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|本期目录/Table of Contents|

慢性盐负荷对血压盐敏感者血浆内皮生长因子C的影响

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2018年第3期
页码:
293-295,308
栏目:
临床研究
出版日期:
2018-03-25

文章信息/Info

Title:
Effects of chronic salt loading on plasma vascular endothelial growth factor C in salt-sensitive adults
作者:
刘富强12朱占芳3张荣怀14刘仲伟1褚 超2汪 洋2王军奎1官功昌1牟建军2
(1.陕西省人民医院、西安交通大学第三附属医院心内科,陕西 西安 710068;2.西安交通大学第一附属医院心内科,陕西 西安 710061;3.西安交通大学医院,陕西 西安 710068;4.第四军医大学西京医院老年病科,陕西 西安 710032)
Author(s):
LIU Fu-qiang12 ZHU Zhan-fang3 ZHANG Rong-huai14 LIU Zhong-wei1 CHU Chao2 WANG Yang2 WANG Jun-kui1 GUAN Gong-chang1 MU Jian-jun2
(Department of Cardiology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China)
关键词:
盐敏感性淋巴系统内皮生长因子C饮食干预
Keywords:
salt-sensitive lymphatic system vascular endothelial growth factor C diet intervention
分类号:
R544.1
DOI:
-
文献标识码:
A
摘要:
目的 本研究通过对正常血压受试者进行饮食干预试验,观察高盐对盐敏感者血浆内皮生长因子C(VEGF-C)的影响,探索淋巴系统在盐敏感性形成过程中的作用。方法对27例血压正常受试者进行7 d低盐、7 d高盐饮食干预,采用国际慢性盐负荷试验鉴别盐敏感者,筛选出盐敏感者9例,盐不敏感者18例,采用ELISA方法测定血浆VEGF-C的含量。结果两组受试者低盐期血浆VEGF-C水平比较无统计学差异〔(1921±238) mg/L vs.(1804±206) mg/L,P=0.59〕,而高盐干预后两组血浆VEGF-C水平均较低盐期明显增加〔盐敏感组(3642±406) mg/L,盐不敏感组(2249.8±214.6) μg/ml〕,并且高盐干预后盐敏感组VEGF-C水平较盐不敏感组显著升高(P<0.01);相关分析表明,血浆VEGF-C水平与血压之间未发现具有统计学意义的相关性(r=0.412,P=0.29)。结论高盐饮食后盐敏感者体内VEGF-C显著升高,而VEGF-C可能成为盐敏感性识别的重要生化标记物之一。
Abstract:
AIM To investigate the effects of chronic salt loading on plasma vascular endothelial growth factor C (VEGF-C) in salt-sensitive normotensive adults and to explore the role of the lymphatic system in the development of salt-sensitive hypertension in humans. METHODSTwenty-seven subjects from a rural community were enrolled in this study. The baseline BP of volunteers was monitored, followed by a low-salt diet for 7 days and a high-salt diet for 7 days. Nine subjects were diagnosed with salt sensitivity, and the other eighteen with salt resistance. The concentration of plasma VEGF-C was measured by an immunoenzyme method (ELISA). RESULTSHigh salt intake significantly increased the plasma VEGF-C level. It was higher in the salt-sensitive subjects (3642±406) mg/L, when compared with the salt-resistant subjects (2250±215) mg/L. The comparison of VEGF-C levels between the 2 groups had significant statistical difference (P<0.01). CONCLUSIONThe VEGF-C level increases significantly in salt-sensitive subjects after high salt intake. VEGF-C could be used as a biomarker of salt sensitivity.

参考文献/References

[1]刘治全.血压的盐敏感性及盐敏感性高血压[J].心脏杂志,2000,12(4):302- 305.

[2]刘治全.盐敏感性高血压[M].第1版,北京:人民卫生出版社,2011:203-276.

[3]Titze J,Machnik A.Sodium sensing in the interstitium and relationship to hypertension[J].Curr Opin Nephrol Hypertens,2010,19(4):385-392.

[4]Titze J.Water-Free Sodium Accumulation[J].Semin Dial,2009,22(3):253-255.

[5]Titze J,Shakibaei M,Schafflhuber M,et al.Glycosaminoglycan polymerization may enable osmotically inactive Na+storage in the skin[J].Am J Physiol Heart Circ Physiol,2004,287(1):H203- H208.

[6]Machnik A,Neuhofer W,Jantsch J,et al.Macrophages regulate salt-dependent volume and blood pressure by a vascular endothelial growth factor-C-dependent buffering mechanism[J].Nat Med,2009,15(5):545-552.

[7]Wiig H,Schr?der A,Neuhofer W,et al.Immune cells control skin lymphatic electrolyte homeostasis and blood pressure[J].Journal of Clinical Investigation,2013,123(7):2803-2815.

[8]Machnik A,Dahlmann A,Kopp C,et al.Mononuclear phagocyte system depletion blocks interstitial tonicity-responsive enhancer binding protein/vascular endothelial growth factor C expression and induces salt-sensitive hypertension in rats[J].Hypertension,2010,55(3):755-761.

[9]Mizuno R,Isshiki M,Ono N,et al.A High Salt Diet Alters Pressure-Induced Mechanical Activity of the Rat Lymphatics with Enhancement of Myogenic Characteristics[J].Lymphat Res Biol,2015,13(1):2-9.

[10]Slagman MC,Kwakernaak AJ,Saleh Y,et al.Vascular endothelial growth factor C levels are modulated by dietary salt intake in proteinuric chronic kidney disease patients and in healthy subjects[J].Nephrol Dial Transplant,2012,27(3):978-982.

备注/Memo

备注/Memo:
收稿日期:2017-06-05.作者简介:刘富强,副主任医师,博士 Email:liufuqiang0909@163.com
更新日期/Last Update: 1900-01-01