Angielski S, Redlak M, Szczepańska-Konkel M
Department of Clinical Biochemistry, Medical Academy, Gdańsk, Poland.
Miner Electrolyte Metab. 1990;16(1):57-60.
The hyperfiltration action of atrial natriuretic factor (ANF) and glucagon is accompanied by an elevation of adenosine in urine. We employed adenosine deaminase to evaluate the role of intrarenal adenosine in glomerular hyperfiltration induced by those hormones. Administration of ANF (2 micrograms/kg/min) resulted in an increase in the glomerular filtration rate (GFR): 1.99 vs. 3.01 ml/min (p less than 0.02) which was associated with a rise of adenosine excretion 87 vs. 151 pmol/min. Similarly, infusion of glucagon (2 micrograms/kg/min) raised the GFR from 1.86 to 2.67 ml/min (p less than 0.02) and adenosine excretion from 105 to 178 pmol/min (p less than 0.02). Adenosine deaminase treatment (2 U x kg/min) did not change the basal GFR and renal plasma flow but decreased plasma adenosine level 0.64 vs. 0.18 microM (p less than 0.001) and its excretion: 93 vs. 13 pmol/min (p less than 0.01). In adenosine deaminase treated rats ANF dramatically increased the GFR from 2.09 to 4.18 ml/min (p less than 0.001) and fractional filtration from 0.29 to 0.57, and the increase persisted throughout infusion of ANF. Similarly, adenosine deaminase treatment potentiated and prolonged the effect of glucagon on the GFR. These data indicate that depletion in renal adenosine does not decrease the GFR and that adenosine is present at inhibitory concentrations only during hormonal stimulation of glomerular filtration. It is concluded that renal endogenous adenosine functions do restrain hyperfiltration induced by ANF or glucagon.
心房利钠因子(ANF)和胰高血糖素的超滤作用伴随着尿中腺苷水平的升高。我们使用腺苷脱氨酶来评估肾内腺苷在这些激素诱导的肾小球超滤中的作用。给予ANF(2微克/千克/分钟)导致肾小球滤过率(GFR)增加:从1.99毫升/分钟增至3.01毫升/分钟(p<0.02),同时腺苷排泄量从87皮摩尔/分钟增至151皮摩尔/分钟。同样,输注胰高血糖素(2微克/千克/分钟)使GFR从1.86毫升/分钟提高到2.67毫升/分钟(p<0.02),腺苷排泄量从105皮摩尔/分钟增加到178皮摩尔/分钟(p<0.02)。腺苷脱氨酶处理(2单位×千克/分钟)未改变基础GFR和肾血浆流量,但降低了血浆腺苷水平,从0.64微摩尔/升降至0.18微摩尔/升(p<0.001)及其排泄量:从93皮摩尔/分钟降至13皮摩尔/分钟(p<0.01)。在经腺苷脱氨酶处理的大鼠中,ANF使GFR从2.09毫升/分钟显著增加到4.18毫升/分钟(p<0.001),滤过分数从0.29增加到0.57,并且在整个ANF输注过程中这种增加持续存在。同样,腺苷脱氨酶处理增强并延长了胰高血糖素对GFR的作用。这些数据表明肾内腺苷的耗竭不会降低GFR,并且腺苷仅在激素刺激肾小球滤过时以抑制浓度存在。结论是肾内源性腺苷的功能确实会抑制由ANF或胰高血糖素诱导的超滤。