Balment R J, Jones I C, Henderson I W, Oliver J A
J Endocrinol. 1976 Nov;71(2):193-217. doi: 10.1677/joe.0.0710193.
Observations on water and electrolyte metabolism after hypophysectomy or adrenalectomy, in male and female rats with hereditary hypothalamic diabetes insipidus (Brattleboro strain) are confirmed and extended. The diabetic (homozygous, DI) state relative to the non-diabetic (heterozygous, non-DI) state was characterized by (1) water intake of 55-120% body weight; (2) copious urine hypo-osmotic to plasma; (3) greater excretory rates of total solute, Na, Ca and Mg; (4) similar plasma composition except that in male DI rats, K concentration was less, and in female DI rats osmolarity was higher; (5) glomerular filtration rates (GFR) were similar with close correlations between: food and water intakes, water intake and output, urinary Na and K, Na and Cl, K and Cl, and Ca and Mg; (6) both female DI and non-DI rats had lower urinary Na:K ratios and lower plasma Na concentrations than males; (7) female DI rats excreted relatively larger amounts of K and Cl, and had higher plasma Ca concentrations than other groups. Hypophysectomized DI rats had decreased water intake and urine output, decreased solute excretion, decreased loss of osmotically free water, lower excretory rates of Na, K and Cl, and increased urinary osmolarity and K concentrations. Hypophysectomized non-DI rats had increased urinary excretory rates, decreased solute excretion (by 60-70%), decreased osmotically free water absorption, decreased urinary osmolarity, Na and K concentrations, and increased excretory rates of Ca and Mg. Hypophysectomized DI and non-DI rats had increased plasma osmolarity and Na concentration. Plasma renin activities (PRA) were higher in DI than in non-DI rats with female values lower than those of males; values for both sexes of DI and non-DI rats were reduced after hypophysectomy. Adrenalectomized DI rats had about a 50% reduction in water intake, urine output and free water clearance, increased urinary concentration of electrolytes and total solute by day 4 after operation; their Na balance (dietary:urine) did not change significantly in contrast to adrenalectomized non-DI rats in which a greater percentage of dietary Na appeared in the urine. GFR was similarly reduced in adrenalectomized DI and non-DI rats. Plasma osmolarity increased in adrenalectomized male DI, decreased in female DI and non-DI, and did not change in male non-DI rats. Plasma K concentrations increased after adrenalectomy in all groups, only non-DI rats had a significantly decreased plasma Na concentration. There was no sex difference in pituitary oxytocic activity but it was consistently reduced in DI rats; there was little change after adrenalectomy in male DI and non-DI rats; but there was an increase in DI and non-DI females. Pituitaries of DI rats had no measurable ADH activity (except the inherent activity of oxytocin). Pituitary ADH values for male and female non-DI rats were similar and were unaffected by adrenalectomy.
对遗传性下丘脑性尿崩症(布拉德福德品系)的雄性和雌性大鼠进行垂体切除或肾上腺切除术后水和电解质代谢的观察结果得到了证实并有所扩展。与非糖尿病(杂合子,非DI)状态相比,糖尿病(纯合子,DI)状态的特征为:(1)饮水量为体重的55 - 120%;(2)尿量丰富且低于血浆渗透压;(3)总溶质、钠、钙和镁的排泄率更高;(4)血浆成分相似,只是雄性DI大鼠的钾浓度较低,雌性DI大鼠的渗透压较高;(5)肾小球滤过率(GFR)相似,且食物摄入量与饮水量、饮水量与尿量、尿钠与尿钾、钠与氯、钾与氯以及钙与镁之间存在密切相关性;(6)雌性DI和非DI大鼠的尿钠钾比值和血浆钠浓度均低于雄性;(7)雌性DI大鼠排泄的钾和氯相对较多,且血浆钙浓度高于其他组。垂体切除的DI大鼠饮水量和尿量减少,溶质排泄减少,渗透自由水丢失减少,钠、钾和氯的排泄率降低,尿渗透压和钾浓度升高。垂体切除的非DI大鼠尿排泄率增加,溶质排泄减少(减少60 - 70%),渗透自由水吸收减少,尿渗透压、钠和钾浓度降低,钙和镁的排泄率增加。垂体切除的DI和非DI大鼠血浆渗透压和钠浓度升高。血浆肾素活性(PRA)在DI大鼠中高于非DI大鼠,雌性值低于雄性;DI和非DI大鼠两性的值在垂体切除后均降低。肾上腺切除的DI大鼠饮水量、尿量和自由水清除率降低约50%,术后第4天尿电解质和总溶质浓度增加;与肾上腺切除的非DI大鼠相比,其钠平衡(饮食:尿液)无显著变化,后者饮食中的钠有更大比例出现在尿液中。肾上腺切除的DI和非DI大鼠的GFR同样降低。肾上腺切除的雄性DI大鼠血浆渗透压升高,雌性DI和非DI大鼠血浆渗透压降低,雄性非DI大鼠血浆渗透压无变化。所有组肾上腺切除后血浆钾浓度均升高,只有非DI大鼠血浆钠浓度显著降低。垂体催产素活性无性别差异,但在DI大鼠中持续降低;雄性DI和非DI大鼠肾上腺切除后变化不大;但DI和非DI雌性大鼠有所增加。DI大鼠的垂体无可测量的抗利尿激素(ADH)活性(催产素的固有活性除外)。雄性和雌性非DI大鼠的垂体ADH值相似,且不受肾上腺切除的影响。