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胰高血糖素对肾小球滤过率以及尿素和水排泄的影响。

Effects of glucagon on glomerular filtration rate and urea and water excretion.

作者信息

Ahloulay M, Bouby N, Machet F, Kubrusly M, Coutaud C, Bankir L

机构信息

Institut National de la Santé et de la Recherche Médicale Unité 90, Hôpital Necker, Paris, France.

出版信息

Am J Physiol. 1992 Jul;263(1 Pt 2):F24-36. doi: 10.1152/ajprenal.1992.263.1.F24.

Abstract

Clearance experiments were performed in anesthetized male Wistar rats to reevaluate the renal effects of glucagon (Gluc) on glomerular filtration rate (GFR) and solute and water excretion. After an 80-min control period, these effects were evaluated in the last 80 min of a 2-h intravenous Gluc infusion. Gluc induced significant increases in GFR (+20%), urine flow rate (+150%), free water reabsorption (+50%), urea synthesis and urea excretion (+66%), and nonurea solute excretion (+67%). In addition, fractional urea excretion (FEurea) increased by 43% (P less than 0.01). Additional experiments showed that increases in either urea excretion or urine flow rate (induced by appropriate infusion of urea or half-dilute saline), similar to those seen after Gluc, could not account for the increased FEurea. All significant effects of Gluc were also observed during infusion of antidiuretic hormone or during water diuresis. The tubular effects of Gluc could be explained by a reduction in proximal reabsorption. The dose of Gluc required to induce all the effects described above was 12 ng.min-1.100 g body wt-1, a dose producing an approximately 10-fold supraphysiological peripheral plasma concentration but a "physiological" level for the liver. Infusion of 1.2 ng induced almost no change in renal function, and infusion of 120 ng induced no greater effects than 12 ng. These results suggest 1) that Gluc, a hormone liberated after protein ingestion, exerts coordinated effects on liver and kidney to increase simultaneously urea synthesis and excretion and to promote water conservation and 2) that these effects could, at least in part, be indirect and depend on the Gluc-induced stimulation of hepatocyte metabolism.

摘要

在麻醉的雄性Wistar大鼠中进行清除实验,以重新评估胰高血糖素(Gluc)对肾小球滤过率(GFR)以及溶质和水排泄的肾脏效应。在80分钟的对照期后,在2小时静脉输注Gluc的最后80分钟内评估这些效应。Gluc可使GFR显著增加(+20%)、尿流率显著增加(+150%)、自由水重吸收显著增加(+50%)、尿素合成和尿素排泄显著增加(+66%)以及非尿素溶质排泄显著增加(+67%)。此外,尿素排泄分数(FEurea)增加了43%(P<0.01)。额外的实验表明,尿素排泄或尿流率的增加(通过适当输注尿素或半稀释盐水诱导),与Gluc给药后所见相似,无法解释FEurea的增加。在输注抗利尿激素期间或水利尿期间也观察到了Gluc的所有显著效应。Gluc的肾小管效应可通过近端重吸收减少来解释。诱导上述所有效应所需的Gluc剂量为12 ng·min-1·100 g体重-1,该剂量产生的外周血浆浓度约为生理水平的10倍,但对肝脏而言是“生理”水平。输注1.2 ng几乎不会引起肾功能变化,输注120 ng产生的效应并不比12 ng更大。这些结果表明:1)蛋白质摄入后释放的激素Gluc对肝脏和肾脏发挥协同作用,以同时增加尿素合成和排泄,并促进水的潴留;2)这些效应至少部分可能是间接的,并且依赖于Gluc诱导的肝细胞代谢刺激。

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