Brandon A E, Boyce A C, Lumbers E R, Gibson K J
Department of Physiology, School of Medical Sciences, University of New South Wales, Sydney, NSW 2052, Australia.
J Physiol. 2009 Jan 15;587(1):261-70. doi: 10.1113/jphysiol.2008.158808. Epub 2008 Nov 10.
To examine the programming effects of maternal renal dysfunction (created by subtotal nephrectomy in ewes prior to mating; STNx), renal and cardiovascular function were studied in 6-month-old male and female offspring of STNx and control pregnancies. After studies were conducted on a low salt diet (LSD) some female offspring underwent salt loading (0.17 M NaCl in the drinking water for 5-7 days; HSD). On LSD both male and female offspring of STNx had similar mean arterial pressures (MAP), heart rates, cardiac outputs and renal function to those measured in offspring of control ewes. In female STNx offspring on a HSD, plasma sodium levels increased and haematocrits fell, indicating volume expansion (P < 0.05). Plasma renin levels were not suppressed despite the increases in plasma sodium concentrations, but aldosterone levels were reduced. In control animals plasma renin levels fell (P < 0.05) but there was no change in plasma aldosterone concentrations. There was a positive relationship between GFR and MAP which was present only in female STNx offspring. In conclusion, in STNx offspring there was an impaired ability to regulate glomerular filtration independent of arterial pressure, renin release was insensitive to a high salt intake and control of aldosterone secretion was abnormal. This study provides evidence of abnormal programming of the renin-angiotensin system and glomerular function in offspring of pregnancies in which there is impaired maternal renal function.
为了研究母体肾功能不全(通过在母羊交配前进行次全肾切除术造成;STNx)的编程效应,对STNx妊娠和对照妊娠的6月龄雄性和雌性后代的肾脏和心血管功能进行了研究。在低钠饮食(LSD)条件下进行研究后,一些雌性后代接受了盐负荷(饮用水中含0.17 M NaCl,持续5 - 7天;HSD)。在LSD条件下,STNx的雄性和雌性后代的平均动脉压(MAP)、心率、心输出量和肾功能与对照母羊后代所测结果相似。在接受HSD的雌性STNx后代中,血浆钠水平升高,血细胞比容下降,表明血容量扩张(P < 0.05)。尽管血浆钠浓度升高,但血浆肾素水平未被抑制,但醛固酮水平降低。在对照动物中,血浆肾素水平下降(P < 0.05),但血浆醛固酮浓度无变化。肾小球滤过率(GFR)与MAP之间存在正相关关系,这仅在雌性STNx后代中存在。总之,在STNx后代中,存在独立于动脉压调节肾小球滤过的能力受损,肾素释放对高盐摄入不敏感,醛固酮分泌的控制异常。本研究提供了证据,证明在母体肾功能受损的妊娠后代中,肾素 - 血管紧张素系统和肾小球功能的编程异常。