Welch W J, Wilcox C S
Department of Medicine, College of Medicine, University of Florida.
J Clin Invest. 1992 Jun;89(6):1857-65. doi: 10.1172/JCI115790.
Because endogenous thromboxane A2 (TXA2) potentiates the tubuloglomerular feedback response (TGF), we studied the mechanism of action of TXA2 by using a stable TXA2/prostaglandin (PG) H2 mimetic, U-46,619. Intravenous infusion of U-46,619 at 100 ng.kg-1.min-1 reduced the GFR and the single-nephron (SN)GFR measured from the distal tubule (macula densa function intact), whereas the SNGFR measured from the proximal tubule (macula densa function interrupted) was not changed consistently. 10-100-fold higher rates of infusion of U-46,619 were required to raise blood pressure or femoral vascular resistance. The regulation of glomerular capillary pressure (PGC) by TGF was assessed in anesthetized rats from changes in proximal stop flow pressure (PSF) and/or SNGFR during perfusion of the loop of Henle (LH) with artificial tubular fluid (ATF). Orthograde loop perfusion and retrograde perfusion of U-46,619 into the macula densa segment reduced PSF. Responses to luminal U-46,619 were blunted by a TXA2-PGH2 receptor antagonist. Orthograde loop perfusions with luminal U-46,619 increased net Cl absorption, whereas coperfusion with furosemide (10(-4) M) blunted the response to U-46,619 by 68%. These data indicated that the luminal U-46,619 might increase the signal for TGF activation by increasing Cl reabsorption in macula densa cells. However, since 80 +/- 4% of [3H]U-46,619 perfused via the LH was reabsorbed peritubular capillaries (PTC) were perfused with U-46,619 to test additional extra-luminal actions. PTC perfusion with U-46,619 again increased TGF by reducing PSF selectively only while macula densa function was intact during perfusion of the LH with ATF.
(a) TGF is potentiated by U-46,619 given systematically, via the lumen of the LH by orthograde or retrograde perfusions or via the PTC; (b) at the lower doses tested, reduction of PGC and SNGFR by U-46,619 depends on tubular fluid delivery and reabsorption by the macula densa; (c) potentiation of TGF by U-46,619 entails preglomerular vasoconstriction which may be elicited in part by an increased signal due to increased net chloride reabsorption in the LH and presumably macula densa cells and by an increased sensitivity of the arteriole to macula densa-derived signals; (d) activation of TGF may contribute to the selective vasoconstriction of the renal vascular bed by low doses of U-46,619.
由于内源性血栓素A2(TXA2)增强了肾小管-肾小球反馈反应(TGF),我们使用稳定的TXA2/前列腺素(PG)H2类似物U-46,619研究了TXA2的作用机制。以100 ng·kg-1·min-1的速率静脉输注U-46,619可降低肾小球滤过率(GFR)和从远端小管测得的单肾单位(SN)GFR(致密斑功能完整),而从近端小管测得的SNGFR(致密斑功能中断)则没有持续变化。需要以高10-100倍的速率输注U-46,619才能升高血压或股血管阻力。通过在使用人工肾小管液(ATF)灌注髓袢(LH)期间近端停流压力(PSF)和/或SN GFR的变化,评估麻醉大鼠中TGF对肾小球毛细血管压力(PGC)的调节。向致密斑段进行顺行髓袢灌注和逆行灌注U-46,619可降低PSF。TXA2-PGH2受体拮抗剂可减弱对管腔内U-46,619的反应。管腔内U-46,619的顺行髓袢灌注增加了净Cl-重吸收,而与呋塞米(10-4 M)共同灌注可使对U-46,619的反应减弱68%。这些数据表明,管腔内U-46,619可能通过增加致密斑细胞中的Cl-重吸收来增加TGF激活信号。然而,由于经LH灌注的[3H]U-46,619有80±4%被肾小管周围毛细血管(PTC)重吸收,因此用U-46,619灌注PTC以测试其他管腔外作用。在用ATF灌注LH期间,仅在致密斑功能完整时,用U-46,619灌注PTC再次通过选择性降低PSF增强了TGF。
(a)通过系统给药、顺行或逆行灌注经LH管腔或经PTC给予U-46,619可增强TGF;(b)在测试的较低剂量下,U-46,619对PGC和SN GFR的降低取决于致密斑的肾小管液输送和重吸收;(c)U-46,619对TGF的增强作用需要肾小球前血管收缩,这可能部分是由于LH中净氯重吸收增加以及推测致密斑细胞中信号增加,以及小动脉对致密斑衍生信号的敏感性增加所致;(d)TGF的激活可能有助于低剂量U-46,619对肾血管床的选择性血管收缩作用。