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雌激素对犬肾钠排泄的影响。

The effect of estrogens on renal sodium excretion in the dog.

作者信息

Johnson J A, Davis J O

出版信息

Perspect Nephrol Hypertens. 1976;5:239-48.

PMID:1005038
Abstract

The effects of estrogens on electrolyte balances were studied in dogs. In doses of 1 mg or 250 mug/day, 17 beta-estradiol produced moderate sodium retention, whereas 100 mug/day produced only slight sodium retention. Estriol produced about the same degree of sodium retention as did estradiol. The administration of estradiol during the injection of large doses of DOCA produced the same degree of sodium retention as estradiol administered alone. Also, the injection of DOCA to estrogen-treated dogs resulted in a transitory sodium retention, followed by a sodium escape and a return to the previous balance level. Estradiol given to dogs with an arteriovenous shunt that had failed previously to show sodium escape during treatment with DOCA produced the same degree of sodium retention as that observed during estradiol administration to normal dogs. Five adrenalectomized dogs maintained on cortisone and DOCA had normal sodium balances during the control period but showed a retention of sodium during the administration of estradiol; administration. Four adrenalectomized dogs maintained only on cortisone were in negative sodium balance during the control period, but during estradiol treatment they showed a retention of sodium. These studies provide evidence that estrogens promote sodium retention in dogs by mechanisms other than by decreasing the glomerular filtration rate, increasing the secretion rates of adrenal steroids, or affecting the sodium escape mechanism. It is suggested that estrogens might act directly on the renal tubules at receptors other than those for the adrenal mineralocorticoids to produce sodium retention.

摘要

在犬类中研究了雌激素对电解质平衡的影响。以1毫克/天或250微克/天的剂量给予17β-雌二醇会产生中度钠潴留,而100微克/天的剂量仅产生轻微钠潴留。雌三醇产生的钠潴留程度与雌二醇大致相同。在注射大剂量脱氧皮质酮(DOCA)期间给予雌二醇产生的钠潴留程度与单独给予雌二醇时相同。此外,向经雌激素处理的犬类注射DOCA会导致短暂的钠潴留,随后出现钠逃逸并恢复到先前的平衡水平。给患有动静脉分流且先前在用DOCA治疗期间未出现钠逃逸的犬类给予雌二醇,产生的钠潴留程度与向正常犬类给予雌二醇时观察到的相同。五只接受可的松和DOCA维持治疗的肾上腺切除犬在对照期钠平衡正常,但在给予雌二醇期间出现钠潴留;给药。四只仅接受可的松维持治疗的肾上腺切除犬在对照期处于负钠平衡,但在雌二醇治疗期间它们出现钠潴留。这些研究提供了证据,表明雌激素通过降低肾小球滤过率、增加肾上腺类固醇分泌率或影响钠逃逸机制以外的机制促进犬类钠潴留。有人提出,雌激素可能直接作用于肾小管中除肾上腺盐皮质激素受体以外的受体,以产生钠潴留。

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