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1.
Diabetes Metab ; 31(5): 487-95, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16357793

RESUMO

This study was designed to identify changes in endothelium-independent relaxation that could contribute to the depressed vascular reactivity and fall in blood pressure (BP) detected in rats after 5 weeks of streptozotocin (STZ)-induced (i.e. type 1) diabetes. Aortic rings were contracted by simultaneous activation of voltage-operated channels (KCl=80 mM) and alpha-adrenergic receptors (phenylephrine 1 microM) and then relaxed by simultaneous exposure to Ca2+-free PSS and 10 microM phentolamine. Additional relaxations were performed under conditions in which the plasma membrane Na-Ca exchanger (PMNaCa) or Ca-pump (PMCA), or the sarcoplasmic reticulum (SR) Ca-pump (SERCA) were blocked, to identify which mechanism(s) could modulate this process. The STZ-diabetic rats had a moderate but significant decrease of BP, and their aortic rings exhibited accelerated relaxation following a biexponential model, with a significantly decreased slow component. In control rats only the inhibition of the PMNaCa could slow down the fast component, while the slow component was insensitive to any blocking maneuver. In contrast, the diabetic animals' slow component was sensitive to the inhibition of both the PMNaCa and the SERCA. The SERCA-sensitive 45Ca2+ uptake by the SR was augmented in the aortas of STZ-treated animals. This hyperactivity of the SERCA, associated with augmented activity of the PMNaCa, at least partly induced by an increase of the plasma membrane Na+/K+-ATPase activity, could explain the decrease in BP and the accelerated aortic relaxation observed in the diabetic rats.


Assuntos
Pressão Sanguínea/fisiologia , Diabetes Mellitus Experimental/fisiopatologia , Músculo Liso Vascular/fisiopatologia , Vasodilatação/fisiologia , Animais , Aorta , Glicemia/metabolismo , Peso Corporal , Cálcio/fisiologia , Sinalização do Cálcio , Carbonil Cianeto p-Trifluormetoxifenil Hidrazona/farmacologia , Diabetes Mellitus Experimental/tratamento farmacológico , Modelos Animais de Doenças , Ácido Egtázico/farmacologia , Endotélio Vascular/fisiopatologia , Feminino , Músculo Liso Vascular/efeitos dos fármacos , Ratos , Ratos Sprague-Dawley
2.
Medicina (B Aires) ; 61(4): 481-90, 2001.
Artigo em Espanhol | MEDLINE | ID: mdl-11563178

RESUMO

The human saphenous vein (HSV) is currently used as a graft in coronary revascularization as well as in some other vascular beds, namely those of the inferior limbs. Since a significant proportion of HSV grafts develop stenosis, many studies have focused on the factors that could promote graft failure. This article reviews the results on structural and functional features that might be concurrent in the production of saphenous vein graft stenosis. The reactivity of HSV to several physiological agonists is analyzed, including those derived from the endothelium with contractile or relaxing properties, since these are relevant inducers of graft spasm and/or modifiers of the expression of graft factors involved in either tissue growth or thrombotic-atherosclerotic processes. Mechanisms that regulate vascular smooth muscle contractile state, in particular the activity of K+ channels of the plasma membrane, are described.


Assuntos
Ponte de Artéria Coronária/métodos , Veia Safena/transplante , Humanos , Contração Muscular/fisiologia , Músculo Liso Vascular/fisiologia , Canais de Potássio/fisiologia , Veia Safena/anatomia & histologia , Veia Safena/fisiologia
3.
Diabetes Metab ; 27(1): 40-8, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11240445

RESUMO

To test the hypothesis that diabetes can selectively affect the intracellular and extracellular components of the noradrenergic vascular response in rats, we studied changes in blood pressure, in vitro vascular contraction and (45) Ca(2+) uptake in experimental diabetes induced by injection of 60 mg/kg of streptozotocin (STZ). One week after induction of diabetes mean blood pressure decreased significantly from 106 +/- 3 mmHg to 89 +/- 2 mmHg. After incubation in Ca(2+) =1.6 mM, contraction of STZ aortic rings to 10(- 7) M of norepinephrine was preserved in its intracellular component (Control: 231 +/- 28, STZ: 274 +/- 22 mgForce/mgTissue, NS) but depressed in its extracellular component (Control: 277 +/- 24, STZ: 133 +/- 33 mgForce/mgTissue, P<0.05). Uptake of (45) Ca(2+) in the same rings was depressed in both components. Norepinephrine contractions due to extracellular Ca(2+) (prior depletion of norepinephrine-sensitive Ca(2+) stores) unexpectedly exhibited a initial component whose magnitude in control rings was similar to the response due to intracellular Ca(2+) (extra: 503 +/- 65 mg, intra: 411 +/- 30 mgForce/mgTissue), and was not depressed in STZ preparations (399 +/- 62 mgForce/mgTissue). The sustained contraction to norepinephrine in extracellular Ca(2+) was significantly reduced in STZ aortas (1163 +/- 92 vs. 528 +/- 95 mgForce/mgTissue). We conclude that: 1) Short-term streptozotocin-induced diabetes features reduced blood pressure along with deficient aortic (45) Ca uptake and contraction to norepinephrine, and 2) Only the sustained phase of the norepinephrine contraction, dependent on extracellular Ca(2+), was depressed in the diabetic rats and could possibly be associated with the observed fall in blood pressure.


Assuntos
Aorta Torácica/fisiopatologia , Pressão Sanguínea/fisiologia , Cálcio/metabolismo , Diabetes Mellitus Experimental/fisiopatologia , Contração Muscular/efeitos dos fármacos , Músculo Liso Vascular/fisiopatologia , Norepinefrina/farmacologia , Animais , Aorta Torácica/fisiologia , Radioisótopos de Cálcio/farmacocinética , Diabetes Mellitus Experimental/sangue , Hipotensão/fisiopatologia , Técnicas In Vitro , Masculino , Contração Muscular/fisiologia , Músculo Liso Vascular/fisiologia , Cloreto de Potássio/farmacologia , Ratos , Ratos Sprague-Dawley , Valores de Referência , Fatores de Tempo
4.
Endothelium ; 8(4): 235-42, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11824475

RESUMO

Several maneuvers usually employed to set up isolated vascular preparations could effect the endothelium-dependent relaxation (EDR). The effects of five such maneuvers were studied in rings of rat aorta: 1) Type of anesthesia, 2) Cold storage of the vessels, 3) Length of the stabilization period, 4) Repeated contractions during stabilization, and 5) Performance of washouts during stabilization. Repeated contractions with norepinephrine (NE) 0.1 microM after stabilization altered neither the contraction nor the EDR induced by acetylcholine (Ach) 1 microM. Pentobarbital anesthesia and cold storage of the preparations for 24 h significantly decreased the EDR without effecting the contractile response of the rings. The absence of washouts during stabilization increased the contractions to either NE 0.1 microM or KCl 80 mM by nearly 50%. This increase was prevented by endothelial disruption or, in the presence of intact endothelium, by repeated washouts or by incubation with Bosentan 22 microM. It is concluded that 1) Anesthesia of the animals and cold storage of the preparations can alter the EDR even in the absence of contractile changes in the smooth muscle, and 2) Accumulation of endothelin during the incubation period, even if not producing changes in the resting tension, can substantially alter the subsequent response to vasoactive interventions.


Assuntos
Vasos Sanguíneos/fisiologia , Endotélio Vascular/metabolismo , Manejo de Espécimes/métodos , Anestesia , Animais , Aorta/metabolismo , Aorta/fisiologia , Vasos Sanguíneos/metabolismo , Endotelinas/biossíntese , Endotélio Vascular/fisiologia , Feminino , Técnicas In Vitro , Métodos , Ratos , Ratos Sprague-Dawley , Manejo de Espécimes/normas , Vasoconstrição , Vasodilatação
5.
Endothelium ; 8(4): 269-76, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11824479

RESUMO

The effect of contractions elicited with ET1 and AVP after preincubating rat aortic and tail artery rings with a hyperinsulinemic dose (3 nM) of insulin were studied. Insulin preincubation (120 min), in the presence of 0.1 mM L-NAME, depressed contraction of aortic rings to 0.01 microM ET1 (132 +/- 6 vs. 161 +/- 9 mg/mm2 in control, n = 25; p < 0.05) and to 1 microM AVP (84 +/- 7 vs. 110 +/- 9 mg/mm2 in control, n = 16; p < 0.05), but did not modify 45Ca influx to the cell. Insulin-induced relaxation was inhibited by indomethacin 10 microM, an antagonist of prostaglandin synthesis, and also by blockade of insulin receptors with 30 microM genistein. A short insulin preincubation (15 min) did not modify ET1 contractions. In rat tail artery, insulin preincubation (120 min) increased the force developed by ET1 (847 +/- 45 vs. 596 +/- 99 mgF/mgW in controls, n = 14) by stimulating TXA2 release and/or actions. In summary, the present results suggest that endothelial factors are involved in both the vasoconstrictor and vasodilator effects of insulin on rat vessels.


Assuntos
Endotélio Vascular/fisiologia , Insulina/farmacologia , Vasoconstrição/efeitos dos fármacos , Animais , Aorta , Arginina Vasopressina/farmacologia , Interações Medicamentosas , Endotelina-1/farmacologia , Endotélio Vascular/efeitos dos fármacos , Endotélio Vascular/metabolismo , Inibidores Enzimáticos/farmacologia , Hiperinsulinismo , Masculino , Músculo Liso Vascular/efeitos dos fármacos , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/fisiologia , Óxido Nítrico Sintase/antagonistas & inibidores , Prostaglandina-Endoperóxido Sintases/metabolismo , Prostaglandina-Endoperóxido Sintases/fisiologia , Proteínas Tirosina Quinases/antagonistas & inibidores , Proteínas Tirosina Quinases/metabolismo , Proteínas Tirosina Quinases/fisiologia , Ratos , Ratos Wistar , Receptores de Tromboxanos/antagonistas & inibidores , Cauda/irrigação sanguínea
6.
Endothelium ; 8(4): 277-82, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11824480

RESUMO

In the present work, we studied the possible mechanisms involved in the insulin-induced acceleration of ET1 contractions. We observed a shortening of the half-life needed to achieve maximal developed force (t(1/2)) at 10(-7) M ET1 in rat aortic rings preincubated for 120 min with 3 nM insulin (control 380 +/- 15 s vs. 319 +/- 8 s with insulin, n = 28, p < 0.05). A tyrosine kinase linked receptor was involved in this effect because it was abolished by 30 microM genistein. Endothelium denudation and 10 microM indomethacin treatment did not effect this insulin effect, suggesting its independence of endothelial-derived factors. The effect was still present when the only source of Ca2+ was intracellular (t(1/2) values in the absence of external Ca2+: control 467 +/- 68 s vs. 213 +/- 28 s with insulin, n = 16, p < 0.05), but was blunted if the sarcoplasmic reticulum (SR) Ca2+ source was suppressed by exposure to 10 microM thapsigargin or 10 microM ryanodine. Preincubation with insulin did not potentiate either SR 45Ca2+ uptake or contractions evoked by caffeine-sensitive SR Ca2+ release. Since 30 microM cheleritrine abolished insulin-induced acceleration of ET1 contractions, we propose that the hormone might enhance a signal pathway related to PKC in order to produce a faster Ca2+ release from the SR.


Assuntos
Endotélio Vascular/fisiologia , Insulina/farmacologia , Retículo Sarcoplasmático/fisiologia , Vasoconstrição/efeitos dos fármacos , Animais , Aorta , Cafeína/farmacologia , Cálcio/metabolismo , Cálcio/farmacologia , Endotelina-1/farmacologia , Inibidores Enzimáticos/farmacologia , Hiperinsulinismo , Masculino , Proteína Quinase C/antagonistas & inibidores , Ratos , Ratos Wistar
7.
Medicina [B Aires] ; 61(4): 481-90, 2001.
Artigo em Espanhol | BINACIS | ID: bin-39450

RESUMO

The human saphenous vein (HSV) is currently used as a graft in coronary revascularization as well as in some other vascular beds, namely those of the inferior limbs. Since a significant proportion of HSV grafts develop stenosis, many studies have focused on the factors that could promote graft failure. This article reviews the results on structural and functional features that might be concurrent in the production of saphenous vein graft stenosis. The reactivity of HSV to several physiological agonists is analyzed, including those derived from the endothelium with contractile or relaxing properties, since these are relevant inducers of graft spasm and/or modifiers of the expression of graft factors involved in either tissue growth or thrombotic-atherosclerotic processes. Mechanisms that regulate vascular smooth muscle contractile state, in particular the activity of K+ channels of the plasma membrane, are described.

8.
Ann Thorac Surg ; 66(2): 455-61, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9725384

RESUMO

BACKGROUND: Different reactivities of saphenous vein grafts in hypertensive and normotensive patients could lead to differences in the postoperative patency of the grafts. METHODS: In saphenous vein rings isolated from remnants of aorta-coronary grafts obtained from hypertensive and normotensive patients we studied the length-tension relationship; response to high levels of potassium, norepinephrine, and epinephrine; and relaxation in response to calcium deprivation. RESULTS: The rings from hypertensive patients were stiffer and developed more force (grams force/grams weight) than the rings from normotensive subjects to 80 mmol/L potassium (59+/-16 versus 25+/-5, p < 0.05) and to 1 micromol/L norepinephrine (61+/-8 versus 36+/-7, p < 0.05), but not to 10 micromol/L epinephrine (57+/-11 and 54+/-11; not significant). The rings from hypertensive patients relaxed more slowly than those of the normotensive subjects in a calcium-free medium (time to half-relaxation of 976+/-180 versus 548+/-81 seconds; p < 0.05). CONCLUSIONS: The saphenous vein from hypertensive patients is less distensible, slower to relax, and more reactive to at least two agonists. These differences could influence the graft's patency and the clinical outcome.


Assuntos
Hipertensão/fisiopatologia , Veia Safena/fisiopatologia , Adulto , Idoso , Fenômenos Biomecânicos , Cálcio/fisiologia , Epinefrina/farmacologia , Humanos , Técnicas In Vitro , Pessoa de Meia-Idade , Norepinefrina/farmacologia , Potássio/farmacologia , Veia Safena/efeitos dos fármacos , Grau de Desobstrução Vascular
9.
Can J Physiol Pharmacol ; 76(12): 1066-71, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10326827

RESUMO

Preincubation with physiological concentrations of insulin affects contractile reactivity of isolated smooth muscle cells. We studied the effects of insulin on intact aortic rings of Wistar rats preincubated 1-2 h with 240 pM (I1) and 960 pM (I2) insulin with and without NO synthesis inhibition by N(omega)-nitro-L-arginine methyl ester (L-NAME). Resting force was tripled by 0.1 mM L-NAME in control (C) and I1 groups, but not in I2 groups. I1 treatment decreased the tachyphylaxis to two successive 1 microM arginine vasopressin (AVP) stimulations. Single contractions elicited by 1 microM AVP, 1 microM angiotensin II (AngII), or 0.01 microM endothelin (ET1) were not affected by insulin preincubation in either maximal force (Fmax) or relaxation times. L-NAME enhanced Fmax of AngII contractions by about 75% in C, 120% in I1, and 74% in I2 groups; accordingly, it augmented the final steady-state force in C and I1 but not in I2. Similarly, L-NAME increased Fmax (30-40%) of AVP and ET1 contractions in C and I1 groups but failed to do so in contractions of I2 group. Results obtained with 10 microM indomethacin suggest that this is due to insulin stimulation of prostacyclin effects.


Assuntos
Inibidores Enzimáticos/farmacologia , Insulina/farmacologia , NG-Nitroarginina Metil Éster/farmacologia , Vasoconstrição/efeitos dos fármacos , Angiotensina II/farmacologia , Animais , Aorta/efeitos dos fármacos , Arginina Vasopressina/farmacologia , Endotelina-1/farmacologia , Epoprostenol/antagonistas & inibidores , Indometacina/farmacologia , Masculino , Músculo Liso Vascular/efeitos dos fármacos , Óxido Nítrico/antagonistas & inibidores , Ratos , Ratos Wistar
10.
Medicina (B Aires) ; 52(2): 119-30, 1992.
Artigo em Espanhol | MEDLINE | ID: mdl-1308903

RESUMO

The prevalence of arterial hypertension (AH) was studied in 1423 individuals (702 males and 721 females) aged 21 years (Fig. 1, Table 1). Systolic (SBP) and diastolic (DBP) blood pressures and heart rate (HR) were measured three times on two different occasions separated by at least one week. Three different criteria were used to define AH (Table 3): 1) World Health Organization (WHO) [PAD > or = 95 mmHg in one casual determination]; Joint National Committee IV (JNC-4) [PAD > or = 90 mmHg on two different occasions]; and 3) Statistical [PAD > percentile 95 of the respective distribution]. BP was distributed normally in both males and females (Fig. 4). DBP decreased progressively along the six measurements (Fig. 2, Table 2), with the average of DBP determinations 4-6 being significantly lower than the average of determinations 1-3 (p < 0.05). SBP behaved in the same way (Fig. 2, Table 2), but in this case the 2nd and 3rd determinations within each occasion (2-3 and 5-6) were significantly lower than determinations 1 and 4, respectively (p < 0.05). As a result, the percentage of individuals of either sex with DBP > 90 mmHg was 14.7% based on the 1st determination (Fig. 5), but if the averages of determinations 1 to 3 or 1 to 6 were considered, these percentages decreased to 8.7% and 4% respectively (Fig. 5). With the WHO criterion (PAD > or = 160/95 mmHg based on the first determination) there were 3.3% of individuals with AH. With the statistical criterion the prevalence of AH was always 5%, but the actual value of percentile 95 was progressively lower as we took into account the 1st. determination, the average of 1-3 or the average of 1-6: 100, 95 and 90 mmHg in males and 90, 88 and 84 mmHg in females, respectively (Fig. 6). With the JNC-4 criterion there were 1.6% of individuals with AH (Fig. 5). These low figures were caused by the lack of repeatability of DBP readings in the second determination, since 79% of the individuals with DBP > or = 90 mmHg on the first occasion were normotensive on the second one, whereas more than 95% of those being initially normotensive remained in that category on the second visit (Fig. 7). The FC did not show important changes (Fig. 8), and the percentage of individuals with systolic AH was low (Table 4).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Hipertensão/epidemiologia , Adulto , Fatores Etários , Argentina/epidemiologia , Determinação da Pressão Arterial , Feminino , Frequência Cardíaca , Humanos , Masculino , Prevalência , Estudos de Amostragem , Fatores Sexuais
11.
Diabetes ; 41(1): 30-4, 1992 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1727736

RESUMO

The fast and slow components of the mechanical response to 1 microM norepinephrine (NE) were measured in aortic rings isolated from eight spontaneously diabetic rats, six streptozocin-induced diabetic (STZ-D) rats, six STZ-D rats treated with 2.5 U insulin/day during the 4 days before being killed, and six age- and sex-matched control rats. The total contraction to NE (i.e., the sum of fast and slow components) was similar in the four groups: spontaneously diabetic, 16.53 +/- 1.72 mN; STZ-D, 15.68 +/- 1.41 mN; insulin-treated, 16.17 +/- 2.05 mN; and control, 15.27 +/- 0.96 mN (NS). The fast component, measured graphically in a total contraction in 1.35 mM Ca, was greater in spontaneously diabetic (12.61 +/- 1.07 mN, P less than 0.05) and STZ-D (12.25 +/- 0.89 mN, P less than 0.05) rats compared with control (9.14 +/- 0.74 mN) or insulin-treated (8.58 +/- 1.23 mN) rats. The same increase of the fast component was detectable after 3 min of incubation in Ca-free medium + 2 mM EGTA (control 6.54 +/- 0.47 mN, spontaneously diabetic 9.07 +/- 0.76 mN, P less than 0.05; STZ-D 8.82 +/- 0.72 mN, P less than 0.05), and it was also abolished by insulin treatment (insulin-treated 6.29 +/- 0.36 mN). We conclude that the diabetic state increases the fast component of NE-induced contraction either in the absence or presence of Ca in the medium. This suggests that such an increase depends on a larger release of Ca from intracellular stores.


Assuntos
Aorta Torácica/fisiopatologia , Diabetes Mellitus Experimental/fisiopatologia , Contração Muscular/efeitos dos fármacos , Músculo Liso Vascular/fisiopatologia , Norepinefrina/farmacologia , Animais , Aorta Torácica/efeitos dos fármacos , Aorta Torácica/fisiologia , Cálcio/farmacologia , Diabetes Mellitus Experimental/tratamento farmacológico , Diabetes Mellitus Experimental/genética , Relação Dose-Resposta a Droga , Técnicas In Vitro , Insulina/uso terapêutico , Masculino , Músculo Liso Vascular/efeitos dos fármacos , Músculo Liso Vascular/fisiologia , Ratos , Ratos Mutantes , Valores de Referência
12.
Medicina (B.Aires) ; 52(2): 119-30, 1992. tab
Artigo em Espanhol | LILACS | ID: lil-121967

RESUMO

Se estudió la prevalencia de hipertensión arterial (HA) en una muestra de 1423 jóvenes (702 varones y 721 mujeres) de 21 años de edad promedio. En cada individuo se midió la presión arterial sistólica (PAS) y diastólica (PAD) y la frecuencia cardíaca (FC) tres veces en cada una de dos ocasiones separadas entre sí por al menos una semana. Para definir HA se utilizaron tres criterios: 1) el de la Organización Mundial de la Salud (OMS) [PAD * 95 mmHg]; 2) el del Joint National Commitee IV (JNC-4) [PAD * 90 mmHg en dos fechas distintas]; y Estadístico: PAD > al percentilo 95 de la distribucción respectiva. La PAD y PAS descendieron significativamente en la segunda ocasión con respecto a la primera (p < 0,05), y en el caso de la PAS hubo descensos significativos en la segunda y tercera tmas de cada ocasión con respecto a la primera toma (p < 0,05). Como consecuencia, el número de indivíduos con PAD * 90 mmHg fue, en ambos sexos, de 14,7% si nos basamos en la primera toma, pero bajó a 8,7% si nos basamos en el promdeio de las tomas 1 a 3; y a un 4% si nos basamos en el promdeio 1-6. Con el criterio de la OMS (basado en la medición 1) hay un 3,3% de hipertensos en ambos sexos . Con el criterio estadístico hubo siempre un 5% con HA, pero la línea de corte (percentilo 95) bajó a medida que consideramos la toma 1, el promedio 1-3 o el promedio 1-6: 100, 95 y 90 mmHg en varones y 90, 88 y 84 mmHg en mujeres. Con el criterio del JNC-4 se detectaron 1,6% de individuos con HA. En el bajo porcentaje detectado con este último criterio influyó más la falta de repetibilidad de las cifras que el mismo exige que el descenso progresivo de la PAD antes mencionado, ya que aproximadamente un 80% de los inicialmente hipertensos fueron normotensos, ya que aproximadamente un 80% de los inicialmente hipertensos fueron normotensos en la segunda fecha; mientras que más del 95% de los inciialmente nomotensos se conservaron como tales en la segunda fecha. La FC no mostró alteraciones de importancia, y el número de individuos con PASelevada fue escaso...


Assuntos
Humanos , Masculino , Feminino , Adulto , Hipertensão/epidemiologia , Fatores Etários , Argentina/epidemiologia , Pressão Arterial , Frequência Cardíaca , Estudos de Amostragem , Fatores Sexuais
13.
Medicina [B Aires] ; 52(2): 119-30, 1992.
Artigo em Espanhol | BINACIS | ID: bin-51095

RESUMO

The prevalence of arterial hypertension (AH) was studied in 1423 individuals (702 males and 721 females) aged 21 years (Fig. 1, Table 1). Systolic (SBP) and diastolic (DBP) blood pressures and heart rate (HR) were measured three times on two different occasions separated by at least one week. Three different criteria were used to define AH (Table 3): 1) World Health Organization (WHO) [PAD > or = 95 mmHg in one casual determination]; Joint National Committee IV (JNC-4) [PAD > or = 90 mmHg on two different occasions]; and 3) Statistical [PAD > percentile 95 of the respective distribution]. BP was distributed normally in both males and females (Fig. 4). DBP decreased progressively along the six measurements (Fig. 2, Table 2), with the average of DBP determinations 4-6 being significantly lower than the average of determinations 1-3 (p < 0.05). SBP behaved in the same way (Fig. 2, Table 2), but in this case the 2nd and 3rd determinations within each occasion (2-3 and 5-6) were significantly lower than determinations 1 and 4, respectively (p < 0.05). As a result, the percentage of individuals of either sex with DBP > 90 mmHg was 14.7


based on the 1st determination (Fig. 5), but if the averages of determinations 1 to 3 or 1 to 6 were considered, these percentages decreased to 8.7


and 4


respectively (Fig. 5). With the WHO criterion (PAD > or = 160/95 mmHg based on the first determination) there were 3.3


of individuals with AH. With the statistical criterion the prevalence of AH was always 5


, but the actual value of percentile 95 was progressively lower as we took into account the 1st. determination, the average of 1-3 or the average of 1-6: 100, 95 and 90 mmHg in males and 90, 88 and 84 mmHg in females, respectively (Fig. 6). With the JNC-4 criterion there were 1.6


of individuals with AH (Fig. 5). These low figures were caused by the lack of repeatability of DBP readings in the second determination, since 79


of the individuals with DBP > or = 90 mmHg on the first occasion were normotensive on the second one, whereas more than 95


of those being initially normotensive remained in that category on the second visit (Fig. 7). The FC did not show important changes (Fig. 8), and the percentage of individuals with systolic AH was low (Table 4).(ABSTRACT TRUNCATED AT 250 WORDS)

14.
Medicina [B.Aires] ; 52(2): 119-30, 1992. tab
Artigo em Espanhol | BINACIS | ID: bin-25743

RESUMO

Se estudió la prevalencia de hipertensión arterial (HA) en una muestra de 1423 jóvenes (702 varones y 721 mujeres) de 21 años de edad promedio. En cada individuo se midió la presión arterial sistólica (PAS) y diastólica (PAD) y la frecuencia cardíaca (FC) tres veces en cada una de dos ocasiones separadas entre sí por al menos una semana. Para definir HA se utilizaron tres criterios: 1) el de la Organización Mundial de la Salud (OMS) [PAD * 95 mmHg]; 2) el del Joint National Commitee IV (JNC-4) [PAD * 90 mmHg en dos fechas distintas]; y Estadístico: PAD > al percentilo 95 de la distribucción respectiva. La PAD y PAS descendieron significativamente en la segunda ocasión con respecto a la primera (p < 0,05), y en el caso de la PAS hubo descensos significativos en la segunda y tercera tmas de cada ocasión con respecto a la primera toma (p < 0,05). Como consecuencia, el número de indivíduos con PAD * 90 mmHg fue, en ambos sexos, de 14,7% si nos basamos en la primera toma, pero bajó a 8,7% si nos basamos en el promdeio de las tomas 1 a 3; y a un 4% si nos basamos en el promdeio 1-6. Con el criterio de la OMS (basado en la medición 1) hay un 3,3% de hipertensos en ambos sexos . Con el criterio estadístico hubo siempre un 5% con HA, pero la línea de corte (percentilo 95) bajó a medida que consideramos la toma 1, el promedio 1-3 o el promedio 1-6: 100, 95 y 90 mmHg en varones y 90, 88 y 84 mmHg en mujeres. Con el criterio del JNC-4 se detectaron 1,6% de individuos con HA. En el bajo porcentaje detectado con este último criterio influyó más la falta de repetibilidad de las cifras que el mismo exige que el descenso progresivo de la PAD antes mencionado, ya que aproximadamente un 80% de los inicialmente hipertensos fueron normotensos, ya que aproximadamente un 80% de los inicialmente hipertensos fueron normotensos en la segunda fecha; mientras que más del 95% de los inciialmente nomotensos se conservaron como tales en la segunda fecha. La FC no mostró alteraciones de importancia, y el número de individuos con PASelevada fue escaso...(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Hipertensão/epidemiologia , Pressão Sanguínea , Frequência Cardíaca , Fatores Sexuais , Fatores Etários , Estudos de Amostragem , Argentina/epidemiologia
15.
Medicina [B Aires] ; 52(2): 119-30, 1992.
Artigo em Espanhol | BINACIS | ID: bin-37998

RESUMO

The prevalence of arterial hypertension (AH) was studied in 1423 individuals (702 males and 721 females) aged 21 years (Fig. 1, Table 1). Systolic (SBP) and diastolic (DBP) blood pressures and heart rate (HR) were measured three times on two different occasions separated by at least one week. Three different criteria were used to define AH (Table 3): 1) World Health Organization (WHO) [PAD > or = 95 mmHg in one casual determination]; Joint National Committee IV (JNC-4) [PAD > or = 90 mmHg on two different occasions]; and 3) Statistical [PAD > percentile 95 of the respective distribution]. BP was distributed normally in both males and females (Fig. 4). DBP decreased progressively along the six measurements (Fig. 2, Table 2), with the average of DBP determinations 4-6 being significantly lower than the average of determinations 1-3 (p < 0.05). SBP behaved in the same way (Fig. 2, Table 2), but in this case the 2nd and 3rd determinations within each occasion (2-3 and 5-6) were significantly lower than determinations 1 and 4, respectively (p < 0.05). As a result, the percentage of individuals of either sex with DBP > 90 mmHg was 14.7


based on the 1st determination (Fig. 5), but if the averages of determinations 1 to 3 or 1 to 6 were considered, these percentages decreased to 8.7


and 4


respectively (Fig. 5). With the WHO criterion (PAD > or = 160/95 mmHg based on the first determination) there were 3.3


of individuals with AH. With the statistical criterion the prevalence of AH was always 5


, but the actual value of percentile 95 was progressively lower as we took into account the 1st. determination, the average of 1-3 or the average of 1-6: 100, 95 and 90 mmHg in males and 90, 88 and 84 mmHg in females, respectively (Fig. 6). With the JNC-4 criterion there were 1.6


of individuals with AH (Fig. 5). These low figures were caused by the lack of repeatability of DBP readings in the second determination, since 79


of the individuals with DBP > or = 90 mmHg on the first occasion were normotensive on the second one, whereas more than 95


of those being initially normotensive remained in that category on the second visit (Fig. 7). The FC did not show important changes (Fig. 8), and the percentage of individuals with systolic AH was low (Table 4).(ABSTRACT TRUNCATED AT 250 WORDS)

16.
Can J Cardiol ; 7(7): 316-22, 1991 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1933640

RESUMO

The fast and slow components of the response to noradrenaline in rat aorta were studied to assess their relative contribution to the total mechanical response. The fast component, the magnitude of which varied with the concentration of noradrenaline in a dose-dependent manner, was shown to be dependent on release of calcium from intracellular stores. In calcium-free medium with ethylene glycol bis-(beta-aminoethylether) N,N,N',N-tetra-acetic acid (EGTA) a noradrenaline challenge (1 microM) produced a transient increase in force which faded in about 10 mins. Addition of calcium at this point produces a slow component of similar amplitude to the total response to noradrenaline. Recycling of calcium through the intracellular store does not appear to play an important role under these experimental conditions, since the presence of noradrenaline in the bath prevented its refilling. It is concluded that extracellular calcium by itself (ie, the slow component) can account for the total contractile response to noradrenaline in rat aorta.


Assuntos
Aorta/efeitos dos fármacos , Norepinefrina/farmacologia , Animais , Aorta/fisiologia , Cálcio/farmacologia , Relação Dose-Resposta a Droga , Ácido Egtázico/farmacologia , Feminino , Técnicas In Vitro , Lantânio/farmacologia , Masculino , Contração Muscular/efeitos dos fármacos , Cloreto de Potássio/farmacologia , Propranolol/farmacologia , Ratos , Ratos Endogâmicos
17.
Can J Cardiol ; 6(5): 212-8, 1990 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2383793

RESUMO

Verapamil and diltiazem were equally potent (ie, similar EC50s) in relaxing potassium-contracted aortas of spontaneously hypertensive (SHR) and normotensive Wistar-Kyoto (WKY) rats. The mechanical EC50s produced approximately 50% calcium influx blockade, suggesting a causal link between relaxation and calcium influx blockade. Nitrendipine was about 250 times more potent in relaxing aortic smooth muscle in SHR than in WKY rats (EC50s in -log [M] were 14.10 +/- 0.30 and 11.70 +/- 0.54, respectively). This difference was not affected by endothelial denudation, and was present when nitrendipine was used by preincubation rather than during established potassium chloride contractions. In spite of the different relaxant potency of nitrendipine in SHR and WKY rats, both strains showed similar EC50s for calcium influx blockade for this compound (9.21 +/- 0.36 in SHR and 8.75 +/- 0.26 in WKY). The dissociation between aortic smooth muscle relaxation and calcium influx blockade after nitrendipine was more pronounced in the SHR strain. This suggests that mechanisms other than or in addition to calcium influx blockade play a role in the relaxation of potassium-contracted vascular smooth muscle with dihydropyridine compounds, but not with other calcium antagonists.


Assuntos
Aorta/efeitos dos fármacos , Cálcio/metabolismo , Diltiazem/farmacologia , Nitrendipino/farmacologia , Verapamil/farmacologia , Animais , Feminino , Hipertensão/tratamento farmacológico , Técnicas In Vitro , Masculino , Ratos , Ratos Endogâmicos SHR , Ratos Endogâmicos WKY
18.
Blood Vessels ; 27(2-5): 197-201, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2242441

RESUMO

The ability of the Na-Ca exchanger to modify vascular relaxation was studied in rings isolated from tail arteries of stroke-prone spontaneously hypertensive rats (SHRSP) and normotensive Wistar-Kyoto rats (WKY). The arteries were contracted with norepinephrine (NE) 1 microM and after stabilization they were transferred to a Ca-free physiological salt solution still in presence of NE. The time to 50% relaxation (T-50) in these conditions was significantly greater in SHRSP (78 +/- 7 s) than in WKY (50 +/- 7 s). When the calcium pump was stopped with vanadate (VAN), the Ca uptake by the sarcoplasmic reticulum with ryanodine (RY) and the Na-Ca exchanger with a Na-free PSS, the relaxation was slowed (T-50 increased to 198 +/- 16 s in SHRSP and to 162 +/- 14 s in WKY). Releasing the Na-Ca exchanger only (i.e. still with VAN and RY but with normal Na in the bath) the T-50 for relaxation in Ca-free PSS was, in WKY, nearly as fast as in control conditions (54 +/- 8 s). However, the Na-Ca exchanger in SHRSP was not so effective, and the T-50 for relaxation was slower than in control conditions (122 +/- 10 s). We conclude that the activity of the Na-Ca exchanger is depressed in tail arteries of SHRSP. This abnormality in resistance vessels, would contribute to the enhanced vascular tone present in hypertension.


Assuntos
Artérias/metabolismo , Proteínas de Transporte/metabolismo , Transtornos Cerebrovasculares/metabolismo , Hipertensão/metabolismo , Cauda/irrigação sanguínea , Animais , Cálcio/metabolismo , Transtornos Cerebrovasculares/complicações , Hipertensão/complicações , Relaxamento Muscular , Músculo Liso Vascular/metabolismo , Ratos , Ratos Endogâmicos SHR , Ratos Endogâmicos , Trocador de Sódio e Cálcio , Cauda/metabolismo
19.
Acta Physiol Pharmacol Latinoam ; 40(3): 339-55, 1990.
Artigo em Espanhol | MEDLINE | ID: mdl-2094167

RESUMO

The effects of Ryanodine (RY) and Caffeine (CF) on the norepinephrine (NE)-induced contraction were studied in tail artery rings from spontaneously hypertensive rats (SHR) and normotensive, Wistar Kyoto rats (WKY). The NE-sensitive intracellular store of calcium was completely depleted by NE (1 microM) in calcium-free physiological salt solution (Ca = 0-PSS), and accounted for approximately 40% of the total response to NE in regular PSS (Ca = 1.6 mM). However, only 60% of the NE-releasable store was utilized for the full contraction in PSS. Re-exposure to PSS completely replenished the NE-releasable store in 10 minutes. Over twice as much calcium appeared to be taken up by the SHR as by the WKY arteries in these conditions. RY prevented the refilling of the NE-sensitive calcium store in both SHR and WKY, without releasing calcium from the store and without affecting the influx of calcium through membrane pathways. CF also prevented the refilling of the NE-sensitive calcium store, but did release calcium from it. It can be concluded that: 1) Whereas the main action of RY on rat tail artery seems to be the inhibition of calcium uptake by the sarcoplasmic reticulum (SR), CF has several actions: a) inhibition of calcium uptake by the SR, b) release of calcium from the SR, and c) opening of calcium channels in the plasma membrane of the smooth muscle cell. 2) In SHR, but not in WKY, the loss of calcium from the membrane in Ca = 0-PSS renders it more permeable to calcium, permitting an enhanced calcium uptake during subsequent exposure to PSS.


Assuntos
Cafeína/farmacologia , Cálcio/metabolismo , Contração Muscular/efeitos dos fármacos , Norepinefrina/farmacologia , Rianodina/farmacologia , Retículo Sarcoplasmático/metabolismo , Animais , Artérias/metabolismo , Ratos , Ratos Endogâmicos SHR , Ratos Endogâmicos WKY , Cauda/irrigação sanguínea
20.
Artigo em Espanhol | BINACIS | ID: bin-51653

RESUMO

The effects of Ryanodine (RY) and Caffeine (CF) on the norepinephrine (NE)-induced contraction were studied in tail artery rings from spontaneously hypertensive rats (SHR) and normotensive, Wistar Kyoto rats (WKY). The NE-sensitive intracellular store of calcium was completely depleted by NE (1 microM) in calcium-free physiological salt solution (Ca = 0-PSS), and accounted for approximately 40


of the total response to NE in regular PSS (Ca = 1.6 mM). However, only 60


of the NE-releasable store was utilized for the full contraction in PSS. Re-exposure to PSS completely replenished the NE-releasable store in 10 minutes. Over twice as much calcium appeared to be taken up by the SHR as by the WKY arteries in these conditions. RY prevented the refilling of the NE-sensitive calcium store in both SHR and WKY, without releasing calcium from the store and without affecting the influx of calcium through membrane pathways. CF also prevented the refilling of the NE-sensitive calcium store, but did release calcium from it. It can be concluded that: 1) Whereas the main action of RY on rat tail artery seems to be the inhibition of calcium uptake by the sarcoplasmic reticulum (SR), CF has several actions: a) inhibition of calcium uptake by the SR, b) release of calcium from the SR, and c) opening of calcium channels in the plasma membrane of the smooth muscle cell. 2) In SHR, but not in WKY, the loss of calcium from the membrane in Ca = 0-PSS renders it more permeable to calcium, permitting an enhanced calcium uptake during subsequent exposure to PSS.

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