Mattson D L, Roman R J
Department of Physiology, Medical College of Wisconsin, Milwaukee 53226.
Am J Physiol. 1991 May;260(5 Pt 2):F670-9. doi: 10.1152/ajprenal.1991.260.5.F670.
This study examined the role of angiotensin II (ANG II), kinins, and prostaglandins in the renal hemodynamic response to captopril in Munich-Wistar rats in which plasma renin activity was elevated [18.8 +/- 3.3 ng angiotensin I (ANG I).ml-1.h-1]. Neural influences on the kidney were eliminated by renal denervation, and renal perfusion pressure (RPP) was controlled using a clamp on the aorta. Urine flow, sodium excretion, renal blood flow (RBF), glomerular filtration rate (GFR), and cortical and papillary red blood cell (RBC) flow increased significantly after captopril (2 mg/kg iv). Glomerular and peritubular capillary pressures rose by 20%, and vasa recta capillary pressure fell by 3-4 mmHg due to significant reductions in estimated preglomerular, efferent arteriolar and renal capillary-venous vascular resistances. Infusion of ANG II (20 ng.kg-1.min-1 iv) returned RBF, GFR, and glomerular and peritubular capillary pressures to control; however, ANG II did not lower papillary RBC flow before inhibition of prostaglandin synthesis. Saralasin had no effect on papillary RBC flow or the response to captopril. The changes in vasa recta hemodynamics produced by captopril were blocked by a kinin antagonist. These findings indicate that ANG II exerts a vasoconstrictor influence on the renal cortical vasculature of Munich-Wistar rats; however, its effects on the medullary circulation are opposed by vasodilatory eicosanoids. They also suggest that kinins participate in the papillary RBC flow response to captopril, perhaps by reducing the outflow resistance from the vasa recta circulation.
本研究在血浆肾素活性升高[18.8±3.3 ng血管紧张素I(ANG I)·ml⁻¹·h⁻¹]的慕尼黑-威斯塔大鼠中,检测了血管紧张素II(ANG II)、激肽和前列腺素在卡托普利所致肾血流动力学反应中的作用。通过肾去神经支配消除了神经对肾脏的影响,并使用主动脉夹控制肾灌注压(RPP)。静脉注射卡托普利(2 mg/kg)后,尿流量、钠排泄、肾血流量(RBF)、肾小球滤过率(GFR)以及皮质和乳头红细胞(RBC)流量均显著增加。由于估计的肾小球前、出球小动脉和肾毛细血管-静脉血管阻力显著降低,肾小球和肾小管周围毛细血管压力升高20%,直小血管毛细血管压力下降3 - 4 mmHg。静脉输注ANG II(20 ng·kg⁻¹·min⁻¹)可使RBF、GFR以及肾小球和肾小管周围毛细血管压力恢复至对照水平;然而,在抑制前列腺素合成之前,ANG II并未降低乳头RBC流量。沙拉新对乳头RBC流量或对卡托普利的反应无影响。卡托普利引起的直小血管血流动力学变化被激肽拮抗剂阻断。这些发现表明,ANG II对慕尼黑-威斯塔大鼠的肾皮质血管系统发挥血管收缩作用;然而,其对髓质循环的作用被血管舒张类二十烷酸所抵消。它们还提示,激肽可能通过降低直小血管循环的流出阻力参与卡托普利所致的乳头RBC流量反应。