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致热性肾充血:前列腺素的作用

Pyrogenic renal hyperemia: the role of prostaglandins.

作者信息

Gagnon J A, Ramwell P W, Flamenbaum W

出版信息

Nephron. 1978;22(1-3):29-40. doi: 10.1159/000181421.

Abstract

The intravenous administration of triple typhoid vaccine to anesthetized dogs resulted in a significant increase in renal blood flow accompanied by a modest decline in systemic blood pressure. This renal hyperemia was associated with elevated renal secretory rates of renin and prostaglandin E and F. Measurements of the intracortical distribution of radiolabeled microspheres revealed a progressive decrease in outer cortical blood flow rates and a progressive increase in inner cortical flow rates. When meclofenamate, an inhibitor of prostaglandin synthetase, was administered concomitantly with triple typhoid vaccine renal hyperemia did not develop. The renal renin secretory rate increased modestly and intracortical renal blood flow was not redistributed. The increased renal blood flow after triple typhoid vaccine administration to unanesthetized dogs was also reversed by meclofenamate. The marked increase in prostaglandin secretion by the kidney during renal hyperemia following triple typhoid vaccine administration (pyrogen), and the effect of meclofenamate, is consonant with a role for increased renal synthesis and release of prostaglandins.

摘要

给麻醉的狗静脉注射三联伤寒疫苗后,肾血流量显著增加,同时全身血压略有下降。这种肾充血与肾素和前列腺素E及F的分泌率升高有关。对放射性标记微球的皮质内分布测量显示,外层皮质血流速率逐渐降低,内层皮质血流速率逐渐升高。当与三联伤寒疫苗同时给予前列腺素合成酶抑制剂甲氯芬那酸时,肾充血未出现。肾素分泌率略有增加,皮质内肾血流量未重新分布。甲氯芬那酸也可逆转给未麻醉的狗注射三联伤寒疫苗后肾血流量的增加。三联伤寒疫苗(致热原)注射后肾充血期间肾脏前列腺素分泌的显著增加以及甲氯芬那酸的作用,与肾脏前列腺素合成和释放增加的作用一致。

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