Méndez R E, López R, López G, Martí M S, Martínez-Maldonado M
Department of Medicine, University of Puerto Rico School of Medicine, San Juan.
Am J Physiol. 1991 Jul;261(1 Pt 2):F70-5. doi: 10.1152/ajprenal.1991.261.1.F70.
The mechanism whereby an infusion of amino acids (AA) leads to increments in glomerular filtration rate (GFR) and renal plasma flow (RPF) is incompletely understood. Dopamine (DA) is a catecholamine in which known actions at low doses include the ability to increase both GFR and RPF. Furthermore, urinary DA excretion has been shown to be augmented after an oral protein load. We therefore studied the renal hemodynamic response to intravenous infusion of a 10% mixed AA solution in anesthetized euvolemic Wistar-Furth rats in the presence or absence of specific DA1 [Sch 23390 (SCH)] and DA2 [S-sulpiride (S-SP)] receptor antagonists. Infusion of AA in vehicle-pretreated rats resulted in a 28 +/- 8% increase in GFR and a 29 +/- 6% increase in effective ERPF over baseline values. Administration of AA in the presence of SCH also resulted in elevations in both GFR and ERPF by 23 +/- 3% and 26 +/- 6%, respectively. In contrast, when AA were given in the presence of S-SP, the rise in both GFR and ERPF was completely prevented. To examine whether the AA-induced hyperfiltration was due to DA release from renal nerves or enhanced renal tubule DA synthesis, we administered AA to rats in which the left kidney had been chronically denervated while the right kidney remained intact. Infusion of AA led to significant increments in GFR (33 +/- 4%) and ERPF (34 +/- 7%) only in the intact control kidney, whereas GFR and ERPF remained unaltered in the denervated kidney.(ABSTRACT TRUNCATED AT 250 WORDS)
氨基酸(AA)输注导致肾小球滤过率(GFR)和肾血浆流量(RPF)增加的机制尚未完全明了。多巴胺(DA)是一种儿茶酚胺,已知其低剂量作用包括增加GFR和RPF的能力。此外,口服蛋白质负荷后,尿多巴胺排泄已被证明会增加。因此,我们在麻醉状态下血容量正常的Wistar-Furth大鼠中,研究了在有或没有特异性DA1[Sch 23390(SCH)]和DA2[S-舒必利(S-SP)]受体拮抗剂存在的情况下,静脉输注10%混合AA溶液后的肾血流动力学反应。在接受载体预处理的大鼠中输注AA,导致GFR比基线值增加28±8%,有效ERPF增加29±6%。在SCH存在的情况下给予AA,也分别导致GFR和ERPF升高23±3%和26±6%。相比之下,当在S-SP存在的情况下给予AA时,GFR和ERPF的升高被完全阻止。为了研究AA诱导的超滤是否是由于肾神经释放DA或肾小管DA合成增强所致,我们给左肾长期去神经支配而右肾保持完整的大鼠给予AA。输注AA仅导致完整对照肾的GFR(33±4%)和ERPF(34±7%)显著增加,而去神经支配的肾中GFR和ERPF保持不变。(摘要截断于250字)