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低剂量内皮素对麻醉大鼠的血流动力学和肾小管的影响

Haemodynamic and renal tubular effects of low doses of endothelin in anaesthetized rats.

作者信息

Harris P J, Zhuo J, Mendelsohn F A, Skinner S L

机构信息

Department of Physiology, Austin Hospital, University of Melbourne, Parkville, Victoria, Australia.

出版信息

J Physiol. 1991 Feb;433:25-39. doi: 10.1113/jphysiol.1991.sp018412.

Abstract
  1. Renal haemodynamic and tubular transport responses to low-dose infusions (1 and 10 ng kg-1 min-1) of endothelin were investigated in anaesthetized rats. 2. Both doses caused transient increases in mean arterial blood pressure (17 +/- 5 mmHg, P < 0.05 at 1 ng kg-1 min-1) followed by sustained hypotension (-14 +/- 5 mmHg, P < 0.05), reduced renal vascular resistance (-42%, P < 0.05) and increased renal plasma flow (46%, P < 0.05). Glomerular filtration rate was unchanged. 3. Each dose caused profound diuresis and natriuresis. At 1 ng kg-1 min-1 urine flow rate and fractional water excretion increased 5-fold and fractional sodium excretion 10-fold. Fractional potassium excretion and solute-free water clearance were unaltered. 4. End-proximal fluid delivery estimated by lithium clearance doubled (P < 0.05) and fractional proximal and distal sodium reabsorption decreased 10-20% (P < 0.05). Absolute proximal reabsorption also fell with the higher dose. 5. Hypotension and natriuresis persisted for 30 min after terminating infusions. Time-control animals showed no changes in haemodynamics or renal tubular transport. 6. It is concluded that endothelin, at low concentrations, causes renal vasodilatation with concomitant natriuresis due to reduced sodium transport in proximal and distal nephron segments.
摘要
  1. 在麻醉大鼠中研究了肾血流动力学和肾小管转运对低剂量(1和10 ng kg-1 min-1)内皮素输注的反应。2. 两种剂量均引起平均动脉血压短暂升高(1 ng kg-1 min-1时为17±5 mmHg,P<0.05),随后出现持续性低血压(-14±5 mmHg,P<0.05)、肾血管阻力降低(-42%,P<0.05)和肾血浆流量增加(46%,P<0.05)。肾小球滤过率未改变。3. 每种剂量均引起显著的利尿和利钠作用。在1 ng kg-1 min-1时,尿流率和水排泄分数增加5倍,钠排泄分数增加10倍。钾排泄分数和无溶质水清除率未改变。4. 通过锂清除率估计的近端小管液输送量增加一倍(P<0.05),近端和远端钠重吸收分数降低10-20%(P<0.05)。较高剂量时绝对近端重吸收也下降。5. 停止输注后,低血压和利钠作用持续30分钟。时间对照组动物的血流动力学或肾小管转运无变化。6. 得出结论,低浓度内皮素可导致肾血管舒张,并伴有利钠作用,这是由于近端和远端肾单位段钠转运减少所致。

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