Lin S, Ni D, Fan S
Division of Nephrology, Huashan Hospital, Shanghai Medical University.
Zhonghua Yi Xue Za Zhi. 1996 Jun;76(6):423-6.
To determine the effect of area postrema AP on DOCA-salt induced hypertension in rat, with emphasis on renal hemodynamics.
Blood pressure, salt and water balances and renal hemodynamics were observed in AP ablated and sham-operated rats treated with DOCA-salt.
In AP intact (API) rats, after one week of DOCA-salt treatment BP began elevating to statistical significance at the end of the second week (MAP 15.9 +/- 0.7 vs. 13.5 +/- 0.5 kPa), followed by a plateau period from the third to fifth week. In AP ablated (APX) rats, BP raised during the first week of DOCA-salt treatment. However, the elevation gradually disappeared and BP returned to baseline at the fifth week. Sodium balance study showed that DOCA-salt treatment induced significant sodium retention in API rat, while the sodium metabolism remained stable in APX group except in the first week. Basal renal hemodynamic parameters (GFR, RPF, UNaV, UV) were not changed at neither the beginning nor the end of the study. However, a small dose of hypertonic saline (7% NaCl 0.3 ml) injection caused a brisk rising of these four parameters in APX but not API group.
AP plays an important role in normal salt and water metabolism and might be involved in pathogenesis of DOCA-salt hypertension through regulation for renal hemodynamics and body fluid homeostasis.
确定最后区(AP)对去氧皮质酮盐(DOCA-盐)诱导的大鼠高血压的影响,重点关注肾血流动力学。
观察接受DOCA-盐治疗的AP切除大鼠和假手术大鼠的血压、盐和水平衡以及肾血流动力学。
在AP完整(API)大鼠中,DOCA-盐治疗1周后,血压在第二周结束时开始升高至具有统计学意义(平均动脉压15.9±0.7 vs. 13.5±0.5 kPa),随后在第三至第五周进入平台期。在AP切除(APX)大鼠中,DOCA-盐治疗第一周血压升高。然而,这种升高逐渐消失,血压在第五周恢复到基线水平。钠平衡研究表明,DOCA-盐治疗在API大鼠中诱导了显著的钠潴留,而APX组除第一周外钠代谢保持稳定。基础肾血流动力学参数(肾小球滤过率、肾血浆流量、尿钠排泄量、尿量)在研究开始和结束时均未改变。然而,注射小剂量高渗盐水(7% NaCl 0.3 ml)使APX组而非API组的这四个参数迅速升高。
AP在正常盐和水代谢中起重要作用,可能通过调节肾血流动力学和体液稳态参与DOCA-盐高血压的发病机制。