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用于评估单肾单位肾小球滤过率的汉森技术的基础研究。

A basic study of the Hanssen technique for evaluation of single nephron glomerular filtration rate.

作者信息

Kuroda S, Hayashi J, Goto M, Ino Y, Inamoto H

出版信息

Jpn Circ J. 1976 Nov;40(11):1261-70. doi: 10.1253/jcj.40.1261.

Abstract

The purpose of this study was mainly to examine some basic problems of the Hanssen technique for the evaluation of single nephron glomerular filtration rate (SNGFR). Firstly, experiments were performed using Wistar rats to determine the amount of C14-ferrocyanide necessary to give sufficient C14 radioactivity in dissected nephrons. Using 200 muCi of C14-ferrocyanide, the samples of dissected nephrons provided only twice as much as background. Hence, we chose the amount of 600 to 700 muCi of C14-ferrocyanide for each rat in the later experiments, which yielded the radioactivity 5 to 6 times as much as background. Secondly, the homogeneity of intrarenal C14-ferrocyanide distribution was tested. Five superficial (SUP) and juxtamedullary (JM) proximal tubules four different regions were dissected and the radioactivity of those nephrons was counted. The distribution of C14-ferrocyanide in each piece was representative of the overal distribution. The summary of morphologic and clearance studies were as follows. The mean lengths of proximal tubules of 40 SUP nephrons, 5.3 +/- 0.2 mm, and 39 JM nephrons, 6.3 +/- 0.1 mm, were significantly different (P less than 0.01). The mean glomerular diameter of the JM nephrons, 110 +/- 2.7 mu, was significantly greater than that of the SUP nephrons, 95 +/- 3.1 mu (P less than 0.01). The mean SNGFR of 129 SUP nephrons, 23.4 +/- 4.2 nl/min/100g Body Weight (BW), and that of 130 JM nephrons, 34.5 +/- 5.1 nl/min/100g BW, were significantly different (P less than 0.01). The ratio of superficial/juxtamedullary nephron glomerular filtration rate (S/JM Ratio) was 0.85 +/- 0.02. We conclude that C14-ferrocyanide is regularly distributed to the kidney and that it is necessary to infuse sufficient amount of C14-ferrocyanide in this technique.

摘要

本研究的目的主要是探讨汉森技术在评估单个肾单位肾小球滤过率(SNGFR)时的一些基本问题。首先,使用Wistar大鼠进行实验,以确定在解剖的肾单位中产生足够的C14放射性所需的C14 - 亚铁氰化物的量。使用200μCi的C14 - 亚铁氰化物时,解剖的肾单位样本的放射性仅为背景的两倍。因此,在后续实验中,我们为每只大鼠选择了600至700μCi的C14 - 亚铁氰化物量,其产生的放射性是背景的5至6倍。其次,测试了肾内C14 - 亚铁氰化物分布的均匀性。解剖了五个浅表(SUP)和近髓(JM)近端小管的四个不同区域,并对这些肾单位的放射性进行了计数。每个片段中C14 - 亚铁氰化物的分布代表了总体分布。形态学和清除率研究的总结如下。40个SUP肾单位近端小管的平均长度为5.3±0.2mm,39个JM肾单位近端小管的平均长度为6.3±0.1mm,差异有统计学意义(P<0.01)。JM肾单位的平均肾小球直径为110±2.7μm,明显大于SUP肾单位的平均肾小球直径95±3.1μm(P<0.01)。129个SUP肾单位的平均SNGFR为23.4±4.2nl/min/100g体重(BW),130个JM肾单位的平均SNGFR为34.5±5.1nl/min/100g BW,差异有统计学意义(P<0.01)。浅表/近髓肾单位肾小球滤过率比值(S/JM比值)为0.85±0.02。我们得出结论,C14 - 亚铁氰化物在肾脏中分布均匀,并且在该技术中注入足够量的C14 - 亚铁氰化物是必要的。

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