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肾小管在维持犬血浆硫酸结合儿茶酚胺水平中的潜在作用。

Potential role of the renal tubule in fixing the level of plasma sulfoconjugated catecholamines in the dog.

作者信息

Cuche J L, Safar M

机构信息

Clinical Pharmacology Laboratory, INSERM Unit 337, Paris, France.

出版信息

J Lab Clin Med. 1992 Apr;119(4):391-6.

PMID:1583390
Abstract

Plasma levels of sulfoconjugated catecholamines in human subjects and in dogs are usually much higher than those of native amines. Their origins and the mechanism(s) involved in fixing their plasma concentrations are not well known; however, several lines of clinical evidences indicate a major role for the kidney. Thus this study was undertaken to measure the renal fractional excretion--used as an overall index of kidney mechanisms involved in the handling of catecholamines and their sulfoconjugates in the dog--and to look for any possible relationships between plasma concentration and urinary excretion. This was carried out in 36 anesthetized hydropenic mongrel dogs. The mean values of the renal fractional excretion of sulfoconjugated dopamine, norepinephrine, and epinephrine were shown to be statistically greater than 100%, suggesting a predominant secretion by the renal tubules of hydropenic dogs. Statistically significant correlations between plasma concentration and urinary excretion of sulfoconjugates--independent of blood pressure, cardiac output, clearance of para-aminohippuric acid, glomerular filtration rate, and sodium excretion are reported. Thus any change in the tubular handling of sulfoconjugates is likely to have a direct consequence in the fixation of their plasma concentrations.

摘要

人类受试者和犬类体内硫酸结合儿茶酚胺的血浆水平通常远高于天然胺类的血浆水平。其来源以及决定其血浆浓度的机制尚不清楚;然而,多项临床证据表明肾脏起主要作用。因此,本研究旨在测量肾脏分数排泄率(作为犬类体内儿茶酚胺及其硫酸结合物处理过程中涉及的肾脏机制的综合指标),并寻找血浆浓度与尿排泄之间的任何可能关系。这一研究在36只麻醉状态下禁水的杂种犬身上进行。硫酸结合多巴胺、去甲肾上腺素和肾上腺素的肾脏分数排泄率平均值经统计学分析大于100%,表明禁水犬肾小管有主要分泌作用。报告指出,硫酸结合物的血浆浓度与尿排泄之间存在统计学显著相关性,且不受血压、心输出量、对氨基马尿酸清除率、肾小球滤过率和钠排泄的影响。因此,肾小管对硫酸结合物处理的任何变化都可能直接影响其血浆浓度的固定。

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