Pelayo J C, Westcott J Y
Department of Pediatrics, University of Colorado School of Medicine, Denver 80262.
J Clin Invest. 1991 Jul;88(1):101-5. doi: 10.1172/JCI115264.
In the present micropuncture study, the autoregulation of glomerular capillary hydrostatic pressure (PG) in Munich-Wistar rats 24 h after 75% nephrectomy (Nx) or sham operation (Sh) was investigated. The effect of varying renal perfusion pressure (RPP) on paired determinations of directly measured PG was evaluated in glomeruli of nephrons in which distal fluid delivery was present (unblocked). Autoregulation of PG in Sh glomeruli with unblocked tubules occurred at RPP values between 99.5 +/- 1.0 and 132.1 +/- 1.0 mmHg. In contrast, in Nx glomeruli with unblocked tubules PG increased by 0.32 +/- 0.07 mmHg/mmHg increase in RPP over this same range of RPP (P less than 0.0001). To determine whether enhanced prostaglandins synthesis was responsible for the altered regulation of PG in Nx glomeruli, we repeated the micropuncture measurements in a setting of prostaglandin synthesis inhibition. Although prostaglandins synthesis inhibition did not affect the autoregulation of PG in Sh glomeruli, it did normalize the autoregulatory capacity for PG of Nx glomeruli with unblocked tubules. Thus, acute Nx is associated with a significant loss of the autoregulatory capacity for PG and this impairment appears to be related to a prostaglandin-mediated alteration of the responsiveness of the vascular effector site for autoregulation.
在本微穿刺研究中,我们调查了慕尼黑-威斯塔大鼠在75%肾切除(Nx)或假手术(Sh)24小时后肾小球毛细血管静水压(PG)的自身调节情况。在存在远端液体输送(未阻塞)的肾单位肾小球中,评估了不同肾灌注压(RPP)对直接测量的PG配对测定值的影响。在肾小管未阻塞的Sh肾小球中,PG的自身调节发生在RPP值为99.5±1.0至132.1±1.0 mmHg之间。相比之下,在肾小管未阻塞的Nx肾小球中,在相同的RPP范围内,RPP每增加1 mmHg,PG增加0.32±0.07 mmHg(P<0.0001)。为了确定前列腺素合成增强是否是Nx肾小球中PG调节改变的原因,我们在前列腺素合成抑制的情况下重复了微穿刺测量。虽然前列腺素合成抑制不影响Sh肾小球中PG的自身调节,但它确实使肾小管未阻塞的Nx肾小球中PG的自身调节能力恢复正常。因此,急性Nx与PG自身调节能力的显著丧失有关,这种损害似乎与前列腺素介导的血管效应器部位自身调节反应性改变有关。