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在 Dahl 盐敏感大鼠中,更大的肠袢氯化物摄取导致压力性利钠作用减弱。

Greater loop chloride uptake contributes to blunted pressure natriuresis in Dahl salt sensitive rats.

作者信息

Kirchner K A

机构信息

University of Mississippi Medical Center, Jackson 39216-4505.

出版信息

J Am Soc Nephrol. 1990 Aug;1(2):180-6. doi: 10.1681/ASN.V12180.

DOI:10.1681/ASN.V12180
PMID:2104261
Abstract

A blunted pressure natriuretic response is present in Dahl salt sensitive rats. To determine whether this results from tubular or glomerular mechanisms, late proximal, early distal, and late distal micropuncture were performed in salt resistant (R), salt sensitive (S), or salt sensitive rats with renal perfusion reduced to that of R rats (S-AC). Differences in neuro-endocrine background between groups were eliminated by renal denervation and by fixing plasma aldosterone, norepinephrine, and vasopressin levels by infusion. Renal perfusion pressure was greater (P less than 0.05) and inulin clearance less (P less than 0.05) in S than R rats. Urinary sodium excretion, however, was not different. S-AC had renal perfusion pressures that were similar to R rats and inulin clearance similar to S rats. Urinary NaCl excretion was less (P less than 0.05) than either group. Single nephron inulin clearance, fluid, and chloride delivery to late proximal sites were not different between groups. Absolute and fractional chloride delivery to early distal sites was less (P less than 0.05) in S-AC than R or S but not different between R and S. Late distal chloride delivery was not different between any group. Calculated loop chloride reabsorption was greater in S-AC than R or S. Thus, the lower urinary NaCl excretion in S-AC rats is in part due to increased loop chloride reabsorption. This effect is probably intrinsic to the S kidney as it occurs despite renal denervation when plasma levels of vasopressin, norepinephrine, and aldosterone are fixed. The increased loop chloride uptake is abolished when perfusion pressure increases.

摘要

Dahl盐敏感大鼠存在压力利钠反应迟钝的情况。为了确定这是由肾小管还是肾小球机制导致的,对盐抵抗(R)、盐敏感(S)或肾灌注降低至R大鼠水平的盐敏感大鼠(S-AC)进行了近端晚期、远端早期和远端晚期微穿刺。通过肾去神经支配以及通过输注固定血浆醛固酮、去甲肾上腺素和血管加压素水平,消除了各组之间神经内分泌背景的差异。与R大鼠相比,S大鼠的肾灌注压更高(P<0.05),菊粉清除率更低(P<0.05)。然而,尿钠排泄并无差异。S-AC的肾灌注压与R大鼠相似,菊粉清除率与S大鼠相似。尿NaCl排泄比两组中的任何一组都少(P<0.05)。各组之间单个肾单位菊粉清除率、液体和氯化物输送到近端晚期部位的情况并无差异。S-AC输送到远端早期部位的绝对和分数氯化物比R或S少(P<0.05),但R和S之间无差异。任何组之间远端晚期氯化物输送并无差异。计算得出的髓袢氯化物重吸收在S-AC中比R或S更大。因此,S-AC大鼠较低的尿NaCl排泄部分是由于髓袢氯化物重吸收增加。这种效应可能是S肾固有的,因为即使在肾去神经支配且血管加压素、去甲肾上腺素和醛固酮血浆水平固定时也会发生。当灌注压升高时,髓袢氯化物摄取增加的情况会被消除。

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