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心钠素抑制近端肾小管刷状缘膜中的钠氢交换体:多巴胺的作用

ANP inhibits Na(+)-H+ antiport in proximal tubular brush border membrane: role of dopamine.

作者信息

Winaver J, Burnett J C, Tyce G M, Dousa T P

机构信息

Department of Medicine, Mayo Clinic and Foundation, Mayo Medical School, Rochester, Minnesota.

出版信息

Kidney Int. 1990 Dec;38(6):1133-40. doi: 10.1038/ki.1990.323.

Abstract

Infusion of ANP to rats results in an inhibition of Na(+)-H+ antiport and Na(+)-Pi symport in brush border membrane vesicles (BBMV) prepared from kidneys of these animals (J Clin Invest 75:1983). iIn the present study we investigated the intrarenal mechanism by which infused ANP elicits these changes in proximal tubular transport systems. As in rats, infusion of ANP to rabbits resulted in a diuresis, natriuresis, and increase in GFR; however, unlike in rats, the fractional excretion of phosphate (Pi) was not changed. In BBMV prepared from cortices of ANP-infused rabbits, the rate of Na(+)-H+ antiport was decreased (delta -27%), but Na+ gradient-dependent uptakes of Pi and L-proline were not different from controls. Incubation of rabbit cortical tubule suspension in vitro with ANP 10(-7) M alone had no inhibitory effect on Na(+)-H+ antiport in BBMV prepared from these tubules, whereas incubation with other hormonal agents, 1 U/ml PTH (delta 61%) or with dopamine (DA) 10(-4) M (delta -34%), did inhibit the rate of Na(+)-H+ antiport in BBMV from the same pool of tubules. However, when tubules were incubated in the presence of (10(-5) M) DA, the addition of 10(-7) M ANP did cause a significant (delta -21%) decrease in Na(+)-H+ antiport activity in BBMV. In contrast, ANP did not show similar inhibitory effect in the presence of submaximal inhibitory doses of PTH. To explore whether ANP may act on proximal tubules in vivo indirectly, via mediation of DA, we evaluated the effect of ANP on some parameters of catecholamine system in vivo.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

给大鼠输注心钠素(ANP)会抑制从这些动物肾脏制备的刷状缘膜囊泡(BBMV)中的Na(+)-H+逆向转运和Na(+)-Pi同向转运(《临床研究杂志》75:1983)。在本研究中,我们研究了输注的ANP引起近端肾小管转运系统这些变化的肾内机制。与大鼠一样,给兔子输注ANP会导致利尿、利钠以及肾小球滤过率(GFR)增加;然而,与大鼠不同的是,磷酸盐(Pi)的排泄分数没有变化。在从输注ANP的兔子皮质制备的BBMV中,Na(+)-H+逆向转运速率降低(下降-27%),但Pi和L-脯氨酸的Na+梯度依赖性摄取与对照组无差异。将兔皮质肾小管悬液在体外单独与10(-7) M的ANP孵育,对从这些肾小管制备的BBMV中的Na(+)-H+逆向转运没有抑制作用,而与其他激素制剂孵育,1 U/ml的甲状旁腺激素(PTH)(下降61%)或10(-4) M的多巴胺(DA)(下降-34%),确实会抑制来自同一批肾小管的BBMV中Na(+)-H+逆向转运速率。然而,当肾小管在(10(-5) M)DA存在下孵育时,加入10(-7) M的ANP确实会导致BBMV中Na(+)-H+逆向转运活性显著下降(下降-21%)。相反,在次最大抑制剂量的PTH存在下,ANP没有显示出类似的抑制作用。为了探究ANP是否可能通过DA介导在体内间接作用于近端肾小管,我们评估了ANP对体内儿茶酚胺系统某些参数的影响。(摘要截选至250字)

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