奥美沙坦对Dahl盐敏感型高血压大鼠盐敏感性的影响

Effects of olmesartan on the salt sensitivity of Dahl salt-sensitive rats

  • 摘要: 目的探讨血管紧张素受体拮抗剂(ARB)对Dahl盐敏感型高血压(Dahl S)大鼠盐敏感性的影响及其机制。方法实验1:将15只9周雄性Dahl S大鼠随机分为对照组(n=8)和ARB治疗组(n=7)。通过渗透泵用100nmol/(kg·h)的速度分别给对照组和ARB组泵入2.5%碳酸钠或2.5%碳酸钠的奥美沙坦溶液。用无线遥测传送器,连续观察两组大鼠在基线、正常盐(0.5%NaCl)喂食、高盐(8%NaCl)喂食及恢复到正常盐喂食各1周的24h平均动脉压(MAP)的变化。使用24h尿钠排泄和MAP(Na-MAP)关系曲线的斜率值评估盐敏感性。实验2:将24只10周龄雄性Dahl S大鼠随机分为正常盐喂食组,高盐喂食组,正常盐喂食+ARB组和高盐喂食+ARB组,每组6只。使用的饲料和投药剂量与方法和实验1相同。观察7d后,测定大鼠肾脏内氧化应激水平肾皮质的烟酰胺腺嘌呤二核苷酸磷酸NAD(P)H氧化酶活性和p22phox mRNA水平和24h尿H2O2排泄量。结果实验1中,对照组的MAP在正常盐喂食1周、高盐喂食1周、恢复正常盐喂食1周时比同期ARB治疗组高分别(124.0±2.0)比(99.1±1.6)、(138.6±2.7)比(127.2±3.6)、(120.7±2.5)比(92.5±2.0)mm Hg,均P<0.05。对照组Na-MAP曲线斜率与ARB治疗组差异无统计学意义(P>0.05)。实验2中,与正常盐喂食组相比,高盐组的收缩压、肾皮质NAD(P)H氧化酶活性、肾皮质p22phox mRNA相对含量和24h尿H2O2排泄量较高分别(149.3±7.9)比(120.8±5.1)mm Hg、(347.7±23.6)比(253.2±11.8)CPM×103/mg pro、(0.70±0.08)比(0.53±0.07)p22phox/GAPDH、(151.0±17.9)比(40.2±6.3)nmol/(L·24h),血浆血管紧张素Ⅱ(AngⅡ)较低(26.4±4.0)比(49.8±4.1)pmol/L,均P<0.01。与高盐组比较,高盐+ARB组的收缩压、肾皮质NAD(P)H氧化酶活性、肾皮质p22phox mRNA相对含量、24h尿H2O2排泄量、肾皮质AngⅡ降低分别(113.7±6.4)比(149.3±7.9)mm Hg、(277.1±19.0)比(347.7±23.6)CPM×103/mg pro、(0.54±0.08)比(0.70±0.08)、(108.4±11.2)比(151.0±17.9)nmol/(L·24h)、(73.1±7.0)比(162.1±15.4)fmol/g tiss,血浆AngⅡ升高(61.3±5.7)比(26.4±4.0)pmol/L,均P<0.05。结论无论正常盐还是高盐喂食,奥美沙坦可以明显降低Dahl S大鼠MAP。奥美沙坦可以有效地抑制高盐喂食引起的Dahl S大鼠肾脏内和全身氧化应激水平的增加,同时并不增加Dahl S大鼠的盐敏感性。

     

    Abstract: Objective To study the effect of the angiotensin receptor blocker(ARB)on the salt sensitivity of blood pressure in Dahl salt-sensitive(Dahl S)rats. Methods Experiment 1,the mean arterial blood pressure(MAP)of Dahl S rats was monitored by radio telemetry and,after baseline measurements,the rats were treated with either vehicle(n=8)or the ARB olmesartan100nmol/(kg·h),subcutaneously(n=7). The rats were fed the 0.5%salt diet during the baseline period and the first 7dof treatment,the diet was then switched to one containing 8%salt for another 7d,and the rats were returned to the 0.5%salt diet for the final 7d. Salt sensitivity was indicated by the slope of the Na-MAP relationship. Experiment 2,Dahl S rats were divided into 4groups:normal diet(0.5%salt;NS),8% high salt diet(HS),and NS or HS plus olmesartan groups. On day 7after the end of the experiment,renalrenal cortical nicotinamide adenine dinucleotide phosphate NAD(P)Hoxidase activity and p22phox mRNA levels and urinary(24hurine H2O2 excretion)oxidative stress levels were measured. Results In the first experiment,the MAPs in control group which were measured at baseline,7days’ after 0.5%salt diet,7days’ after 8%salt diet and 7days’ after returned 0.5% salt diet were(124.0±2.0),(138.6±2.7),(120.7±2.5)mm Hg respectively while those in ARB group were(99.1±1.6),(127.2±3.6),(92.5±2.0)mm Hg. The slope of the Na-MAP relationship showed no significant difference between control group and ARB group(P>0.05). In the second experiment,systolic blood pressure(SBP),renal cortical NAD(P)H oxidase activity,renal cortical p22phox mRNA levels,24hurine H2O2excretion(149.3±7.9)vs(120.8±5.1)mm Hg,(347.7±23.6)vs(253.2±11.8)CPM×103/mg pro,0.70±0.08vs 0.53±0.07,(151.0±17.9)vs(40.2±6.3)nmol/(L·24h),all P<0.01were significantly increased,and plasma angiotensin Ⅱ concentration(26.4±4.0)vs(49.8±4.1)pmol/L,P<0.01was significantly reduced in the HS group compared with the NS group.SBP,renal cortical NAD(P)H oxidase activity,renal cortical p22phox mRNA levels,24 h urine H2O2 excretion,renal cortical angiotensinⅡconcentration(113.7±6.4)vs(149.3±7.9)mm Hg,(277.1±19.0)vs(347.7±23.6)CPM×103/mg pro,(0.54±0.08)vs(0.70±0.08),(108.4±11.2)vs(151.0±17.9)nmol/(L·24h),(73.1±7.0)vs(162.1±15.4)fmol/g tissue,all P<0.05)were significantly reduced,and plasma angiotensin Ⅱ concentration(61.3±5.7)vs(26.4±4.0)pmol/L,P<0.05was significantly increased in the HS plus ARB group compared with the HS group. Conclusion We have demonstrated that ARB olmesartan can significantly reduce blood pressure,even for the high salt diet,and does not affect salt sensitivity in Dahl S rats.The effects of it could be in part due to renal cortical oxidative stress levels.

     

/

返回文章
返回