原发性高血压患者血小板聚集性与L-精氨酸转运功能的改变
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世川医学奖学金同学会科研启动基金


Changes of Aggregation and L-Arginine Transport of Platelet in Patients with Essential Hypertension
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    摘要:

    为探讨高血压病患者血小板功能的改变及其可能的机制.本文观察了23名原发性高血压患者和14名健康成年人血小板体积、数量、聚集性和一氧化氮产生量及L-精氨酸转运特征。结果发现,原发性高血压患者血小板数目、体积无明显改变.而最大聚集率较对照组高1.3倍(P<0.05),在二磷酸腺苷刺激下一氧化氮产生量较对照组低71%(P<0.01),且血小板最大聚集率与一氧化氮产生量之间成明显负相关(r=0.63)。原发性高血压患者血小板L-精氨酸转运能力明显降低,其最大转运速率仅为对照组的79%(P<0.01),但两组间米氏常数无明显差异。结果提示,原发性高血压患者血小板聚集功能增强可能与一氧化氮生成减少及L-精氨酸转运功能降低有关。

    Abstract:

    Aim To study the changes of volume.function and characteristics of L-arginine(L-Arg)transport of platelet(Pt)in patients with essential hypertension (EH).Methods Nitric oxide(NO)production by platelets was assayed by measuring the accumulation of nitrite in the incubation medium using Greiss reaction accord-ing Green' method.Transport of 3H-L-Arg was determined essentially as described by William.In-flux of 3H-L-Arg was determined by measuring cell-associated radioactivity after an approprite period of in-cubation with 3H-L-Arg.Results in EH patients,the quantity and volume of Pt has no obvious difference with the normal.The maximum platelet aggregation ratio(PAR)was much higher than that in normal(P<0.05)and PAR was correlated with NO production.The production of NO and the ability of L-Arg transport in EH was re-spectively lower than that in normol(P<0.01).Maxi-mum transport velocity(Vmax)in EH was only 79%of normal(P<0.01).While the Michael constant (Km)showed no significant difference between the two groups.Conclusion Above results indicate that there exists a founctional and L-Arg transport disturbance in EH.It appears that the improvement of NO production and L-Arg transport in treatment of hypertension may be potentially important.

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王军,徐洪涛,姚兴海,余静,姜志胜,唐朝枢.原发性高血压患者血小板聚集性与L-精氨酸转运功能的改变[J].中国动脉硬化杂志,1998,6(4):310~312.

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  • 收稿日期:1998-07-06
  • 最后修改日期:1998-10-24
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