Baumann J E, Persson P B, Ehmke H, Nafz B, Kirchheim H R
I. Physiologisches Institut Ruprecht-Karls Universität Heidelberg, Federal Republic of Germany.
Am J Physiol. 1992 Aug;263(2 Pt 2):F208-13. doi: 10.1152/ajprenal.1992.263.2.F208.
In six chronically instrumented, conscious dogs the hypothesis was tested that the release of endothelium-derived relaxing factor (EDRF) is important for autoregulation of renal blood flow (RBF) and glomerular filtration rate (GFR). RBF was measured by a Transonic flowmeter. Renal perfusion pressure was servo-controlled by an aortic cuff. EDRF synthesis was inhibited by NG-nitro-L-arginine methyl ester (L-NAME, 50 mg/kg iv). L-NAME increased mean systemic blood pressure (30 mmHg) and decreased heart rate (-40 beats/min), but it left autoregulation of RBF and GFR intact. However, basal RBF decreased markedly (2.24 +/- 0.32 ml.min-1.g-1 with L-NAME vs. 3.91 +/- 0.64 ml.min-1.g-1 for control, P less than 0.01), whereas basal GFR was not significantly influenced (0.37 +/- 0.05 ml.min-1.g-1 with L-NAME vs. 0.42 +/- 0.06 ml.min-1.g-1 for control). Hence filtration fraction increased with L-NAME [27.6 +/- 1.7% vs. 19.3 +/- 1.3% (P less than 0.01)]. The lower limit of autoregulation remained unchanged for RBF (64 +/- 5 mmHg with L-NAME vs. 63 +/- 3 mmHg for control) and increased slightly for GFR (74 +/- 2 mmHg with L-NAME vs. 67 +/- 1 mmHg for control, P less than 0.01). In conclusion, basal EDRF activity tonically influences renal resistance vessels; however, EDRF release is not primarily involved in the process of renal autoregulation. The maintenance of GFR suggests that this effect is localized in preglomerular as well as in postglomerular arterioles.
在六只长期植入仪器的清醒犬中,对内皮源性舒张因子(EDRF)的释放对肾血流量(RBF)和肾小球滤过率(GFR)的自身调节很重要这一假说进行了测试。RBF通过Transonic流量计测量。肾灌注压由主动脉袖带进行伺服控制。EDRF合成被NG-硝基-L-精氨酸甲酯(L-NAME,50mg/kg静脉注射)抑制。L-NAME使平均体循环血压升高(30mmHg)并使心率降低(-40次/分钟),但它使RBF和GFR的自身调节保持完整。然而,基础RBF显著降低(L-NAME组为2.24±0.32ml·min⁻¹·g⁻¹,对照组为3.91±0.64ml·min⁻¹·g⁻¹,P<0.01),而基础GFR未受到显著影响(L-NAME组为0.37±0.05ml·min⁻¹·g⁻¹,对照组为0.42±0.06ml·min⁻¹·g⁻¹)。因此,滤过分数随L-NAME升高[27.6±1.7%对19.3±1.3%(P<0.01)]。RBF的自身调节下限保持不变(L-NAME组为64±5mmHg,对照组为63±3mmHg),而GFR的自身调节下限略有升高(L-NAME组为74±2mmHg,对照组为67±1mmHg,P<0.01)。总之,基础EDRF活性对肾阻力血管有持续性影响;然而,EDRF释放并非主要参与肾自身调节过程。GFR的维持表明这种作用定位于肾小球前和肾小球后小动脉。