang II was not influenced by adrenergic receptor blockade. The afferent arteriolar response to norepinephrine was enhanced in renal-denervated, Ang II-infused, and Ang II-infused+renal-denervated rats compared with sham controls. Administration of the calcium ionophore A23187 decreased afferent arteriolar diameter similarly in all four groups. These results indicate that renal nerves contribute to the development of hypertension and to the enhanced afferent arteriolar responsiveness to Ang II elicited by chronic Ang II infusion.
本研究的目的是确定肾神经在血管紧张素II(Ang II)诱导的高血压中观察到的传入小动脉反应性增强中的作用。将单侧肾切除的Sprague-Dawley大鼠分为四组:假手术大鼠、肾去神经大鼠、Ang II输注(40 ng/min,持续13天)大鼠和Ang II输注+肾去神经大鼠。使用植入的动脉导管,在清醒大鼠中监测平均动脉压(MAP)。Ang II输注导致MAP从98±1(第0天)逐渐升高至166±7 mmHg(第13天)。在去神经大鼠中,MAP的这种升高减弱,在第13天平均为136±3 mmHg。在第13天收获肾脏用于微循环实验或测量肾内Ang II水平。所有组的基础传入小动脉直径相似,组平均值在19.6至20.7微米之间。慢性Ang II输注增加了肾内Ang II水平。肾去神经支配并未改变这种作用。将灌注压力从100 mmHg增加到160 mmHg,假手术组的传入小动脉直径显著减小11.2±0.6%,其余三组也有类似程度的减小。用Ang II(10 nmol/L)灌流使假手术组的传入小动脉直径减小34.3±2.0%。在Ang II输注组(62.3±3.4%)中这种反应增强,但在肾去神经或Ang II输注+肾去神经大鼠中未增强。此外,传入小动脉对Ang II的反应性增强不受肾上腺素能受体阻断的影响。与假手术对照组相比,肾去神经、Ang II输注和Ang II输注+肾去神经大鼠对去甲肾上腺素的传入小动脉反应增强。在所有四组中,给予钙离子载体A23187使传入小动脉直径同样减小。这些结果表明,肾神经参与高血压的发生发展,并参与慢性Ang II输注引起的传入小动脉对Ang II反应性的增强。