Alfie M E, Sigmon D H, Pomposiello S I, Carretero O A
Department of Medicine, Henry Ford Hospital, Detroit, Micho 48202, USA.
Hypertension. 1997 Jan;29(1 Pt 2):483-7. doi: 10.1161/01.hyp.29.1.483.
Renal kinins release prostaglandins and nitric oxide via the B2 receptor, promoting diuresis and natriuresis; hence, they may also contribute significantly to blood pressure regulation. We hypothesized that mutant mice lacking the gene encoding for the bradykinin-B2 receptor (B2-KO) become hypertensive when placed on a long-term high-salt diet. To test this, B2-KO and control mice were placed on either a normal (0.2%) or high-Na+ diet (3.15% in food plus 1% saline as drinking water) for 8 weeks. Systolic blood pressure was determined during weeks 6 and 8 by a computerized tail-cuff system. At the end of the 8-week period, mice were anesthetized for determination of mean blood pressure, renal blood flow, and renal vascular resistance. In B2-KO mice maintained on high Na+, systolic blood pressure was 15 mm Hg higher than in knockout animals on normal Na+ (P < .01). In contrast, there was no difference in blood pressure in control mice fed either a normal or a high-Na+ diet. Consistent with the systolic blood pressure data, direct mean arterial pressure revealed that B2-KO mice on high Na+ were hypertensive (115 +/- 6 in B2-KO on high-Na+ diet versus 79 +/- 2.8 in B2-KO on normal Na+, P < .0001); renal blood flow was reduced by 20% (P < .05) and renal vascular resistance was doubled (P < .0001) compared with B2-KO mice on normal Na+. In contrast, control mice on high Na+ were normotensive and tended to have increased renal blood flow and decreased renal vascular resistance compared with control mice on a normal Na+ diet. These findings indicate that kinins play an important role in preventing salt-sensitive hypertension; this may be achieved by maintaining renal blood flow under conditions of high salt intake.
肾激肽通过B2受体释放前列腺素和一氧化氮,促进利尿和排钠;因此,它们可能在血压调节中也发挥着重要作用。我们推测,缺乏缓激肽B2受体编码基因的突变小鼠(B2-KO)在长期高盐饮食时会出现高血压。为了验证这一点,将B2-KO小鼠和对照小鼠分别置于正常(0.2%)或高钠饮食(食物中含3.15%氯化钠,饮用水中含1%氯化钠)环境中8周。在第6周和第8周时,通过电脑化尾套系统测定收缩压。在8周实验期结束时,将小鼠麻醉以测定平均血压、肾血流量和肾血管阻力。保持高钠饮食的B2-KO小鼠,其收缩压比保持正常钠饮食的基因敲除小鼠高15 mmHg(P <.01)。相比之下,给予正常或高钠饮食的对照小鼠血压没有差异。与收缩压数据一致,直接平均动脉压显示,保持高钠饮食的B2-KO小鼠出现高血压(高钠饮食的B2-KO小鼠为115±6,正常钠饮食的B2-KO小鼠为79±2.8,P <.0001);与正常钠饮食的B2-KO小鼠相比,其肾血流量减少了20%(P <.05),肾血管阻力增加了一倍(P <.0001)。相比之下,高钠饮食的对照小鼠血压正常,与正常钠饮食的对照小鼠相比,其肾血流量有增加趋势,肾血管阻力有降低趋势。这些发现表明,激肽在预防盐敏感性高血压中起重要作用;这可能是通过在高盐摄入情况下维持肾血流量来实现的。