Huguenin M, Ott C E, Romero J C, Knox F G
J Lab Clin Med. 1976 Jan;87(1):58-64.
A marked increase in preglomerular resistance mediated through the renin-angiotensin system has been proposed as the mechanism for the sustained decrease in glomerular filtration rate seen following release of 24-hour ureteral obstruction. The importance of the renin-angiotensin system in mediating this response was evaluated by determining whole kidney and single nephron function following release of 24-hour ureteral obstruction in rats with normal renal renin content and in rats depleted of renal renin by desoxycorticosterone acetate acetate (DOCA) and saline treatment. The DOCA and saline treatment was effective in reducing renal renin content to less than 10% of the normal values. However, when compared to nonobstructed kidneys, both whole kidney filtration rate and single nephron filtration rate were similarly and significantly reduced in both groups following release of 24-hour ureteral obstruction. Single nephron stopflow techniques were used to determine the net hydrostatic force for filtration. The net hydrostatic force for filtration in control nonobstructed nephrons averaged 37.8 +/- 1.1 mm. Hg, but was significantly decreased to 22.5 +/- 2.2 mm. Hg in the normal renin obstructed kidney and to 18.8 +/- 1.0 mm. Hg in the renin-depleted obstructed kidney. It is concluded that the marked depression in glomerular filtration rate seen following release of 24-hour ureteral obstruction is due to increased afferent arteriole resistance and that the renin-angiotensin system is apparently not important in mediating the response.
肾小球前阻力通过肾素 - 血管紧张素系统介导显著增加,这被认为是24小时输尿管梗阻解除后肾小球滤过率持续下降的机制。通过测定正常肾素含量的大鼠以及经醋酸脱氧皮质酮(DOCA)和生理盐水处理使肾素耗竭的大鼠在24小时输尿管梗阻解除后的全肾和单肾单位功能,评估肾素 - 血管紧张素系统在介导这种反应中的重要性。DOCA和生理盐水处理有效地将肾素含量降低至正常值的10%以下。然而,与未梗阻的肾脏相比,在24小时输尿管梗阻解除后,两组的全肾滤过率和单肾单位滤过率均同样显著降低。采用单肾单位停流技术来测定滤过的净静水压。对照未梗阻肾单位的滤过净静水压平均为37.8±1.1毫米汞柱,但在正常肾素的梗阻肾脏中显著降至22.5±2.2毫米汞柱,在肾素耗竭的梗阻肾脏中降至18.8±1.0毫米汞柱。结论是,24小时输尿管梗阻解除后所见的肾小球滤过率显著降低是由于入球小动脉阻力增加,并且肾素 - 血管紧张素系统在介导这种反应中显然并不重要。