Zamlauski-Tucker M J, Springate J E, Van Liew J B, Noble B, Feld L G
Department of Pediatrics, State University of New York, Buffalo School of Medicine and Biomedical Sciences, Buffalo.
Proc Soc Exp Biol Med. 1992 Jan;199(1):59-64. doi: 10.3181/00379727-199-43329.
This study was undertaken to determine whether hyperfiltration exists at the single nephron level and whether albumin excretion is increased early in the course of diabetes in Biobreeding rats. Diabetic rats were studied at 8-12 weeks after the onset of diabetes. Control animals were age-matched, diabetes-resistant rats. Urinary and tubular fluid albumin concentrations were measured by polyacrylamide gel electrophoresis. Clearance and micropuncture techniques were used to determine whole kidney and single nephron glomerular filtration rate, renal blood flow, and glomerular capillary pressure. The urinary albumin excretion rate (1.3 +/- 0.1 mg/24 hr) and the tubular fluid albumin concentration (4.7 +/- 0.7 mg/dl) in the diabetic group were significantly elevated when compared with urinary albumin excretion (0.9 +/- 0.1 mg/24 hr) and tubular fluid albumin concentration (2.5 +/- 0.5 mg/dl) in the control group. There were no significant differences in glomerular hemodynamics (whole kidney or single nephron glomerular filtration rate or glomerular capillary pressure) between diabetic and control rats. The kidney weight and kidney weight to body weight ratio were significantly higher in diabetic rats when compared with control rats. Early diabetes in Biobreeding rats is characterized by mild albuminuria and increased kidney size, but not glomerular hyperfiltration.
本研究旨在确定在生物繁殖大鼠中,糖尿病病程早期单肾单位水平是否存在超滤现象以及白蛋白排泄是否增加。对糖尿病大鼠在糖尿病发病后8 - 12周进行研究。对照动物为年龄匹配的、抗糖尿病大鼠。通过聚丙烯酰胺凝胶电泳测量尿液和肾小管液中的白蛋白浓度。采用清除率和微穿刺技术来测定全肾和单肾单位的肾小球滤过率、肾血流量以及肾小球毛细血管压力。与对照组的尿白蛋白排泄量(0.9±0.1mg/24小时)和肾小管液白蛋白浓度(2.5±0.5mg/dl)相比,糖尿病组的尿白蛋白排泄率(1.3±0.1mg/24小时)和肾小管液白蛋白浓度(4.7±0.7mg/dl)显著升高。糖尿病大鼠和对照大鼠之间在肾小球血流动力学(全肾或单肾单位肾小球滤过率或肾小球毛细血管压力)方面没有显著差异。与对照大鼠相比,糖尿病大鼠的肾脏重量以及肾脏重量与体重之比显著更高。生物繁殖大鼠的早期糖尿病表现为轻度蛋白尿和肾脏体积增大,但不存在肾小球超滤现象。