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肾对内脏大神经刺激反应的时间进程。

Time course of renal responses to greater splanchnic nerve stimulation.

作者信息

Van Vliet B N, Smith M J, Guyton A C

机构信息

Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson 39216.

出版信息

Am J Physiol. 1991 May;260(5 Pt 2):R894-905. doi: 10.1152/ajpregu.1991.260.5.R894.

Abstract

The objective of the present study was to describe the time courses of renal responses during renal sympathetic stimulation and to determine whether the kidney can provide a sustained response to sympathetic stimulation for 3 h. In four pentobarbital sodium-anesthetized dogs, stimulation (3.3 Hz) of a greater splanchnic nerve (GSN) on one side caused reductions in renal blood flow (RBF) and sodium excretion (UNaV) of both stimulated and contralateral-denervated kidneys, plus an increase in plasma renin activity (PRA). During continued stimulation, RBF partially recovered, but UNaV fell to less than 5% of control and PRA rose and remained at least eight times above control. In nine dogs, a single GSN was stimulated after ipsilateral adrenal medullectomy and ligation of the splanchnic circulation. The acute response to GSN stimulation was now confined to the ipsilateral kidney. Ipsilateral RBF fell by 32 +/- 10% but returned to 85 +/- 5% of control values by the end of the stimulation period. Contralateral RBF fell slowly by approximately 10%. Ipsilateral and contralateral UNaV fell to 34 +/- 10 and 43 +/- 11% of control values, respectively. PRA increased rapidly at the onset of GSN stimulation and remained at least 2.8 times control levels. After stimulation, RBF, UNaV, and PRA returned toward control levels. These results confirm the findings of others that the response of the renal vasculature to sympathetic stimulation is mainly transient. However, they additionally demonstrate a strong and sustained decrease in UNaV lasting for the total 3-h period of sympathetic stimulation.

摘要

本研究的目的是描述肾交感神经刺激期间肾脏反应的时间进程,并确定肾脏是否能对交感神经刺激持续产生3小时的反应。在4只戊巴比妥钠麻醉的狗中,刺激一侧的内脏大神经(GSN,频率为3.3Hz)会导致受刺激肾脏和对侧去神经支配肾脏的肾血流量(RBF)和钠排泄量(UNaV)降低,同时血浆肾素活性(PRA)升高。在持续刺激期间,RBF部分恢复,但UNaV降至对照值的5%以下,PRA升高并至少维持在对照值的8倍以上。在9只狗中,在同侧肾上腺髓质切除和内脏循环结扎后刺激单一的GSN。此时,对GSN刺激的急性反应仅限于同侧肾脏。同侧RBF下降32±10%,但在刺激期结束时恢复至对照值的85±5%。对侧RBF缓慢下降约10%。同侧和对侧UNaV分别降至对照值的34±10%和43±11%。PRA在GSN刺激开始时迅速升高,并至少维持在对照水平的2.8倍。刺激后,RBF、UNaV和PRA恢复至对照水平。这些结果证实了其他人的发现,即肾血管系统对交感神经刺激的反应主要是短暂的。然而,它们还额外证明了在交感神经刺激的整个3小时期间,UNaV持续出现强烈且持续的下降。

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