Takeda Y, Miyamori I, Yoneda T, Furukawa K, Inaba S, Takeda R, Mabuchi H
Second Department of Internal Medicine, School of Medicine, Kanazawa University, Izumigaoka, Japan.
Hypertension. 1997 Oct;30(4):953-6. doi: 10.1161/01.hyp.30.4.953.
The mechanism underlying the central hypertensinogenic effects of mineralocorticoids remains unclear. Given that nitric oxide (NO) is thought to act at autonomic sites in the brain to regulate arterial blood pressure, the effects of the potent mineralocorticoids aldosterone and 19-noraldosterone on the abundance of neuronal NO synthase (nNOS) mRNA in the brain were investigated. Wistar-Kyoto rats received a continuous intracerebroventricular infusion of aldosterone or 19-noraldosterone (5 ng/h) from an implanted osmotic minipump for 4 weeks. Total RNA was purified from microdissected tissue blocks containing the hypothalamus, dorsal medulla, rostral ventrolateral medulla, or caudal ventrolateral medulla, and changes in the abundance of nNOS mRNA were determined with a semiquantitative competitive polymerase chain reaction method. Blood pressure was significantly increased in rats 2, 3, and 4 weeks after the onset of intracerebroventricular aldosterone or 19-noraldosterone infusion compared with that in animals receiving vehicle. Subcutaneous infusion of either mineralocorticoid had no effect on blood pressure. Compared with controls, rats treated with aldosterone or 19-noraldosterone for 4 weeks showed significant decreases in the amount of nNOS mRNA in the hypothalamus and rostral and caudal ventrolateral medulla. These data suggest that reduced nNOS activity may contribute to the increase in blood pressure in rats with central mineralocorticoid-induced hypertension.
盐皮质激素产生中枢性高血压作用的潜在机制仍不清楚。鉴于一氧化氮(NO)被认为在大脑的自主神经部位发挥作用以调节动脉血压,因此研究了强效盐皮质激素醛固酮和19-去甲醛固酮对大脑中神经元型一氧化氮合酶(nNOS)mRNA丰度的影响。Wistar-Kyoto大鼠通过植入的渗透微型泵持续脑室内输注醛固酮或19-去甲醛固酮(5 ng/h),持续4周。从含有下丘脑、延髓背侧、延髓头端腹外侧或延髓尾端腹外侧的显微切割组织块中纯化总RNA,并用半定量竞争性聚合酶链反应方法测定nNOS mRNA丰度的变化。与接受赋形剂的动物相比,脑室内输注醛固酮或19-去甲醛固酮后2、3和4周的大鼠血压显著升高。皮下输注任何一种盐皮质激素对血压均无影响。与对照组相比,用醛固酮或19-去甲醛固酮治疗4周的大鼠下丘脑以及延髓头端和尾端腹外侧的nNOS mRNA量显著减少。这些数据表明,nNOS活性降低可能导致中枢性盐皮质激素诱导的高血压大鼠血压升高。