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血管加压素在清醒犬低氧血症和高碳酸性酸中毒时肾血管变化中的作用

Role of vasopressin in renal vascular changes with hypoxemia and hypercapnic acidosis in conscious dogs.

作者信息

Rose C E, Ragsdale N V, Carey R M

机构信息

Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville 22908.

出版信息

Am J Physiol. 1990 Oct;259(4 Pt 2):R690-702. doi: 10.1152/ajpregu.1990.259.4.R690.

Abstract

To evaluate the role of vasopressin in the renal changes during combined acute hypoxemia and acute hypercapnic acidosis, eight conscious female mongrel dogs prepared with controlled sodium intake at 80 meq/24 h for 4 days were studied in one of the following six protocols: acute hypoxemia (80 min, arterial PO2 34 +/- 1 mmHg) followed by combined acute hypoxemia and hypercapnic acidosis (40 min, arterial PO2 35 +/- 1 mmHg, arterial PCO2 58 +/- 1 mmHg, pH = 7.20 +/- 0.01) during 1) intrarenal vehicle at 0.5 ml/min (N = 8); or 2) intrarenal infusion of vasopressin V1-receptor antagonist [d(CH2)5Tyr(Me)]AVP at 5 ng.kg-1.min-1 (N = 5); and with normal gas exchange during 3) intrarenal vasopressin at 0.05 mU.kg-1.min-1 (N = 8); 4) simultaneous infusion of intrarenal vasopressin and [d(CH2)5Tyr(Me)]AVP, 5 ng.kg-1.min-1 (N = 4); 5) intrarenal [d(CH2)5Tyr(Me)]AVP, 5 ng.kg-1.min-1 (N =4); and 6) intrarenal vehicle at 0.5 ml/min (N = 7). Intrarenal infusion of a subpressor dose of vasopressin resulted in a transient decrease in glomerular filtration rate and effective renal plasma flow over the first 20 min of infusion, suggesting that vasopressin induced nonsustained vasoconstriction of the renal vasculature. Intrarenal administration of [d(CH2)5Tyr-(Me)]AVP failed to block the fall in glomerular filtration rate or effective renal plasma flow when renal arterial blood vasopressin levels were elevated by intrarenal administration of exogenous vasopressin or by elevated systemic arterial endogenous circulating vasopressin during combined acute hypoxemia and hypercapnic acidosis. These data suggest that vasopressin (V1-receptor stimulation) does not play an important role in the renal vasoconstriction during combined acute hypoxemia and hypercapnic acidosis in conscious dogs.

摘要

为评估血管加压素在急性低氧血症和急性高碳酸血症酸中毒合并存在时肾脏变化中的作用,对8只清醒雌性杂种犬进行了研究。这些犬钠摄入量控制在80 meq/24 h,持续4天,按照以下六种方案之一进行实验:急性低氧血症(80分钟,动脉血氧分压34±1 mmHg),随后是急性低氧血症和高碳酸血症酸中毒合并存在(40分钟,动脉血氧分压35±1 mmHg,动脉血二氧化碳分压58±1 mmHg,pH = 7.20±0.01),期间:1)肾内注入0.5 ml/min的溶媒(N = 8);或2)肾内输注血管加压素V1受体拮抗剂[d(CH2)5Tyr(Me)]AVP,剂量为5 ng·kg-1·min-1(N = 5);以及在气体交换正常时:3)肾内注入血管加压素,剂量为0.05 mU·kg-1·min-1(N = 8);4)同时肾内输注血管加压素和[d(CH2)5Tyr(Me)]AVP,剂量为5 ng·kg-1·min-1(N = 4);5)肾内注入[d(CH2)5Tyr(Me)]AVP,剂量为5 ng·kg-1·min-1(N = 4);6)肾内注入0.5 ml/min的溶媒(N = 7)。肾内输注低于升压剂量的血管加压素导致在输注的最初20分钟内肾小球滤过率和有效肾血浆流量短暂下降,提示血管加压素诱导了肾血管系统的非持续性血管收缩。当通过肾内给予外源性血管加压素或在急性低氧血症和高碳酸血症酸中毒合并存在时通过升高全身动脉内源性循环血管加压素使肾动脉血中血管加压素水平升高时,肾内给予[d(CH2)5Tyr-(Me)]AVP未能阻止肾小球滤过率或有效肾血浆流量的下降。这些数据表明,在清醒犬急性低氧血症和高碳酸血症酸中毒合并存在时,血管加压素(V1受体刺激)在肾血管收缩中不起重要作用。

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