首页|达格列净对脱氧皮质酮盐敏感高血压大鼠血压的影响及其机制研究

达格列净对脱氧皮质酮盐敏感高血压大鼠血压的影响及其机制研究

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目的 探讨达格列净对脱氧皮质酮(desoxycorticosterone,DOCA)盐敏感高血压大鼠血压的影响及其机制。方法 2023年 3-7 月选取无特定病原体(specific pathogen free,SPF)级Wistar大鼠 50 只,取 10 只大鼠为空白组(n=10,给予蒸馏水灌胃)。其余 40 只大鼠建立盐敏感高血压模型,然后将其随机分为模型组(n=10,给予蒸馏水灌胃)、依那普利组(n=10,给予依那普利干预)、达格列净组(n=10,给予达格列净干预)、达格列净+依那普利组(n=10,给予达格列净+依那普利干预)。观察 5 组病理组织,比较 5 组血压、心率、血浆肾素活性(plasma renin activity,PRA)、血浆醛固酮(aldosterone,ALD)、血管紧张素Ⅱ(angiotensin Ⅱ,AngⅡ)、内皮素(endothelin,ET)及心肌组织白细胞介素-6(interleukin-6,IL-6)、白细胞介素-10(interleukin-10,IL-10)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)mRNA表达水平。结果 空白组心肌组织排列整齐,无炎症细胞浸润;模型组心肌纤维排列紊乱,炎症细胞浸润严重;依那普利组、达格列净组、达格列净+依那普利组心肌纤维的排列改善、炎症细胞浸润改善,且达格列净+依那普利组最为明显。模型组、依那普利组、达格列净组、达格列净+依那普利组的血压、心率水平高于空白组,差异有统计学意义(P<0。05);依那普利组、达格列净组、达格列净+依那普利组的血压[(130。12±20。45)mm Hg、(129。41±20。36)mm Hg、(113。49±11。34)mmHg]、心率[(145。35±16。89)次/min、(146。01±16。60)次/min、(130。01±14。89)次/min]水平低于模型组[(156。49±24。34)mmHg、(163。89±20。01)次/min],差异有统计学意义(P<0。05);达格列净+依那普利组的血压、心率水平低于依那普利组、达格列净组,差异有统计学意义(P<0。05);依那普利组、达格列净组血压、心率水平比较,差异无统计学意义(P>0。05)。模型组、依那普利组、达格列净组、达格列净+依那普利组的PRA[(6。23±0。72)μg/L、(5。30±0。65)μg/L、(5。28±0。64)μg/L、(4。46±0。51)μg/L]、ALD[(1。12±0。14)μg/L、(0。90±0。10)μg/L、(0。89±0。11)μg/L、(0。56±0。07)μg/L]、Ang Ⅱ[(23。89±2。83)ng/L、(20。89±2。01)ng/L、(20。76±2。02)ng/L、(17。25±1。60)ng/L]、ET[(6。12±0。72)%、(5。10±0。61)%、(5。05±0。62)%、(4。27±0。35)%]水 平 高 于 空 白 组[(3。95±0。21)μg/L、(0。39±0。04)μg/L、(15。75±1。46)ng/L、(3。25±0。30)%],差异有统计学意义(P<0。05);依那普利组、达格列净组、达格列净+依那普利组的RA、ALD、Ang Ⅱ、ET水平低于模型组,差异有统计学意义(P<0。05);达格列净+依那普利组的PRA、ALD、Ang Ⅱ、ET水平低于依那普利组、达格列净组,差异有统计学意义(P<0。05);依那普利组、达格列净组PRA、ALD、Ang Ⅱ、ET水平比较,差异无统计学意义(P>0。05)。结论 达格列净可有效降低DOCA盐敏感高血压大鼠的血压、心率、PRA、ALD、Ang Ⅱ、ET,调节IL-10、TNF-α、IL-6 mRNA表达,抑制炎症反应,改善心肌纤维化。
Study on the Effect and Mechanism of Dapagliptin on Blood Pressure in Desoxycorticosterone Salt Sensitive Hypertensive Rats
Objective To explore the effect and mechanism of dapagliptin on blood pressure in desoxycorticosterone(DOCA)salt sensitive hypertensive rats.Methods Fifty specific pathogen free(SPF)Wistar rats were selected from March to July 2023,and 10 rats were selected as blank group(n=10,given distilled water intragastric administration).The remaining 40 rats were established in salt-sensitive hypertension model,and then randomly divided into model group(n=10,given distilled water intragastric administration),enalapril group(n=10,given enalapril intervention),dagliaglozin group(n=10,given dagliaglozin intervention),and dagliaglozin+enalapril group(n=10,given dagliaglozin+enalapril intervention).The pathological tissues were observed of 5 groups,the blood pressure,heart rate,plasma renin activity(PRA),aldosterone(ALD),angiotensin Ⅱ(Ang Ⅱ),endothelin(ET)and mRNA expression levels of interleukin-6(IL-6),interleukin-10(IL-10),and tumor necrosis factor-α(TNF-α)in myocardial tissue were compared of 5 groups.Results In the blank group,the myocardial tissue was arranged neatly without inflammatory cell infiltration;in the model group,myocardial fibers were disordered and inflammatory cells infiltrated seriously;the myocardial fiber arrangement and inflammatory cell infiltration were improved in enalapril group,dagliazin group and dagliazin+enalapril group,especially in dagliazin+enalapril group.The blood pressure and heart rate of model group,enalapril group,dagliprazin group and dagliprazin+enalapril group were higher than those of blank group,and the differences were statistically significant(P<0.05);the blood pressure[(130.12±20.45)mmHg,(129.41±20.36)mmHg,(113.49±11.34)mmHg]and heart rate[(145.35±16.89)beats/min,(146.01±16.60)beats/min,(130.01±14.89)beats/min)]of enalapril group,dapagliflozin group and dapagliflozin+enalapril group were significantly lower than those of the model group[(156.49±24.34)mmHg,(163.89±20.01)beats/min],and the differences were statistically significant(P<0.05);the blood pressure and heart rate of dapagliflozin+enalapril group were lower than those of enalapril group and dapagliflozin group,and the differences were statistically significant(P<0.05);there were no significant differences in blood pressure and heart rate between enalapril group and dapagliflozin group,the differences were not statistically significant(P>0.05).PRA[(6.23±0.72)μg/L,(5.30±0.65)μg/L,(5.28±0.64)μg/L,(4.46±0.51)μg/L],ALD[(1.12±0.14)μg/L,(0.90±0.10)μg/L,(0.89±0.11)μg/L,(0.56±0.07)μg/L],AngⅡ[(23.89±2.83)ng/L,(20.89±2.01)ng/L,(20.76±2.02)ng/L,(17.25±1.60)ng/L],ET[(6.12±0.72)%,(5.10±0.61)%,(5.05±0.62)%,(4.27±0.35)%]in model group,enalapril group,dapagliflozin group,dapagliflozin+enalapril group were significantly higher than those in the blank control group[(3.95±0.21)μg/L,(0.39±0.04)μg/L,(15.75±1.46)ng/L,(3.25±0.30)%],the differences were statistically significant(P<0.05);the levels of RA,ALD,Ang Ⅱ and ET in enalapril group,dagliprazin group and dagliprazin+enalapril group were lower than those in model group,and the differences were statistically significant(P<0.05).The PRA,ALD,Ang Ⅱ and ET levels of dagliazin+enalapril group were lower than those of enalapril and dagliazin groups,and the differences were statistically significant(P<0.05).There were no significant differences in PRA,ALD,Ang Ⅱ and ET levels between enalapril group and daglipzin group,the differences were not statistically significant(P>0.05).Conclusion Daglipzin can effectively reduce blood pressure,heart rate,PRA,ALD,Ang Ⅱ and ET in DOCA salt-sensitive hypertensive rats,regulate mRNA expression of IL-10,TNF-α and IL-6,inhibit inflammatory response and improve myocardial fibrosis.

hypertensionratsdagglizinsalt sensitivityblood pressuremyocardial fibrosisinflammatory response

罗娆、吕晋琳、杜茜茹、胡乃青、花永玲、孙敏甜、向玉鸾

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大理大学第一附属医院老年病及特需病科,云南 大理 671000

高血压 大鼠 达格列净 盐敏感 血压 心肌纤维化 炎症反应

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(23)