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氨基酸对大鼠肾脏直接作用的介质。

Mediators of the direct effects of amino acids on the rat kidney.

作者信息

el Sayed A A, Haylor J, el Nahas A M

机构信息

Department of Medicine and Pharmacology, Royal Hallamshire Hospital, Sheffield, U.K.

出版信息

Clin Sci (Lond). 1991 Sep;81(3):427-32. doi: 10.1042/cs0810427.

Abstract
  1. The response of the isolated rat kidney to a mixed amino acid solution was examined in the presence of three renal autacoid inhibitors, indomethacin (a cyclo-oxygenase inhibitor), sulpiride (a dopamine antagonist) and L-nitroarginine methyl ester (an inhibitor of nitric oxide synthesis). 2. Increasing the concentration of the mixed amino acid solution perfusing the kidney from 2 to 8 mmol/l (n = 6) produced a sustained increase in renal perfusate flow (P less than 0.01) and reversed the time-dependent fall in [14C]inulin clearance (P less than 0.01) demonstrated in kidneys perfused with 2 mmol/l mixed amino acids alone. A significant increase in the fractional sodium reabsorption and decrease in the fractional albumin excretion was also observed. 3. Indomethacin (10(-4) mol/l, n = 6) produced partial (50%) inhibition of the effect of mixed amino acids on [14C]inulin clearance, but did not influence their ability to increase renal perfusate flow. 4. Sulpiride (0.7 mumol min-1 kg-1, n = 6) produced partial inhibition of the effect of mixed amino acids on both [14C]inulin clearance and renal perfusate flow by 60% and 50%, respectively. Sulpiride also entirely inhibited the reduction in fractional albumin excretion. 5. L-Nitroarginine methyl ester (10(-4) mol/l, n = 6) completely inhibited the effect of mixed amino acids on [14C]inulin clearance, but did not inhibit the increase in renal perfusate flow, even though the basal vascular resistance was markedly enhanced. L-Nitroarginine methyl ester also inhibited the increase in fractional sodium reabsorption produced by the mixed amino acids. 6. It is concluded that prostaglandins, dopamine and nitric oxide may all have a role to play in the direct effect of mixed amino acids on renal function. This does not, however, preclude further modification by additional stimuli generated in vivo.
摘要
  1. 在三种肾脏自体活性物质抑制剂存在的情况下,研究了离体大鼠肾脏对混合氨基酸溶液的反应。这三种抑制剂分别是吲哚美辛(一种环氧化酶抑制剂)、舒必利(一种多巴胺拮抗剂)和L-硝基精氨酸甲酯(一种一氧化氮合成抑制剂)。2. 将灌注肾脏的混合氨基酸溶液浓度从2 mmol/l提高到8 mmol/l(n = 6),可使肾灌注液流量持续增加(P < 0.01),并逆转了单独用2 mmol/l混合氨基酸灌注的肾脏中出现的[14C]菊粉清除率随时间的下降(P < 0.01)。还观察到钠重吸收分数显著增加,白蛋白排泄分数降低。3. 吲哚美辛(10^(-4) mol/l,n = 6)对混合氨基酸对[14C]菊粉清除率的影响产生部分(50%)抑制,但不影响其增加肾灌注液流量的能力。4. 舒必利(0.7 μmol min^(-1) kg^(-1),n = 6)对混合氨基酸对[14C]菊粉清除率和肾灌注液流量的影响分别产生60%和50%的部分抑制。舒必利还完全抑制了白蛋白排泄分数的降低。5. L-硝基精氨酸甲酯(10^(-4) mol/l,n = 6)完全抑制了混合氨基酸对[14C]菊粉清除率的影响,但即使基础血管阻力明显增强,也不抑制肾灌注液流量的增加。L-硝基精氨酸甲酯还抑制了混合氨基酸引起的钠重吸收分数的增加。6. 得出结论,前列腺素、多巴胺和一氧化氮可能都在混合氨基酸对肾功能的直接作用中发挥作用。然而,这并不排除体内产生的其他刺激因素的进一步调节作用。

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