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在急性血管升压素性高血压中,心房切除术可降低心钠素水平,但不影响钠排泄。

Atrial appendectomy reduces ANF but not sodium excretion in acute vasopressin hypertension.

作者信息

Zimmerman R S, Barbee R W, Martinez A, MacPhee A A, Trippodo N C

机构信息

Department of Endocrinology, Ochsner Clinic, New Orleans, Louisiana.

出版信息

Am J Physiol. 1990 Jan;258(1 Pt 2):R77-81. doi: 10.1152/ajpregu.1990.258.1.R77.

Abstract

The present study was designed to determine whether atrial appendectomy would decrease the sodium excretion associated with pressor doses of arginine vasopressin (AVP) infusion in rats by decreasing circulating levels of atrial natriuretic factor (ANF). Ten to 21 days after either sham (n = 9) or bilateral atrial appendectomy (n = 13) AVP (19 ng.kg-1.min-1) was infused for 90 min in anesthetized Sprague-Dawley rats. Atrial appendectomy decreased circulating ANF levels from 469 +/- 70 pg/ml in sham-operated animals to 259 +/- 50 pg/ml (P less than 0.05) in atrial-appendectomized animals after 90 min of AVP infusion. Despite a reduction in circulating levels of ANF, sodium excretion, potassium excretion, and urine flow increased and were not affected by bilateral atrial appendectomy. Glomerular filtration rate and mean arterial pressure significantly increased in both groups of rats. The present study supports non-ANF factors such as increases in renal perfusion pressure and/or glomerular filtration rate as potential mechanisms in AVP-induced natriuresis.

摘要

本研究旨在确定心房切除术是否会通过降低心房利钠因子(ANF)的循环水平,来减少与给予大鼠升压剂量的精氨酸血管加压素(AVP)输注相关的钠排泄。在假手术(n = 9)或双侧心房切除术后10至21天,对麻醉的Sprague-Dawley大鼠输注AVP(19 ng·kg-1·min-1)90分钟。在输注AVP 90分钟后,心房切除术使假手术动物的循环ANF水平从469±70 pg/ml降至心房切除动物的259±50 pg/ml(P<0.05)。尽管循环ANF水平降低,但钠排泄、钾排泄和尿流量增加,且不受双侧心房切除术的影响。两组大鼠的肾小球滤过率和平均动脉压均显著升高。本研究支持非ANF因素,如肾灌注压和/或肾小球滤过率的增加,作为AVP诱导利钠作用的潜在机制。

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