When Dahl salt-resistant (DR) rats are given mild post-deoxycorticosterone acetate (DOCA) hypertension, they will have, within 8 weeks, a 53% mortality on a high NaCI diet, without a rise of blood pressure. Forty-two DR rats were given DOCA in silicone (250 mg/kg) and 1% NaCI to drink. After 4 weeks, the DOCA and 1% saline were removed and replaced with a low NaCI diet and tap water. One week later, they were divided into two groups perfectly matched for blood pressure (154 mm Hg). One group had the aqueduct of Sylvius blocked with silicone and epoxy materials; the other group had a sham block. After 4 more recovery weeks on a low NaCI diet, blood pressure averaged 171 mm Hg in sham rats and 147 mm Hg in truly blocked rats (/7<0.0001). Thus, the aqueduct block prevented most of the post-DOCA hypertension and permitted a strong post-DOCA recovery from the acute DOCA hypertension. The rats with the sham block had an actual rise in blood pressure during the post-DOCA recovery period. The vicious cycle leading to permanent post-DOCA NaCI hypertension was broken by the aqueduct block. Then both groups began an 8% high NaCI diet, and after 4 weeks, blood pressure averaged 184 mm Hg in sham and 155 mm Hg in truly blocked rats (/?<0.0001). After 12 weeks on 8% NaCI, all sham rats had died (28 of 28), whereas only one of 14 truly blocked rats had died (93% reduction in mortality,/7< 0.0001). The urinary albumin/creatinine ratio was 36 in sham rats versus only 14 in truly blocked rats (-62%, p<0.0001). The dry heart weights averaged 431 mg in the sham rats versus 310 mg in the truly blocked rats (-28%,p<0.05) even though the body weight of the sham rats averaged 6% less on the high NaCI diet In the post-DOCA NaCI period, it is likely that structural changes linger on in the third brain ventricle region, leading to post-DOCA hypertension and progression of renal lesions. An aqueduct block produces hydrocephalus of the third ventricle and thereby reverses the lingering post-DOCA structural effects, thus greatly reducing blood pressure, mortality rate, cardiac hypertrophy, and urinary albumin. (Hypertension 1991;17:1197-1203) A high NaCI diet is associated with the development of human hypertension, 1 a cause of L. cardiovascular morbidity and mortality in industrialized countries. Although a high NaCI diet is a well-known causal factor in increased blood pressure, understanding the relation between the high dietary NaCI intake and the increased blood pressure is still controversial. The structures surrounding the third brain ventricle are vital for maintenance of normal body fluid homeostasis and cardiovascular responses. Our previous study in Dahl salt-sensitive (DS) rats showed that hydrocephalus produced by blocking the cerebral aqueduct significantly attenuates the rise of blood pressure and the mortality associated with high NaCI diets.2 Other studies have also shown that the anteroventral third ventricle (AV3V) region is a major location for sodium-related receptors and is involved in salt-sensitive hypertension.
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