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肾神经在自发性高血压大鼠压力性利尿中的作用。

Role of renal nerves on pressure natriuresis in spontaneously hypertensive rats.

作者信息

Yoshida M, Satoh S

机构信息

Department of Pharmacology, Tohoku University, Miyagi, Japan.

出版信息

Am J Physiol. 1991 Jan;260(1 Pt 2):F81-5. doi: 10.1152/ajprenal.1991.260.1.F81.

Abstract

An abnormal rightward shift of the pressure-natriuresis curve is a well known feature of the renal function in hypertension. The participation of intrinsic neural factors in the kidney in this phenomenon was investigated in anesthetized young and adult spontaneously hypertensive rats (SHR). At 7-8 wk of age, the renal pressure-diuresis curve and pressure-natriuresis curve were shifted to the left in denervated SHR compared with innervated animals. Fractional excretion of sodium was higher, and plasma renin activity was lower in denervated SHR. Glomerular filtration rate was not affected by renal denervation. In 13- to 15-wk-old SHR, renal denervation did not affect the pressure-diuresis and -natriuresis curves, although other parameters were changed compared with the results at 7-8 wk. In Wistar-Kyoto rats, the pressure-diuresis curve was shifted to the left by renal denervation at both ages. These results suggest that the renal nerves have an important effect on the renal pressure-diuresis and -natriuresis curves. However, renal innervation cannot be thought to cause an abnormal rightward shift of the pressure-diuresis and -natriuresis curves in SHR, especially in the established stage of hypertension.

摘要

压力-利钠曲线异常右移是高血压患者肾功能的一个众所周知的特征。本研究在麻醉状态下的年轻和成年自发性高血压大鼠(SHR)中,探究了肾脏内在神经因素在这一现象中的作用。在7-8周龄时,与未去神经支配的动物相比,去神经支配的SHR的肾压力-利尿曲线和压力-利钠曲线向左移动。去神经支配的SHR的钠排泄分数较高,血浆肾素活性较低。肾小球滤过率不受肾去神经支配的影响。在13-15周龄的SHR中,肾去神经支配不影响压力-利尿和压力-利钠曲线,尽管与7-8周龄时的结果相比,其他参数发生了变化。在Wistar-Kyoto大鼠中,两个年龄段的肾去神经支配均使压力-利尿曲线向左移动。这些结果表明,肾神经对肾压力-利尿和压力-利钠曲线有重要影响。然而,不能认为肾神经支配会导致SHR的压力-利尿和压力-利钠曲线异常右移,尤其是在高血压的既定阶段。

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