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内皮素对肾血流动力学和肾小管-肾小球反馈的影响。

Effects of endothelin on renal hemodynamics and tubuloglomerular feedback.

作者信息

Takabatake T, Ise T, Ohta K, Kobayashi K

机构信息

First Department of Internal Medicine, School of Medicine, Kanazawa University, Japan.

出版信息

Am J Physiol. 1992 Jul;263(1 Pt 2):F103-8. doi: 10.1152/ajprenal.1992.263.1.F103.

Abstract

The effect of endothelin (ET)-1 infusion on renal hemodynamics and the tubuloglomerular feedback (TGF) mechanism was examined in rats. ET-1 reduced early proximal flow rate (EPFR) measured in the absence of distal flow from 28 +/- 1 to 23 +/- 1 nl/min at a subpressor dose (100 pmol.100 g body wt-1.h-1 iv) and from 27 +/- 2 to 19 +/- 2 nl/min at a pressor dose (200 pmol.100 g body wt-1.h-1). Reductions of EPFR induced by loop perfusion at 40 nl/min were 11 +/- 1 and 12 +/- 1 nl/min at the subpressor and pressor doses and were not different from controls. The stop-flow pressure response to loop perfusion was not altered by the pressor dose of ET-1. The subpressor dose of ET-1 increased renal vascular resistance (RVR) by 40% but left glomerular filtration rate (GFR) and urinary excretion of sodium (UNaV) unaltered. The pressor dose of ET-1 not only increased RVR by 140% and decreased GFR and renal plasma flow by 37 and 52%, but it increased UNaV proportional to the rise in blood pressure (r = 0.724, P less than 0.01). ET-1 is a potent renal vasoconstrictor and induces pressure natriuresis. ET-1 increases both pre- and postglomerular resistances but does not affect TGF response.

摘要

研究了内皮素(ET)-1输注对大鼠肾血流动力学和肾小管-肾小球反馈(TGF)机制的影响。在亚升压剂量(100 pmol·100 g体重-1·h-1静脉注射)下,ET-1使在无远端血流情况下测得的早期近端流速(EPFR)从28±1 nl/min降至23±1 nl/min,在升压剂量(200 pmol·100 g体重-1·h-1)下从27±2 nl/min降至19±2 nl/min。以40 nl/min的速率进行袢灌注诱导的EPFR降低在亚升压和升压剂量下分别为11±1和12±1 nl/min,与对照组无差异。ET-1的升压剂量未改变对袢灌注的停流压力反应。ET-1的亚升压剂量使肾血管阻力(RVR)增加40%,但肾小球滤过率(GFR)和尿钠排泄(UNaV)未改变。ET-1的升压剂量不仅使RVR增加140%,使GFR和肾血浆流量分别降低37%和52%,而且使UNaV与血压升高成比例增加(r = 0.724,P<0.01)。ET-1是一种强效的肾血管收缩剂,并诱导压力性利钠。ET-1增加肾小球前和肾小球后的阻力,但不影响TGF反应。

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