Evans R G, Stevenson K M, Bergström G, Denton K M, Madden A C, Gribben R L, Weekes S R, Anderson W P
Department of Physiology, Monash University, Clayton, Victoria, Australia.
Acta Physiol Scand. 2000 Aug;169(4):309-16. doi: 10.1046/j.1365-201x.2000.00749.x.
We tested for sex-related differences in the pressure diuresis/natriuresis relationships in anaesthetized, renally denervated rabbits, using an extracorporeal circuit to perfuse the left kidney with the rabbit's own blood, through a series of step-wise increases in renal artery pressure (RAP) (from 65 to 130 mmHg). Urine flow, sodium excretion, and the fractional excretions of sodium and urine increased with increasing RAP, and were greater in male than in female rabbits at all levels of RAP-tested. However, these apparent sex-related differences in the acute pressure diuresis/natriuresis relationships were not reflected in alterations in chronic regulation of mean arterial pressure (MAP). Thus, in rabbits on a normal salt diet (0.85 g day(-1)), resting conscious MAP was significantly greater in males (87 +/- 3 mmHg) compared with females (77+/-1 mmHg). Chronically increasing daily salt intake to 4.98 g day(-1) for 28 days had no significant effect on resting conscious MAP in either sex. Thus, although our observations indicate sex differences, at least under the present experimental conditions, in the factors regulating extracellular fluid volume, these do not appear to have a major impact in setting the level of MAP in the long term.
我们使用体外循环装置,通过逐步升高肾动脉压力(RAP,从65 mmHg升至130 mmHg),用兔子自身的血液灌注麻醉且肾去神经的兔子的左肾,来测试压力利尿/利钠关系中的性别差异。随着RAP升高,尿流量、钠排泄量以及钠和尿的分数排泄量均增加,并且在所有测试的RAP水平下,雄性兔子的这些指标均高于雌性兔子。然而,急性压力利尿/利钠关系中这些明显的性别差异并未反映在平均动脉压(MAP)的慢性调节变化中。因此,在正常盐饮食(0.85 g/天)的兔子中,雄性兔子清醒时的静息MAP(87±3 mmHg)显著高于雌性兔子(77±1 mmHg)。将每日盐摄入量长期增加至4.98 g/天,持续28天,对两性的清醒静息MAP均无显著影响。因此,尽管我们的观察结果表明,至少在目前的实验条件下,调节细胞外液量的因素存在性别差异,但这些差异似乎对长期设定MAP水平没有重大影响。