Journal
HYPERTENSION
Volume 38, Issue 5, Pages 1172-1176Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/hy1101.96740
Keywords
arteries; diet; diuresis; proteoglycans; rats, spontaneously hypertensive
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Although the role of sodium in hypertension has been documented extensively, its effect on large arteries has not been well documented. We examined the effect of high-sodium (8%) diet and the diuretic indapamide (IND) on systemic hemodynamics and aortic wall structure and composition in collagen, elastin, and hyaluronan. Four groups of spontaneously hypertensive rats (SHR) were studied after 8 weeks: those on a normal diet (SHR), a high-sodium diet (SHR+NaCl), a normal diet with IND (SHR+IND), and a high-sodium diet with IND (SHR+NaCl+IND). Mean BP, which was not normalized with IND. was comparable for all groups. Systemic arterial compliance averaged 3.8, 2.5, 4.9, and 3.3 mL/mm Hg (.) 10(-1), respectively, for the SHR, SHR+NaCl. SHR+IND, and SHR+NaCl+IND groups (P <0.003 and <0.05 for NaCl and IND effects). Wall thickness increased only in the SHR+NaCl group (P <0.01). Aortic wall COL decreased from 16 116 in the SHR to 12 382 mum(2)/mm in the SHR+NaCl+IND (P <0.005) group. IND alone had no effect on elastin, but the elastin/collagen ratio was increased significantly. Aortic hyaluronan averaged 2343,266,3243, and 1052 mum(2)/mm, respectively, for the SHR, SHR+NaCl, SHR+IND, and SHR+NaCl+IND groups (P <0.0001 for NaCl and IND effects). Changes in systemic arterial compliance were significantly and positively correlated with aortic hyaluronan contents. Thus, high-sodium diet affects the structural and functional characteristics of large arteries independently of BP. A high-sodium diet, in addition to a diuretic regimen with IND, affects simultaneously aortic hyaluronan contents and large artery mechanical properties through pressure-independent mechanisms that remain to be defined.
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