Ilhami N, Giudicelli Y, Dausse J P
CJF Inserm 94.02, Service de Biochimie de Paris-Quest, UFR Biomédicale des Saints-Pères, Paris, France.
Am J Hypertens. 1998 Jul;11(7):790-5. doi: 10.1016/s0895-7061(98)00044-2.
Studies in humans have suggested that hyperinsulinemia might play an important role in salt sensitivity and in the later development of high blood pressure. This possibility has been tested in this study on Sabra rats, an animal model of salt-induced hypertension. Salt-sensitive (SBH) and salt-resistant (SBN) Sabra rats have been submitted to either a normal (0.2% NaCl) or a high salt (8% NaCl) diet for 6 weeks. Comparisons of blood pressure, basal glucose and insulin levels, and insulin response to glucose overload (1 g/kg) have been made. As pancreatic alpha2-adrenergic receptors are implicated in the control of insulin release, their densities have been determined on plasma membranes by saturation studies with [3H]-RX-821002 as the specific radioligand. Under normal diet, blood pressures were respectively 133 +/- 9 and 108 +/- 10 mm Hg (n = 6) in SBH and SBN. Basal glucose and insulin levels and insulin response to glucose overload were found to be significantly higher in SBH than in SBN. In contrast, alpha2-adrenergic receptor densities were lower (P < .001) in SBH when compared to SBN. High salt diet increased (P < .01) blood pressure, decreased basal glucose (P < .01) and insulin (P < .001) levels only in SBH. However, when compared to SBN the insulin response to glucose overload was maintained higher in SBH. Alpha2-adrenergic receptor densities and difference between SBH and SBN did not differ from those found in normal diet. In conclusion, the salt-induced high blood pressure of salt-sensitive Sabra rats is not associated with hyperinsulinemia and insulin resistance. Indeed, an improvement in the insulin sensitivity appears to be induced by either a high salt diet or high blood pressure.
对人类的研究表明,高胰岛素血症可能在盐敏感性以及高血压的后期发展中起重要作用。在本研究中,已在盐诱导性高血压的动物模型——萨布拉大鼠身上对这一可能性进行了测试。盐敏感型(SBH)和盐抵抗型(SBN)萨布拉大鼠被给予正常(0.2%氯化钠)或高盐(8%氯化钠)饮食6周。对血压、基础葡萄糖和胰岛素水平以及对葡萄糖负荷(1克/千克)的胰岛素反应进行了比较。由于胰腺α2-肾上腺素能受体与胰岛素释放的控制有关,已通过以[3H]-RX-821002作为特异性放射性配体的饱和研究来测定其在质膜上的密度。在正常饮食条件下,SBH和SBN的血压分别为133±9和108±10毫米汞柱(n = 6)。发现SBH的基础葡萄糖和胰岛素水平以及对葡萄糖负荷的胰岛素反应显著高于SBN。相比之下,与SBN相比,SBH的α2-肾上腺素能受体密度较低(P <.001)。高盐饮食仅在SBH中使血压升高(P <.01),基础葡萄糖(P <.01)和胰岛素(P <.001)水平降低。然而,与SBN相比,SBH对葡萄糖负荷的胰岛素反应仍保持较高水平。α2-肾上腺素能受体密度以及SBH和SBN之间的差异与正常饮食时的情况没有不同。总之,盐敏感型萨布拉大鼠的盐诱导性高血压与高胰岛素血症和胰岛素抵抗无关。实际上,高盐饮食或高血压似乎均可诱导胰岛素敏感性提高。