Just Armin, Arendshorst William J
Department of Cell and Molecular Physiology, 6341 Medical Biomolecular Research Bldg, CB 7545, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7545, USA.
J Physiol. 2005 Dec 15;569(Pt 3):959-74. doi: 10.1113/jphysiol.2005.094888. Epub 2005 Oct 13.
This rat renal blood flow (RBF) study quantified the impact of nitric oxide synthase (NOS) inhibition on the myogenic response and the balance of autoregulatory mechanisms in the time domain following a 20 mmHg-step increase or decrease in renal arterial pressure (RAP). When RAP was increased, the myogenic component of renal vascular resistance (RVR) rapidly rose within the initial 7-10 s, exhibiting an approximately 5 s time constant and providing approximately 36% of perfect autoregulation. A secondary rise between 10 and 40 s brought RVR to 95% total autoregulatory efficiency, reflecting tubuloglomerular feedback (TGF) and possibly one or two additional mechanisms. The kinetics were similar after the RAP decrease. Inhibition of NOS (by l-NAME) increased RAP, enhanced the strength (79% autoregulation) and doubled the speed of the myogenic response, and promoted the emergence of RVR oscillations ( approximately 0.2 Hz); the strength (52%) was lower at control RAP. An equi-pressor dose of angiotensin II had no effect on myogenic or total autoregulation. Inhibition of TGF (by furosemide) abolished the l-NAME effect on the myogenic response. RVR responses during furosemide treatment, assuming complete inhibition of TGF, suggest a third mechanism that contributes 10-20% and is independent of TGF, slower than the myogenic response, and abolished by NOS inhibition. The hindlimb circulation displayed a solitary myogenic response similar to the kidney (35% autoregulation) that was not enhanced by l-NAME. We conclude that NO normally restrains the strength and speed of the myogenic response in RBF but not hindlimb autoregulation, an action dependent on TGF, thereby allowing more and slow RAP fluctuations to reach glomerular capillaries.
本大鼠肾血流量(RBF)研究量化了一氧化氮合酶(NOS)抑制对肾动脉压(RAP)在20 mmHg阶跃升高或降低后的时域内肌源性反应和自动调节机制平衡的影响。当RAP升高时,肾血管阻力(RVR)的肌源性成分在最初7 - 10秒内迅速上升,表现出约5秒的时间常数,并提供约36%的完美自动调节。10至40秒之间的二次上升使RVR达到95%的总自动调节效率,反映了肾小管-肾小球反馈(TGF)以及可能的一种或两种其他机制。RAP降低后的动力学情况相似。NOS抑制(通过左旋精氨酸甲酯,l-NAME)使RAP升高,增强了肌源性反应的强度(79%自动调节)并使其速度加倍,还促进了RVR振荡的出现(约0.2 Hz);在对照RAP时强度(52%)较低。等升压剂量的血管紧张素II对肌源性或总自动调节无影响。TGF抑制(通过呋塞米)消除了l-NAME对肌源性反应的影响。在呋塞米治疗期间的RVR反应,假设TGF完全被抑制,提示存在第三种机制,其贡献为10 - 20%,独立于TGF,比肌源性反应慢,且被NOS抑制所消除。后肢循环表现出与肾脏相似的单一肌源性反应(35%自动调节),l-NAME未增强该反应。我们得出结论,NO通常会抑制RBF中肌源性反应的强度和速度,但不抑制后肢自动调节,这种作用依赖于TGF,从而允许更多且缓慢的RAP波动到达肾小球毛细血管。