Wong N L, Wong E F
Department of Medicine, University of British Columbia, Vancouver, Canada.
Nephron. 1991;57(1):89-93. doi: 10.1159/000186223.
Indirect evidence suggests that atrial natriuretic peptide (ANP) secretion is augmented in chronic renal disease. The object of our present study is to examine the release of ANP from isolated atria obtained from chronic renal failure rats to directly determine whether ANP secretions are increased under these conditions. Experiments were conducted on male Wistar rats (200-225 g) who were subjected to 5/6 nephrectomy of sham operation. Plasma blood urea nitrogen was significantly elevated in 5/6 nephrectomized rats (65 +/- 7 vs. 16 +/- 1 mg%). Overall glomerular filtration rate was 2.36 +/- 0.06 ml/min in sham-operated animals, as opposed to 0.55 +/- 0.11 ml/min in 5/6 nephrectomized rats. Fractional excretion of sodium was significantly higher in 5/6 nephrectomized rats (0.52 +/- 0.01 vs. 1.68 +/- 0.21%). Plasma ANP was 102 +/- 4 pg/ml in normal rats and 161 +/- 14 pg/ml in 5/6 nephrectomized ones. We have also measured immunoreactive ANP in the atria of normal and 5/6 nephrectomized rats. ANP content and concentration in the atria were lower in 5/6 nephrectomized rats. (652 +/- 34 vs. 515 +/- 46 ng/mg of tissue). Right atria from normal and nephrectomized animals was superfused with a modified Langendorff preparation. Spontaneous release of ANP was significantly higher from the nephrectomized rats (17.5 +/- 0.6 pg/min/mg) than from the normal rats (9.8 +/- 0.3 pg/min/mg). These results suggest that ANP may play a role in sodium homeostasis in rats with reduced renal mass.
间接证据表明,慢性肾病时心房利钠肽(ANP)分泌增加。我们当前研究的目的是检测从慢性肾衰竭大鼠分离的心房中ANP的释放,以直接确定在此种情况下ANP分泌是否增加。实验用雄性Wistar大鼠(200 - 225克),分为实施5/6肾切除术组和假手术组。5/6肾切除大鼠的血浆血尿素氮显著升高(65±7对比16±1毫克%)。假手术动物的总肾小球滤过率为2.36±0.06毫升/分钟,而5/6肾切除大鼠为0.55±0.11毫升/分钟。5/6肾切除大鼠的钠分数排泄显著更高(0.52±0.01对比1.68±0.21%)。正常大鼠血浆ANP为102±4皮克/毫升,5/6肾切除大鼠为161±14皮克/毫升。我们还测定了正常和5/6肾切除大鼠心房中的免疫反应性ANP。5/6肾切除大鼠心房中的ANP含量和浓度较低(652±34对比515±46纳克/毫克组织)。用改良Langendorff装置对正常和肾切除动物的右心房进行灌流。肾切除大鼠ANP的自发释放(17.5±0.6皮克/分钟/毫克)显著高于正常大鼠(9.8±0.3皮克/分钟/毫克)。这些结果表明,ANP可能在肾质量降低的大鼠钠稳态中起作用。