Dibona G F, Jones S Y, Sawin L L
Department of Internal Medicine, University of Iowa College of Medicine, and Department of Veterans Affairs Medical Center, Iowa City 52252, USA.
J Am Soc Nephrol. 1998 Nov;9(11):1983-9. doi: 10.1681/ASN.V9111983.
The effects of physiologic alterations in endogenous angiotensin II activity on basal renal sympathetic nerve activity and its cardiac baroreflex regulation were studied. The effect of angiotensin II type 1 receptor blockade with intracerebroventricular losartan was examined in conscious rats consuming a low, normal, or high sodium diet that were instrumented for the simultaneous measurement of right atrial pressure and renal sympathetic nerve activity. The gain of cardiac baroreflex regulation of renal sympathetic nerve activity (% delta renal sympathetic nerve activity/mmHg mean right atrial pressure) was measured during isotonic saline volume loading. Intracerebroventricular losartan did not decrease arterial pressure but significantly decreased renal sympathetic nerve activity in low (-36+/-6%) and normal (-24+/-5%), but not in high (-2+/-3%) sodium diet rats. Compared with vehicle treatment, losartan treatment significantly increased cardiac baroreflex gain in low (-3.45+/-0.20 versus -2.89+/-0.17) and normal (-2.89+/-0.18 versus -2.54+/-0.14), but not in high (-2.27+/-0.15 versus -2.22+/-0.14) sodium diet rats. These results indicate that physiologic alterations in endogenous angiotensin II activity tonically influence basal levels of renal sympathetic nerve activity and its cardiac baroreflex regulation.
研究了内源性血管紧张素II活性的生理改变对基础肾交感神经活动及其心脏压力反射调节的影响。在食用低、正常或高钠饮食的清醒大鼠中,检测了脑室内给予氯沙坦对血管紧张素II 1型受体的阻断作用,这些大鼠已安装仪器以同时测量右心房压力和肾交感神经活动。在等渗盐水容量负荷期间,测量了心脏压力反射对肾交感神经活动的调节增益(肾交感神经活动变化百分比/平均右心房压力毫米汞柱)。脑室内给予氯沙坦并未降低动脉血压,但在低钠(-36±6%)和正常钠(-24±5%)饮食的大鼠中显著降低了肾交感神经活动,而在高钠(-2±3%)饮食的大鼠中则没有。与载体治疗相比,氯沙坦治疗在低钠(-3.45±0.20对-2.89±0.17)和正常钠(-2.89±0.18对-2.54±0.14)饮食的大鼠中显著增加了心脏压力反射增益,但在高钠(-2.27±0.15对-2.22±0.14)饮食的大鼠中则没有。这些结果表明,内源性血管紧张素II活性的生理改变对肾交感神经活动的基础水平及其心脏压力反射调节具有持续性影响。