Поражение почек и перинатальное программирование артериальной гипертензии: результаты экспериментальных исследований

О. П. Ковтун, П. Б. Цывьян
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Abstract

Deterioration of development conditions in the perinatal period (starvation of the mother, excess sodium ions in her diet, exposure to glucocorticosteroids, placental insufficiency) programs significant  changes in the excretion of sodium ions in the newborn and leads to the development of hypertension. Studies on experimental animals show  that unfavourable conditions of intrauterine development can reduce the effective area of glomerular filtration and its rate. These circumstances  increase the expression of membrane carriers of sodium ions in the  apical membranes, the production of superoxide radicals and enhance  the reabsorption of sodium. The article discusses the potential mechanisms of perinatal programming of renal hypertension in humans.
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肾衰竭和动脉高压前编程:实验研究的结果
围产期发育条件的恶化(母亲饥饿、饮食中钠离子过量、糖皮质激素暴露、胎盘功能不全)会导致新生儿钠离子排泄的显著变化,并导致高血压的发生。实验动物研究表明,不利的宫内发育条件可减少肾小球滤过的有效面积和滤过率。这些情况增加了钠离子在根尖膜上的膜载体的表达,产生了超氧自由基,增强了钠离子的重吸收。本文讨论了人类肾性高血压围生期编程的潜在机制。
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