SODIUM AND CALCIUM METABOLISM IN PREHYPERTENSIVE STATE
Project Number1R01HL035629-01A3
Contact PI/Project LeaderCAMPESE, VITO M
Awardee OrganizationUNIVERSITY OF SOUTHERN CALIFORNIA
Description
Abstract Text
In recent years a great deal of interest has been focused on the
role of sodium and calcium in the pathogenesis of hypertension.
Whereas the evidence linking sodium ingestion to the genesis of
hypertension in both man and in experimental animals is
sufficiently convincing, serious doubts still remain as to the role
of abnormalities in calcium metabolism in the genesis of
hypertension. The most current accepted hypothesis linking
sodium intake to hypertension is that predisposed human subjects
or animals have a genetic defect involving the ability of the
kidneys to excrete a sodium load; this leads to sodium retention
and to stimulation of humoral factors (natriuretic factors?) which
are ultimately responsible for the development of hypertension.
Ingestion of high sodium intake is not a condition sine qua non for
the development of hypertension in spontaneously hypertensive
rats (SHR), but it aggravates hypertension through stimulation of
the sympathetic nervous system. The mechanisms linking
abnormalities in calcium metabolism to the genesis and
development of hypertension remain unclear. Moreover, the
mechanisms of the hypotensive effect of increased dietary
calcium intake in SHR are not elucidated. It is possible that
calcium may affect sympathetic nervous system activity and
consequently, blood pressure.
The hypothesis to be tested in this research proposal are that the
abnormality in sodium metabolism in experimentally hypertensive
rats is secondary to hyperactivity of the sympathetic nervous
system (SNS) and that alterations in calcium balance may affect
blood pressure through action on SNS. To test these hypothesis
the following series of experiments are planned in SHR using WKY
rats as controls: 1) studies on the effect of SNS stimulation on
renal nerve activity and renal sodium handling in pre-hypertensive
SHR; 2) effect of sympathetic nerve inhibition on renal sodium
handling in pre-hypertensive SHR; 3) studies to determine whether
abnormalities in calcium metabolism precede or follow the
development of hypertension and whether increased dietary
calcium lowers blood pressure through inhibition of SNS.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
blood pressure calcium metabolism dietary calcium dietary mineral disease /disorder proneness /risk hypertension ion transport metal metabolism metalloproteins renal tubular transport salt intake saluretic spontaneous hypertensive rat sympathetic nervous system
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