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多巴胺对大鼠残余肾中肾和肠道钠钾ATP酶的协同作用。

Concerted action of dopamine on renal and intestinal Na(+)-K(+)-ATPase in the rat remnant kidney.

作者信息

Vieira-Coelho M A, Serrão P, Guimarães J T, Pestana M, Soares-da-Silva P

机构信息

Institute of Pharmacology and Therapeutics, Faculty of Medicine, 4200 Porto, Portugal.

出版信息

Am J Physiol Renal Physiol. 2000 Dec;279(6):F1033-44. doi: 10.1152/ajprenal.2000.279.6.F1033.

Abstract

The present study evaluated renal and intestinal adaptations in sodium handling in uninephrectomized (Unx) rats and the role of dopamine. Two weeks after uninephrectomy, the remnant kidney in Unx rats weighed 33 +/- 2% more than the corresponding kidney in sham-operated (Sham) animals. This was accompanied by increases in urinary levels of dopamine and major metabolites [3, 4-dihydroxyphenylacetic acid (DOPAC) and homovanillic acid] and increases in maximal velocity values (169 vs. 115 nmol. mg protein(-1). 15 min(-1)) for renal aromatic L-amino acid decarboxylase, the enzyme responsible for the synthesis of renal dopamine. High salt (HS) intake increased (P < 0.05) the urinary excretion of dopamine and DOPAC in Unx and Sham rats. However, the urinary levels of L-3,4-dihydroxyphenylalanine, dopamine, and DOPAC in Sham rats during HS intake were lower than in Unx rats. Blockade of dopamine D(1) receptors (Sch-23390, 2 x 30 microg/kg) reduced the urinary excretion of sodium in Unx (31% decrease) more pronouncedly than in Sham (19% decrease) rats. However, inhibition of renal Na(+)-K(+)-ATPase activity by dopamine was of similar magnitude in Unx and Sham rats. In parallel, it was observed that uninephrectomy resulted in a significant reduction in jejunal sodium absorption and Na(+)-K(+)-ATPase activity in jejunal epithelial cells. In jejunal epithelial cells from Sham rats, dopamine (1 microM) failed to inhibit Na(+)-K(+)-ATPase activity, whereas in Unx rats it produced a significant reduction. It is concluded that uninephrectomy results in increased renal dopaminergic activity and dopamine-sensitive enhanced natriuresis. Furthermore, it is suggested that decreased jejunal absorption of sodium may take place in response to partial renal ablation, as an example of renal-intestinal cross talk.

摘要

本研究评估了单侧肾切除(Unx)大鼠钠处理过程中的肾脏和肠道适应性变化以及多巴胺的作用。单侧肾切除两周后,Unx大鼠的残余肾脏重量比假手术(Sham)动物的相应肾脏重33±2%。这伴随着尿中多巴胺及其主要代谢产物[3,4-二羟基苯乙酸(DOPAC)和高香草酸]水平的升高,以及肾脏芳香族L-氨基酸脱羧酶(负责合成肾脏多巴胺的酶)的最大速度值升高(169对115 nmol·mg蛋白⁻¹·15 min⁻¹)。高盐(HS)摄入增加了(P<0.05)Unx和Sham大鼠尿中多巴胺和DOPAC的排泄。然而,HS摄入期间Sham大鼠尿中L-3,4-二羟基苯丙氨酸、多巴胺和DOPAC的水平低于Unx大鼠。多巴胺D₁受体阻断剂(Sch-23390,2×30 μg/kg)使Unx大鼠尿钠排泄减少(降低31%)比Sham大鼠(降低19%)更明显。然而,多巴胺对Unx和Sham大鼠肾脏Na⁺-K⁺-ATP酶活性的抑制程度相似。同时,观察到单侧肾切除导致空肠钠吸收和空肠上皮细胞Na⁺-K⁺-ATP酶活性显著降低。在Sham大鼠的空肠上皮细胞中,多巴胺(1 μM)未能抑制Na⁺-K⁺-ATP酶活性,而在Unx大鼠中则使其显著降低。得出的结论是,单侧肾切除导致肾脏多巴胺能活性增加以及多巴胺敏感性增强的利钠作用。此外,提示空肠钠吸收减少可能是对部分肾切除的反应,这是肾-肠相互作用的一个例子。

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