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急性给予血管加压素后Brattleboro大鼠对血容量扩张的肾脏反应。

Renal response to blood volume expansion in Brattleboro rats after acute treatment with vasopressin.

作者信息

Palluk R, Veress A T, Sonnenberg H

机构信息

Department of Pharmacology, Boehringer Ingelheim KG, Federal Republic of Germany.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1991 Jul;344(1):119-25. doi: 10.1007/BF00167391.

Abstract

The renal response to iso-oncotic blood volume expansion with bovine serum albumin was studied in anaesthetized homozygous Brattleboro (DI) rats after acute (1 day) pretreatment with 1 U arginine-vasopressin (AVP) compared to heterozygous controls. In AVP-treated DI (DI + AVP) rats, basal urine flow as well as urinary sodium, chloride, and potassium excretion, were not different from controls. Diuresis and kaliuresis induced by volume expansion were blunted in DI + AVP rats. However, natriuresis and chloruresis were exaggerated in DI + AVP rats. They increased faster, reached a higher maximum, but declined earlier, compared to controls. The blunted diuresis resulted in a positive volume balance by the end of the experiment in DI + AVP rats, whereas the controls showed restoration of normal balance. Significant retention of sodium and chloride was observed in controls, but not in DI + AVP rats, over the time of the experiment. DI + AVP rats lost significantly less potassium than controls during the experiment. As judged from the lithium clearance method, the exaggerated saluresis in DI + AVP rats was mainly due to a reduced proximal sodium reabsorption. Plasma immunoreactivity of atrial natriuretic peptide (ANP) rose during blood volume expansion and fell in the recovery period. It was not different between AVP-treated DI rats and controls at any time of the experiment. Inulin clearance was slightly, but not significantly, lower in DI + AVP rats and increased after blood volume expansion in DI + AVP rats only.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在对麻醉的纯合子布拉德福德罗(DI)大鼠进行急性(1天)1单位精氨酸加压素(AVP)预处理后,研究了其对牛血清白蛋白等渗性血容量扩张的肾脏反应,并与杂合子对照组进行比较。在接受AVP治疗的DI(DI + AVP)大鼠中,基础尿流以及尿钠、氯和钾排泄与对照组无差异。DI + AVP大鼠中,血容量扩张诱导的利尿和尿钾排泄减弱。然而,DI + AVP大鼠中钠利尿和氯利尿增强。与对照组相比,它们增加得更快,达到更高的最大值,但下降得更早。在实验结束时,DI + AVP大鼠中减弱的利尿导致正的容量平衡,而对照组显示恢复正常平衡。在实验期间,对照组中观察到显著的钠和氯潴留,但DI + AVP大鼠中未观察到。实验期间,DI + AVP大鼠的钾流失明显少于对照组。根据锂清除率方法判断,DI + AVP大鼠中增强的盐利尿主要是由于近端钠重吸收减少。心房利钠肽(ANP)的血浆免疫反应性在血容量扩张期间升高,在恢复期下降。在实验的任何时候,接受AVP治疗的DI大鼠和对照组之间均无差异。DI + AVP大鼠的菊粉清除率略低,但无显著差异,且仅在DI + AVP大鼠血容量扩张后增加。(摘要截短至250字)

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