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[实验性低钾血症对前列腺素尿排泄的选择性抑制作用及其可能的功能意义]

[Selective inhibitory effects of experimental potassium depletion on urinary excretion of prostanoids and their possible functional significance].

作者信息

Agnoli G C, Borgatti R, Cacciari M, Garutti C, Ikonomu E, Lenzi P, Marinelli M

机构信息

Cattedra di Semeiotica Medica dell'Università di Bologna.

出版信息

Boll Soc Ital Biol Sper. 1990 Sep;66(9):857-63.

PMID:2073386
Abstract

The urinary concentrations of prostaglandins(PG) E2, 6-keto-PGF1 alpha (6KPGF) and thromboxane (Tx) B2 were measured by RIA method during both hypotonic polyuria (oral water load) and subsequent antidiuresis (low-dose infusion of lysine-8-vasopressin). The study was performed on healthy women either in normal potassium balance (N, n = 14) or sustained potassium depletion (D3, n = 6). Potassium depletion (KD) was induced by low potassium dietary intake (less than or equal to 10 mmol/d) and natriuretic treatment over a period of 8 days; the net losses of NaCl and H2O were replaced; the cumulative potassium deficit was 198 +/- 22 mmol. Further studies were performed after indomethacin treatment in both experimental conditions. 1) As compared to normal potassium balance in KD group the urinary prostanoid excretions were reduced even in absence of significant differences in urinary flow rate. The urinary excretion of 6KPGF was more impaired than that of TxB2 in both polyuria and antidiuresis. 2) Indomethacin inhibited the urinary prostanoid excretions in normal potassium balance and KD groups. The urinary excretion of PGE2 was more impaired than that of both 6KPGF and TxB2.

摘要

采用放射免疫分析法(RIA)测定了低渗性多尿期(口服水负荷)及随后抗利尿期(静脉输注小剂量赖氨酸 - 8 - 加压素)期间尿液中前列腺素(PG)E2、6 - 酮 - PGF1α(6KPGF)和血栓素(Tx)B2的浓度。该研究在血钾平衡正常(N组,n = 14)或持续性低钾血症(D3组,n = 6)的健康女性中进行。低钾血症通过8天的低钾饮食摄入(≤10 mmol/d)和利尿治疗诱导产生;氯化钠和水的净丢失量得到补充;累积钾缺乏量为198±22 mmol。在两种实验条件下,均于吲哚美辛治疗后进一步开展研究。1)与KD组中的血钾平衡正常状态相比,即便尿流率无显著差异,尿液中前列腺素类物质的排泄量仍有所降低。在多尿期和抗利尿期,6KPGF的尿排泄量比TxB2的受损更严重。2)吲哚美辛抑制了血钾平衡正常组和KD组尿液中前列腺素类物质的排泄。PGE2的尿排泄量比6KPGF和TxB2两者的受损更严重。

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