Kadekaro M, Summy-Long J Y, Freeman S, Harris J S, Terrell M L, Eisenberg H M
Division of Neurosurgery, University of Texas Medical Branch, Galveston 77550.
Am J Physiol. 1992 Feb;262(2 Pt 2):R310-7. doi: 10.1152/ajpregu.1992.262.2.R310.
Progressive water deprivation increased plasma osmolality, plasma Na+ concentration, and hematocrit in proportion to the severity of dehydration. With increases of 2% in plasma osmolality (24 h dehydration), glucose utilization increased in the supraoptic nuclei and tended to increase in the neural lobe. With further dehydration, glucose utilization also increased in the paraventricular nuclei. These increases were paralleled by depletion of vasopressin and oxytocin contents in the neural lobe and by the enhanced secretion of both hormones into plasma, with a predominant increase of vasopressin. These changes were proportional to the degree of dehydration. With progression of dehydration, decreases in intracellular and extracellular volumes accentuate. Reductions in extracellular volume result in increased angiotensin II (ANG II) formation. Accordingly, glucose utilization in the subfornical organ (SFO), a primary site of ANG II action, increased after 48 and 72 h of dehydration. The median preoptic nucleus, which receives direct inputs from the SFO, also increased glucose utilization at these times. Glucose utilization also increased in the organum vasculosum laminae terminalis, probably in response to the converging inputs from osmoreceptors, volume receptors, and ANG II receptors. Decreases in glucose utilization were observed in the caudal and rostral ventrolateral medulla, perhaps as compensatory responses to decreased extracellular volume to prevent fall in arterial blood pressure.
进行性缺水会使血浆渗透压、血浆钠离子浓度和血细胞比容随着脱水严重程度的增加而成比例升高。当血浆渗透压升高2%(脱水24小时)时,视上核中的葡萄糖利用率增加,神经叶中的葡萄糖利用率也有增加趋势。随着脱水进一步加重,室旁核中的葡萄糖利用率也会增加。这些增加与神经叶中血管加压素和催产素含量的减少以及这两种激素向血浆中分泌的增强同时发生,其中血管加压素的增加更为显著。这些变化与脱水程度成正比。随着脱水的进展,细胞内和细胞外体积的减少会更加明显。细胞外体积的减少会导致血管紧张素II(ANG II)生成增加。因此,在脱水48小时和72小时后,作为ANG II主要作用部位的穹窿下器官(SFO)中的葡萄糖利用率增加。直接接收来自SFO输入的视前正中核在这些时间点的葡萄糖利用率也增加。终板血管器中的葡萄糖利用率也增加,这可能是对来自渗透压感受器、容量感受器和ANG II受体的汇聚输入的反应。在延髓尾侧和头端腹外侧观察到葡萄糖利用率降低,这可能是对细胞外体积减少的一种代偿反应,以防止动脉血压下降。