Cabassi A, Vinci S, Calzolari M, Bruschi G, Cavatorta A, Borghetti A
Dipartimento di Clinica Medica, Nefrologia e Scienze della Prevenzione, Università degli Studi, Parma.
Cardiologia. 1997 Apr;42(4):393-6.
Several studies on spontaneously hypertensive rats (SHR) have demonstrated increased activity of the sympathetic nervous system (SNS). Using microdialysis, we have observed a greater release of norepinephrine (NE) into the interstitia of striated muscle, than that observed in control Wistar-Kyoto (WKY) rats in the prehypertensive phase. We confirmed these results in the subcutaneous adipose tissue where the sympathetic output controls metabolism. This study was carried out in order to evaluate SNS activity in two district tissue types conducted during both the prehypertensive phase (4-5 weeks of age) and the established hypertensive phase (15-16 weeks of age). Interstitial concentrations of NE were measured by microdialysis in striated muscle and subcutaneous adipose tissue. Two groups of rats were studied. Each group was made up of 8 subjects, SHR and WKY, males of 4-5 weeks of age with a mean body weight of 80 and 75 g respectively. Arterial systolic pressure (tail-cuff) values were 106 mmHg (standard deviation +/-8.2) in SHR and 101 mmHg (standard deviation +/-6.9) in WKY rats (NS). Two microdialysis probes were positioned in the subcutaneous fatty tissue and in the striated muscle of the parascapular region and perfused with Ringers' solution. The dialysate was collected every 30 min for 150 min and analyzed in high-performance liquid chromatography-every day. The content of NE and other catecholamines was determined. The same animals in both groups were reevaluated at 15-16 weeks of age. The mean body weight at this time was 246 g for the SHR and 289 g for the WKY rats. Arterial systolic pressure was 161 mmHg (standard deviation +/-13.3) and 108 mmHg (standard deviation +/-15.6) respectively (p < 0.01, Student's t test). Interstitial levels of NE were higher in SHR than in WKY rats in both tissues examined in the prehypertensive phase and in the established hypertensive phase. Mean NE values from subcutaneous adipose tissue in 4-5 week-old SHR were 1362.1 +/- 181.3 pg/ml compared to 479.0 +/- 162.3 pg/ml in WKY rats (p < 0.001, Student's t test). Muscle tissue NE levels in SHR were 1292.7 +/- 319.1 vs 536.3 +/- 146.7 pg/ml in WKY rats (p < 0.001, Student's t test). Values from the same rats at 15-16 weeks of age were 1405.0 +/- 148.3 pg/ml in SHR compared to 501.6 +/- 131.2 pg/ml in fatty tissue from WKY rats and 1893.7 +/- 214.6 vs 502.0 +/- 118.8 pg/ml in muscle tissue from the respective groups (p < 0.001, Student's t test). Significant differences (p < 0.01, Student's t test) were also observed in mean NE values in striated muscle tissue during the developing phase of hypertension. These findings document SNS hyperactivity in SHR when compared to WKY normotensive controls. This increase in SNS activity was observed in both the prehypertensive phase and in the established hypertensive phase indicating a complete disassociation from regional components of regulation (baroreceptor control and metabolic control), at least in the prehypertensive phase. These results may suggest as alteration in primitive sympathetic central outflow. Higher interstitial NE concentrations in the muscle tissue from SHR during the hypertensive phase compared to levels of young animals that are still normotensive, reveal an interesting pathophysiological aspect for the development of arterial hypertension.
多项针对自发性高血压大鼠(SHR)的研究表明,交感神经系统(SNS)的活性增强。通过微透析,我们观察到,与处于高血压前期的对照Wistar-Kyoto(WKY)大鼠相比,去甲肾上腺素(NE)向横纹肌间质中的释放量更多。我们在交感输出控制新陈代谢的皮下脂肪组织中证实了这些结果。本研究旨在评估在高血压前期(4 - 5周龄)和已确立的高血压期(15 - 16周龄)期间,两种不同组织类型中的SNS活性。通过微透析测量横纹肌和皮下脂肪组织中NE的间质浓度。研究了两组大鼠。每组由8只雄性大鼠组成,分别为4 - 5周龄的SHR和WKY,平均体重分别为80克和75克。SHR的动脉收缩压(尾袖法)值为106 mmHg(标准差±8.2),WKY大鼠为101 mmHg(标准差±6.9)(无显著性差异)。将两根微透析探针置于肩胛旁区域的皮下脂肪组织和横纹肌中,并用林格氏液灌注。每30分钟收集一次透析液,共收集150分钟,每天进行高效液相色谱分析,测定NE和其他儿茶酚胺的含量。两组中的相同动物在15 - 16周龄时再次进行评估。此时SHR的平均体重为246克,WKY大鼠为289克。动脉收缩压分别为161 mmHg(标准差±13.3)和108 mmHg(标准差±15.6)(p < 0.01,学生t检验)。在高血压前期和已确立的高血压期,所检查的两种组织中,SHR的NE间质水平均高于WKY大鼠。4 - 5周龄SHR皮下脂肪组织中的平均NE值为1362.1±181.3 pg/ml,而WKY大鼠为479.0±162.3 pg/ml(p < 0.001,学生t检验)。SHR肌肉组织中的NE水平为1292.7±319.1 pg/ml,而WKY大鼠为536.3±146.7 pg/ml(p < 0.001,学生t检验)。15 - 16周龄时,相同大鼠的SHR皮下脂肪组织中的值为1405.0±148.3 pg/ml,WKY大鼠为501.6±131.2 pg/ml;肌肉组织中分别为1893.7±214.6 pg/ml和502.0±118.8 pg/ml(p < 0.001, 学生t检验)。在高血压发展阶段,横纹肌组织中的平均NE值也观察到显著差异(p < 0.01,学生t检验)。这些发现表明,与WKY正常血压对照相比,SHR存在SNS功能亢进。在高血压前期和已确立的高血压期均观察到SNS活性增加,这表明至少在高血压前期,与调节的区域成分(压力感受器控制和代谢控制)完全分离。这些结果可能提示原始交感神经中枢输出发生改变。与仍处于正常血压的年轻动物相比,高血压期SHR肌肉组织中更高的间质NE浓度揭示了动脉高血压发展过程中一个有趣的病理生理学方面。