Leenen F H, Yuan B
Hypertension Unit, University of Ottawa Heart Institute, Ontario, Canada.
J Hypertens. 1998 Jun;16(6):885-92. doi: 10.1097/00004872-199816060-00020.
To study the effects of short-term and long-term high sodium intake on cardiac mass and design in sodium-sensitive spontaneously hypertensive rats versus sodium-resistant Wistar-Kyoto rats.
Young spontaneously hypertensive rats and Wistar-Kyoto rats were randomly allocated to control diet, 2 or 8% dietary sodium for 2-12 weeks and changes in resting hemodynamics, cardiac angiotensin II level, sympathetic activity and cardiac structure evaluated. Sympathetic activity was assessed by measuring levels of plasma catecholamines, responses of blood pressure to ganglionic blockade, and rates of cardiac turnover of norepinephrine.
High sodium intake for 4 weeks increased left ventricle weight of Wistar-Kyoto rats aged 4 weeks (by 11 and 25% for 2 and 8% NaCl diets, respectively). This hypertrophic response was temporary, however, had already diminished after 6 weeks, and was absent after 12 weeks of a high sodium intake. However, after prolonged exposure concentric remodeling occurred (i.e. left ventricle wall thickness : radius ratio increased with no change in left ventricle mass). High sodium intake did not affect resting blood pressure, cardiac index, cardiac angiotensin II level, and general sympathetic activity of Wistar-Kyoto rats. Short-term high sodium intake did not increase left ventricle mass of young spontaneously hypertensive rats, unless sodium intake was so high (8% NaCl) that blood pressure and general sympathetic activity increased, too. However, a prolonged moderate (2%) increase in sodium intake also caused concentric remodeling in spontaneously hypertensive rats without increasing left ventricle mass, blood pressure, cardiac index, and general and cardiac sympathetic activities.
The blood pressure in young Wistar-Kyoto rats is sodium-insensitive but the heart structure is sodium-sensitive and high dietary sodium intake causes an early hypertrophic response, and then concentric remodeling. In contrast, hypertrophic response appears to occur after the response of blood pressure in spontaneously hypertensive rats, whereas the remodeling is similar to that in Wistar-Kyoto rats.
研究短期和长期高钠摄入对钠敏感型自发性高血压大鼠及钠抵抗型Wistar-Kyoto大鼠心脏质量和结构的影响。
将年轻的自发性高血压大鼠和Wistar-Kyoto大鼠随机分配至对照饮食组、含2%或8%膳食钠的饮食组,持续2至12周,评估静息血流动力学、心脏血管紧张素II水平、交感神经活性和心脏结构的变化。通过测量血浆儿茶酚胺水平、血压对神经节阻断的反应以及去甲肾上腺素的心脏周转率来评估交感神经活性。
4周龄的Wistar-Kyoto大鼠摄入高钠4周后,左心室重量增加(2%和8%氯化钠饮食组分别增加11%和25%)。然而,这种肥厚反应是暂时的,6周后已减弱,高钠摄入12周后则消失。但长期暴露后出现了向心性重塑(即左心室壁厚度与半径之比增加,而左心室质量无变化)。高钠摄入不影响Wistar-Kyoto大鼠的静息血压、心脏指数、心脏血管紧张素II水平和总体交感神经活性。短期高钠摄入不会增加年轻自发性高血压大鼠的左心室质量,除非钠摄入量过高(8%氯化钠)以至于血压和总体交感神经活性也增加。然而,自发性高血压大鼠长期适度增加(2%)钠摄入量也会导致向心性重塑,而不增加左心室质量、血压、心脏指数以及总体和心脏交感神经活性。
年轻的Wistar-Kyoto大鼠血压对钠不敏感,但心脏结构对钠敏感,高膳食钠摄入会引起早期肥厚反应,随后是向心性重塑。相比之下,自发性高血压大鼠的肥厚反应似乎在血压反应之后出现,但重塑过程与Wistar-Kyoto大鼠相似。