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纸质出版:2012
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刘洁,周音频,王霄,杨易,黄岚.去肾神经对中年自发性高血压大鼠血压的影响[J].陆军军医大学学报(原第三军医大学学报),2012,34(04):336-340.
Liu Jie,Zhou Yinpin,Wang Xiao,Yang Yi,Huang Lan.Renal denervation in treatment of spontaneous hypertension in adult rats[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(04):336-340.
目的 研究去肾神经对中年自发性高血压大鼠血压的影响。 方法 30周龄自发性高血压大鼠(spontaneous hypertensive rats,SHR)及正常血压大鼠(Wistar kyoto rats,WKY)各25只,按随机区组设计分为5组,根据观察时间分为1、4、9、16、32 d组(n=10),于第2天行去肾神经术。无创鼠尾血压仪(BP-98A)测量血压;10%苯酚乙醇溶液去肾神经;ELISA法测定肾组织中去甲肾上腺素(nonadrenaline,NE)含量及肾素活性;RT-PCR法和Western blot法测定大鼠腹主动脉α
1
、β
1
-肾上腺素能受体(α
1
、β
1
-受体)在mRNA和蛋白水平上的表达水平。 结果 未去肾神经的中年SHR血浆及肾组织NE含量及肾素活性水平明显高于中年WKY(P0.05),主动脉α
1
、β
1
-受体mRNA和蛋白的表达与同龄的WKY差异无显著性(P0.05);去肾神经急性期,中年SHR血压迅速下降 (P0.05),血浆与肾组织NE含量及肾素活性降低(P0.05);主动脉α
1
-受体mRNA和蛋白表达上调(P0.05),β
1
-受体mRNA和蛋白表达差异无显著性(P0.05);慢性期,肾组织NE含量和肾素活性升高(P0.05),主动脉α
1
、β
1
-受体mRNA和蛋白表达均上调(P0.05)。去肾神经对中年WKY无显著性影响(P0.05)。 结论 去肾神经对于中年SHR大鼠的降压效应是暂时的,急性期血压下降,α
1
-受体表达上调,β
1
-受体表达无变化;慢性期血压升高,α
1
、β
1
-受体表达均上调;血压的变化与NE及肾素活性的变化一致。
Objective To determine the effect of renal denervation on hypertension in the middle-aged rats. Methods A total of 25 spontaneous hypertension rats (SHR) and 25 Wistar kyoto rats (WKY) aging 30-week-old male rats
weighing 350 to 420
g were randomly divided into 5 groups randomly
that is
1-day group
4-day group
9-day group
16-day group
and 32-day group (n=10
including 5 SHR and 5 WKY rats in each group). The implementation of the renal denervation was on the second day with 10% phenol ethanol solution. Blood pressure was measured by a non-invasive tail blood pressure meter (BP-98A). The plasma and renal tissue norepinephrine (nonadrenaline
NE) content and rennin activity were detected by ELISA. The expression of α
1
- and β
1
-adrenoreceptor (α
1
-R and β
1
-R)in rat aortic smooth muscle were determined by RT-PCR and Western blotting respectively for their mRNA and protein levels. Results NE content and renin activity in the plasma and renal tissue were significantly higher in middle-aged SHR than in middle-aged WKY rats (P0.05). However
the expression of the aorta α
1
-R and β
1
-R at the mRNA and protein levels had no significant difference in middle-aged SHR and WKY rats (P0.05). Rapid decline in blood pressure was observed in middle-aged SHR after denervation (P0.05)
and NE content and renin activity in the plasma and renal tissue was significantly decreased (P0.05)
but the expression of the aorta α
1
-R was up-regulated (P0.05)
and β
1
-R had no difference (P0.05). In the chronic denervation period
the blood pressure as well as renal NE content and renin activity were gradually higher than normal levels (P0.05). The expression of α
1
-R and β
1
-R were up-regulated which ultimately higher than initial levels (P0.05). The expression of α
1
R and β
1
-R protein was similar with the expression of mRNA. Conclusion Renal denervation attenuates the high blood pressure temporarily in the middle-aged SHR. During the acute period
α
1
-R is up-regulated. However
blood pressure is gradually increased in chronic period with the up-regulation of α
1
R and β
1
-R. Changes in the b
lood pressure are consistent with the changes in the NE and renin activity.
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