Celsi G, Savin J, Henter J I, Sohtell M
Department of Pediatrics, Karolinska Institute, Stockholm, Sweden.
Acta Physiol Scand. 1991 Apr;141(4):483-7. doi: 10.1111/j.1748-1716.1991.tb09109.x.
Ablation of renal tissue in infancy is followed by increased ultrafiltration pressure, enlarged filtering area and decreased hydraulic conductivity of the glomerular capillaries. This study examines the effect of a calcium channel blocker, felodipine, on ultrafiltration pressure and renal function in rats uni-nephrectomized at 5 days of age. The rats were treated with felodipine from 24 to 60 days of age or left untreated. Sham-operated untreated rats were used as controls. Arterial blood pressure levels were similar in the three groups of rats. Glomerular filtration rate and renal plasma flow in the left kidney were significantly higher in treated and untreated rats than in sham-operated untreated rats; significantly higher values were also found in treated than in untreated rats. Single nephron glomerular filtration rate was significantly higher in treated and in untreated than in sham-operated untreated rats, but was not different in treated and untreated rats. Ultrafiltration pressure was significantly higher in untreated rats than in treated and in sham-operated untreated rats. Ultrafiltration coefficient (Kf) was significantly higher in treated rats than in untreated and sham-operated untreated rats. Hydrolic conductivity of the glomerular capillaries was significantly lower in untreated than in treated and in sham-operated rats, but was not different in treated and sham-operated rats. Glomerular volume was higher in treated and untreated rats than in sham-operated rats.
high ultrafiltration pressure is not an absolute requirement for the hyperfiltration that follows infant nephrectomy.
婴儿期肾组织切除后,会出现超滤压力升高、滤过面积增大以及肾小球毛细血管水力传导率降低的情况。本研究考察了钙通道阻滞剂非洛地平对5日龄单侧肾切除大鼠超滤压力和肾功能的影响。大鼠在24至60日龄期间接受非洛地平治疗或不接受治疗。未接受治疗的假手术大鼠用作对照。三组大鼠的动脉血压水平相似。接受治疗和未接受治疗的大鼠左肾的肾小球滤过率和肾血浆流量显著高于未接受治疗的假手术大鼠;接受治疗的大鼠的值也显著高于未接受治疗的大鼠。单肾单位肾小球滤过率在接受治疗和未接受治疗的大鼠中显著高于未接受治疗的假手术大鼠,但在接受治疗和未接受治疗的大鼠之间没有差异。超滤压力在未接受治疗的大鼠中显著高于接受治疗的大鼠和未接受治疗的假手术大鼠。超滤系数(Kf)在接受治疗的大鼠中显著高于未接受治疗的大鼠和未接受治疗的假手术大鼠。肾小球毛细血管的水力传导率在未接受治疗的大鼠中显著低于接受治疗的大鼠和假手术大鼠,但在接受治疗的大鼠和假手术大鼠之间没有差异。肾小球体积在接受治疗和未接受治疗的大鼠中高于假手术大鼠。
高超滤压力并非婴儿肾切除术后高滤过的绝对必要条件。