高脂喂食诱导的肥胖大鼠肾周脂肪与血压的关系及替米沙坦干预的影响

Effect of telmisartan on the relation between perirenal adipose and blood pressure in high-fat diet-induced obese rats

  • 摘要: 目的探讨高脂喂食诱导的肥胖大鼠肾周脂肪与血压水平的关系以及血管紧张素受体拮抗剂替米沙坦对其的干预作用。方法给予8周龄雄性Wistar大鼠高脂喂食12周,建立肥胖大鼠模型。肥胖大鼠随机分为高脂组和干预组(n=7),分别给予高脂饲料和高脂饲料+替米沙坦8mg/(kg·d)。另取体质量、周龄匹配雄性Wistar大鼠为空白组(给予标准大鼠饲料)和对照组标准大鼠饲料+替米沙坦8mg/(kg·d),每组7只。每周称重并采用无创尾动脉测压法监测大鼠血压。药物干预20周后,颈动脉插管测得血压,并测定大鼠体质量、肾周脂肪质量、血脂、血糖和胰岛素水平,血浆及肾周脂肪组织血管紧张素Ⅱ(AngⅡ)、醛固酮水平,并检测肾周脂肪血管紧张素Ⅱ1型受体(AT1R)水平。结果实验结束时高脂组大鼠体质量、收缩压及舒张压高于空白组(均P<0.05)。且高脂组肾周脂肪相对质量(0.46±0.02)比(0.14±0.01)g/100g、血浆AngⅡ水平(2360.0±380.7)比(1697.9±360.7)ng/L、肾周脂肪AT1R蛋白及mRNA水平高于空白组(均P<0.05)。与高脂组比较,干预组肥胖大鼠的体质量及肾周脂肪质量、收缩压及舒张压水平降低,血浆AngⅡ水平减少,肾周脂肪局部肾素血管紧张素醛固酮系统(RAAS)组分降低(均P<0.05)。相关性分析发现大鼠肾周脂肪相对质量与收缩压和舒张压呈正相关(分别r=0.773和0.673,均P<0.01)。大鼠体质量与收缩压呈正相关(r=0.628,P<0.01),与舒张压无相关(r=0.214,P>0.05)。多元逐步回归分析结果表明,体质量(β=0.287)、肾周脂肪相对质量(β=0.405)、肾周脂肪AngⅡ水平(β=0.324)、血浆AngⅡ水平(β=0.721)及醛固酮水平(β=0.305)是大鼠收缩压的影响因素(均P<0.05),血浆AngⅡ水平(β=0.529)、肾周脂肪相对质量(β=0.413)、肾周脂肪AngⅡ水平(β=0.257)是大鼠舒张压的影响因素(均P<0.05)。结论替米沙坦可通过减少肾周脂肪堆积,抑制其局部RAAS,改善肥胖相关的血压异常。

     

    Abstract: Objective To investigate the relationship between perirenal adipose tissue and blood pressure in high-fat diet-induced obese rats,and the intervention effect of angiotensinⅡ(AngⅡ)receptor antagonist(ARB)telmisartan. Methods An obese model was established in 8-week old male Wistar rats by high-fat diet administration for12 weeks. Obese rats were randomly divided into high-fat diet group and telmisartan intervention group8mg/(kg·d),n=7. Age/weight-matched rats with normal diet were divided into blank group and control group with 8mg/(kg·d)telmisartan,n=7. Then intervention group and control group were treated with telmisartan for 20 weeks. Body weight was measured and blood pressure was monitored by tail-cuff method every week. At the end of the experiment,body weight,perirenal adipose tissue weight,serum biochemical parameters,Ang Ⅱ and aldosterone level in circulation and perirenal adipose tissue,mRNA and protein expression of angiotensin type 1receptor(AT1R)in perirenal adipose tissue were examined. Results At the end of the experiment,rats fed with high-fat diet showed abdominal obesity with elevated blood pressure and their body weight,systolic blood pressure and diastolic blood pressure were significantly higher than rats with normal diet(P<0.05). In high-fat diet group,the additional perirenal fat weight(0.46±0.02)vs(0.14±0.01)g/100g,the level of plasma AngⅡ(2360.0±380.7)vs(1697.9±360.7)ng/L,the expression of AT1 R protein and mRNA of perirenal fat were significantly higher than those in blank group(all P<0.05). Telmisartan significantly reduced body weight and perirenal fat weight of obese rats,decreased blood pressure level,reduced the level of plasma AngⅡ and the perirenal fat renin-angiotensin-aldosterone system components(RAAS),while had no significant impact on the normal diet rats. The correlation analysis showed that additional perirenal fat weight had been obviously positive correlation with both systolic blood pressure and diastolic blood pressure(r=0.773,0.673,all P<0.05),and similarly,body weight and systolic blood pressure were positively correlated(r=0.628,all P<0.05),but body weight had no correlation with diastolic blood pressure(r=0.214,P>0.05). Multiple stepwise regression analysis showed that,the body wight(β=0.287),the additional perirenal fat weight(β=0.405),the level of Ang Ⅱin perirenal fat(β=0.324),the level of plasma Ang Ⅱ(β=0.721)and the level of plasma aldosterone(β=0.305)were impact factors of systolic blood pressure,and the level of plasma Ang Ⅱ(β=0.529),the additional perirenal fat weight(β=0.413)and the level of Ang Ⅱ in perirenal fat(β=0.257)were impact factors of diastolic blood pressure(all P<0.05).Conclusion Telmisartan might improve abnormal blood pressure induced by high-fat diet partly by reducing perirenal adipose tissue weight and suppressing local renin-angiotensin system.

     

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