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感觉神经去神经支配诱导的盐敏感性高血压:一种新模型的介绍

Salt-sensitive hypertension induced by sensory denervation: introduction of a new model.

作者信息

Wang D H, Li J, Qiu J

机构信息

Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, USA.

出版信息

Hypertension. 1998 Oct;32(4):649-53. doi: 10.1161/01.hyp.32.4.649.

DOI:10.1161/01.hyp.32.4.649
PMID:9774358
Abstract

To test the novel hypothesis that neonatal degeneration of capsaicin-sensitive sensory nerves causes the rat to respond to a salt load with a significant and sustained rise in blood pressure, newborn Wistar rats were given 50 mg/kg capsaicin subcutaneously on the 1st and 2nd day of life. Control rats were treated with vehicle. Immediately after the weanling period, male rats were divided into 4 groups and fed different sodium diets for 2 weeks: capsaicin pretreatment plus high sodium diet (4%, CAP-HS), capsaicin plus normal sodium diet (0.5%, CAP-NS), control plus high sodium diet (CON-HS), and control plus normal sodium diet (CON-NS). Both tail-cuff systolic blood pressure and mean arterial pressure with anesthesia were significantly higher in CAP-HS than in CAP-NS, CON-HS, and CON-NS (P<0.05), but they were not different among the latter 3 groups. Radioimmunoassay revealed that levels of calcitonin gene related peptide in dorsal root ganglia were markedly decreased by capsaicin treatment (P<0.05). Twenty-four-hour urine volume and urine sodium excretion were significantly lower in CAP-HS than in CON-HS but were higher in CAP-HS and CON-HS compared with CAP-NS and CON-NS (P<0.05). Urine potassium excretion was not different among the 4 groups. Thus, this study provides the first evidence that neonatal degeneration of capsaicin-sensitive sensory nerves renders the rat salt-sensitive in terms of blood pressure regulation. Furthermore, our data suggest that neonatal capsaicin treatment may impair renal sodium and water excretion responses to high sodium intake. This model will provide a novel experimental paradigm for exploring underlying molecular mechanisms linked with salt-sensitive hypertension and sensory nerve function.

摘要

为了验证这一全新假说,即对辣椒素敏感的感觉神经在新生期发生退化会导致大鼠在摄入盐分后血压显著且持续升高,在出生后的第1天和第2天,给新生的Wistar大鼠皮下注射50 mg/kg辣椒素。对照大鼠接受赋形剂处理。在断奶期结束后,立即将雄性大鼠分为4组,并给予不同的钠饮食,持续2周:辣椒素预处理加高钠饮食(4%,CAP-HS)、辣椒素加正常钠饮食(0.5%,CAP-NS)、对照加高钠饮食(CON-HS)以及对照加正常钠饮食(CON-NS)。CAP-HS组大鼠的尾袖收缩压和麻醉状态下的平均动脉压均显著高于CAP-NS组、CON-HS组和CON-NS组(P<0.05),但后3组之间无差异。放射免疫分析显示,辣椒素处理显著降低了背根神经节中降钙素基因相关肽的水平(P<0.05)。CAP-HS组大鼠的24小时尿量和尿钠排泄量显著低于CON-HS组,但与CAP-NS组和CON-NS组相比,CAP-HS组和CON-HS组的数值更高(P<0.05)。4组大鼠的尿钾排泄量无差异。因此,本研究首次证明,对辣椒素敏感的感觉神经在新生期发生退化会使大鼠在血压调节方面对盐敏感。此外,我们的数据表明,新生期辣椒素处理可能会损害肾脏对高钠摄入的钠和水排泄反应。该模型将为探索与盐敏感性高血压和感觉神经功能相关的潜在分子机制提供一种全新的实验范式。

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