De Keijzer M H, Provoost A P
Department of Pediatric Surgery, Erasmus University, Rotterdam, The Netherlands.
Miner Electrolyte Metab. 1992;18(2-5):113-6.
Vasoactive eicosanoids may be involved in glomerular hyperfiltration following a high protein intake or removal of renal mass. We sequentially measured glomerular filtration rate (GFR), proteinuria (UpV), and urinary eicosanoid excretion in sham-operated (2K) and uninephrectomized (NX) rats on two diets. Compared with 12% protein (LP), 36% protein (HP) initially resulted in a higher GFR and UpV in both 2K and NX rats. Urinary excretion of 6kPGF1 alpha and TxB2 was higher on the HP diet. Ten weeks after NX, PGE2 excretion was slightly reduced, while that of TxB2 and 6kPgF1 alpha was the same as in 2K rats, indicating that the excretion per kidney had increased. From week 40, the GFR of NX rats on the HP decreased, preceded by a progressive increase in UpV. Excretion of PgE2, TxB2, and 6kPgF1 alpha was highest in the phase of proteinuric chronic renal failure. Thus, vasoactive eicosanoids are involved to maintain hyperfiltration induced by high protein intake or NX.
血管活性类二十烷酸可能参与高蛋白摄入或肾切除术后的肾小球高滤过。我们在两种饮食条件下,对假手术(2K)和单侧肾切除(NX)大鼠的肾小球滤过率(GFR)、蛋白尿(UpV)和尿类二十烷酸排泄进行了连续测量。与12%蛋白质(LP)饮食相比,36%蛋白质(HP)饮食最初在2K和NX大鼠中均导致更高的GFR和UpV。HP饮食时尿中6kPGF1α和TxB2的排泄更高。NX术后10周,PGE2排泄略有减少,而TxB2和6kPgF1α的排泄与2K大鼠相同,表明单肾排泄增加。从第40周开始,HP饮食的NX大鼠GFR下降,之前UpV逐渐增加。在蛋白尿性慢性肾衰竭阶段,PgE2、TxB2和6kPgF1α的排泄最高。因此,血管活性类二十烷酸参与维持高蛋白摄入或NX诱导的高滤过。