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心脏-肾脏神经反射在清醒犬水浸过程中调节钠排泄的作用。

Role of cardiac-renal neural reflex in regulating sodium excretion during water immersion in conscious dogs.

作者信息

Miki Kenju, Hayashida Yoshiaki, Shiraki Keizo

机构信息

Department of Environmental Health, Life Science and Human Technology, Nara Women's University, Kita-Uoya Nishimachi, Nara 630-8506, Japan.

出版信息

J Physiol. 2002 Nov 15;545(1):305-12. doi: 10.1113/jphysiol.2002.018176.

Abstract

The present study was undertaken to determine the role of cardiopulmonary mechanoreceptors in inducing the sustained reduction of renal sympathetic nerve activity (RSNA) and concomitant changes in sodium excretion occurring during water immersion (WI) in intact dogs. Seven cardiac-denervated dogs were chronically instrumented for measuring RSNA, systemic arterial (P(a)), central venous (P(cv)) and left atrial pressures (P(la)). WI initially decreased RSNA in cardiac denervated dogs by 10.0 +/- 5.5 %; thereafter the RSNA fell to a nadir of 18.5 +/- 5.6 % (P < 0.05) at 40-80 min of WI and then returned toward the pre-immersion level. Renal sodium excretion increased significantly by 211 +/- 69 % (P < 0.05) only during the first 20-40 min of WI. WI increased P(a), P(cv) and P(la) in a step manner from 94 +/- 3 to 108 +/- 3 mmHg (P < 0.05), from 1.4 +/- 0.5 to 12.3 +/- 1.0 mmHg (P < 0.05) and from 4.9 +/- 0.6 to 15.4 +/- 1.2 mmHg (P < 0.05), respectively. These responses in RSNA and sodium excretion to WI in the cardiac-denervated dogs were significantly (P < 0.05) attenuated compared with those in a previous group of intact dogs. These data suggest that the attenuated responses of neural and excretory response to WI observed in cardiac-denervated dogs can be attributed to an interruption of afferent input originating from the cardiopulmonary mechanoreceptors to the central nervous system.

摘要

本研究旨在确定心肺机械感受器在引起完整犬只水浸(WI)期间肾交感神经活动(RSNA)持续降低及伴随的钠排泄变化中所起的作用。七只心脏去神经支配的犬只被长期植入仪器以测量RSNA、体动脉压(P(a))、中心静脉压(P(cv))和左心房压(P(la))。WI最初使心脏去神经支配犬只的RSNA降低了10.0±5.5%;此后,RSNA在WI 40 - 80分钟时降至最低点,为18.5±5.6%(P<0.05),然后又回到浸水前水平。仅在WI的最初20 - 40分钟内,肾钠排泄显著增加了211±69%(P<0.05)。WI使P(a)、P(cv)和P(la)逐步升高,分别从94±3 mmHg升至108±3 mmHg(P<0.05),从1.4±0.5 mmHg升至12.3±1.0 mmHg(P<0.05),从4.9±0.6 mmHg升至15.4±1.2 mmHg(P<0.05)。与前一组完整犬只相比,心脏去神经支配犬只对WI的RSNA和钠排泄反应显著减弱(P<0.05)。这些数据表明,在心脏去神经支配犬只中观察到的对WI的神经和排泄反应减弱可归因于心肺机械感受器向中枢神经系统的传入输入中断。

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Am J Physiol Regul Integr Comp Physiol. 2002 Jul;283(1):R187-96. doi: 10.1152/ajpregu.00536.2001.
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The sympathetic nervous system and long-term blood pressure regulation.交感神经系统与长期血压调节。
Am J Hypertens. 2001 Jun;14(6 Pt 2):147S-154S. doi: 10.1016/s0895-7061(01)02082-9.
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