去肾动脉交感神经对高血压大鼠急性期肾素活性及心室重塑的影响  

Effect of Renal Sympathetic Denervation on Renin Activity and Ventricular Remodeling in Spontaneously Hypertensive Rats in Acute Stage

作　　者：陶四明[1] 陈韵羽 魏榕 韩明华[1] TAO Si-ming;CHEN Yun-yu;WEI Rong;HAN Ming-hua(Dept.of Cardiovascular Diseases,The Second People’s Hospital of Yunnan Province,Kunming Yunnan 650021,China)

机构地区：[1]云南省第二人民医院心血管病中心,云南昆明650021

出　　处：《昆明医科大学学报》2021年第2期96-102,共7页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2013FB182);云南省卫健委医学后备人才培养计划基金资助项目(H-2017019)。

摘　　要：目的观察自发性高血压大鼠去肾动脉交感神经术后无创血压、血浆及组织肾素活性和心脏组织结构的变化,旨在评价去肾动脉交感神经治疗对高血压相关心脏重塑的影响。方法本研究纳入雄性12周龄自发性高血压大鼠(SHR)50只,平均体重(265±12)g。随机分为手术处理组(M组)和空白对照组(B组),据处理范围及方式不同,再随机将M组大鼠不同亚组(左侧组,右侧组,双侧组,假手术组),5只WKY大鼠为阴性对照组(F组)。测定各组大鼠基础血压值、体重及血浆肾素活性。对M组大鼠制作去肾动脉交感神经模型。观察围术期无创血压及血浆肾素活性变化,并行心脏组织行病理组织学观察及心脏、肾脏组织肾素活性检测。结果去肾动脉神经术不同处理组间心脏病理组织学检测指标变化可见显著差异,包括HW/BW值、心肌厚度及心肌肥大,间质局部水肿,纤维组织增生等;手术组血浆RAAS相关因子经去肾动脉神经处理后均出现显著下降趋势,[PRA(244.40±11.5)vs(228.23±7.5),P<0.05];AngⅡ[(4.10±0.35)vs(3.41±0.28),P<0.05];ALD[(133.44±6.98)vs(119.85±4.12),P<0.05];心肌AngⅡ、AngⅠ、ALD、ACE含量与血压、HW/BW及心肌厚度之间相关性有显著意义;免疫组化定量组间对比分析提示手术处理组大鼠肾脏组织AngⅠ,AngⅡ及NA IOD值显著低于空白对照及假手术组,差异有统计学意义(P<0.05)。结论去肾动脉交感神经术可有效降低循环及组织水平RAAS相关因子水平,改善高血压大鼠心室重塑。Objectives To observe the effect of renal sympathetic denervation on acute ventricular remodeling in SHR.Methods This experiment enrolled 50 male rats of SHR,the average weight was(265±12)g.According to the difference of intervention way,they were randomly divided into operation intervention group(M)and blank control group(B).The group M were divided into groups of Left,Right,Dual and Sham-operation randomly again.Five rats of WKY were enrolled as negative control group.The blood pressure,weight and the activity of plasma renin were measured for all rats.The mode of Renal Sympathetic Denervation was made by operation.After operation,they were executed and and their hearts and kidney tissues were collected.The index of weight of body and heart,HW/BW,thickness of ventricular tissue and its histopathology were collected and analyzed,while,the level of RAAS factors were dectected in circulation and tissue.Results There were statistically significant differences among group B and S with group M(P<0.05),including HW/BW,cardiac muscle cell hypertrophy,interstitial edema and fibrosis under the microscope.The concentration of factors,including AngⅠ,AngⅡ,ALD and NA,were down regulated in circulation and tissue,and there were statistically significant differences between operation with control group respectively.Conclusions Renal sympathetic denervation has significant alleviation effect on acute ventricular remodeling in SHR.These effect maybe come from decreasing the level of factor related with RAAS.

关 键 词：去肾动脉交感神经 自发性高血压大鼠 心室重塑 

分 类 号：R544.1[医药卫生—心血管疾病] R544.3[医药卫生—内科学]