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[自分泌物质在人体肾功能昼夜节律调节中的作用研究]

[Study of autacoids role in the regulation of circadian rhythm of the human renal function].

作者信息

Gutkina O G, Natochin Iu V

出版信息

Ross Fiziol Zh Im I M Sechenova. 2005 Nov;91(11):1338-46.

Abstract

The circadian rhythm of urine formation was studied in younger (27 +/- 8 yr) and aged (76 +/- 3 yr) males. In 11 younger healthy examined persons a decrease of diuresis during the night as compared with the day time was due to a rise of solute free water reabsorption. In 31 aged males the change of the urine formation rhythm with increase of the nocturnal diuresis is based on a rise of osmolal clearance combined with an increase of the solute free water reabsorption. It is shown that blockade of autacoid secretion leads to normalization of the diuresis circadian rhythm. In 10 aged men, nocturia was due to a decrease of vasopressin secretion which resulted in a decrease of the solute free water reabsorption and an increase of diuresis. The obtained data are considered as an evidence for the role of renal autacoids, alongside with vasopressin, in regulation of the circadian rhythm of the kidney function.

摘要

对年轻(27±8岁)和老年(76±3岁)男性的尿液生成昼夜节律进行了研究。在11名接受检查的年轻健康男性中,夜间尿量较白天减少是由于无溶质自由水重吸收增加所致。在31名老年男性中,随着夜间尿量增加,尿液生成节律的变化是基于渗透清除率的增加以及无溶质自由水重吸收的增加。结果表明,自分泌物质分泌的阻断导致利尿昼夜节律正常化。在10名老年男性中,夜尿症是由于抗利尿激素分泌减少,导致无溶质自由水重吸收减少和尿量增加。所获得的数据被视为肾脏自分泌物质与抗利尿激素一起在调节肾脏功能昼夜节律中起作用的证据。

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