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胰腺切除术、氨基酸与胰高血糖素:对犬肾自动调节功能的影响

Pancreatectomy, amino acids and glucagon: effect on canine renal autoregulation.

作者信息

Premen A J, Powell D A

机构信息

Department of Physiology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799.

出版信息

Regul Pept. 1991 Jan 1;32(1):47-61. doi: 10.1016/0167-0115(91)90006-3.

Abstract

Using pancreactectomized (PX) dogs, we recently suggested the importance of glucagon in modulating amino acid-induced increases in renal blood flow (RBF) and glomerular filtration rate (GFR). We have now ascertained whether glucagon's modulatory effect is associated with an impairment in renal autoregulation. As renal arterial pressure (RAP) was reduced to 70 mmHg (the lower limit of the autoregulatory range) in both sham-operated control (C) and PX control dogs, RBF and GFR remained at values that were greater than 90% of their respective controls. In control dogs infused with amino acids (0.051 mmol/kg per min, i.v.), RBF and GFR rose by 26 and 27%, respectively, at baseline RAP. As RAP was reduced to 70 mmHg, RBF and GFR fell by 25 and 37%, respectively. In PX dogs infused with either amino acids or glucagon (0.86 pmol/kg per min, i.v.) alone, RBF and GFR did not increase appreciably at baseline RAP. As RAP was reduced to 70 mmHg in these dogs, RBF and GFR remained at values that were greater than 90% of their respective controls. Yet, in PX dogs infused simultaneously with amino acids and glucagon, RBF and GFR rose by 22 and 24%, respectively, at baseline RAP. Moreover, as RAP was reduced to 70 mmHg, RBF and GFR fell by 22 and 31%, respectively. These data suggest that the ability of glucagon to modulate the renal hemodynamic response to amino acid infusion involves an impairment in renal autoregulation.

摘要

利用胰腺切除(PX)犬,我们最近提出了胰高血糖素在调节氨基酸诱导的肾血流量(RBF)和肾小球滤过率(GFR)增加方面的重要性。我们现在已确定胰高血糖素的调节作用是否与肾自动调节受损有关。在假手术对照(C)犬和PX对照犬中,当肾动脉压(RAP)降至70 mmHg(自动调节范围的下限)时,RBF和GFR保持在各自对照值的90%以上。在静脉输注氨基酸(0.051 mmol/kg每分钟)的对照犬中,在基线RAP时,RBF和GFR分别升高26%和27%。当RAP降至70 mmHg时,RBF和GFR分别下降25%和37%。在单独静脉输注氨基酸或胰高血糖素(0.86 pmol/kg每分钟)的PX犬中,在基线RAP时,RBF和GFR没有明显增加。当这些犬的RAP降至70 mmHg时,RBF和GFR保持在各自对照值的90%以上。然而,在同时静脉输注氨基酸和胰高血糖素的PX犬中,在基线RAP时,RBF和GFR分别升高22%和24%。此外,当RAP降至70 mmHg时,RBF和GFR分别下降22%和31%。这些数据表明,胰高血糖素调节肾脏对氨基酸输注的血流动力学反应的能力涉及肾自动调节受损。

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