de Vries P J, Tyssen C M, Struyker Boudier H A, Smits J F
Dept. of Pharmacology, University of Limburg, Maastricht, The Netherlands.
Life Sci. 1990;47(24):2291-7. doi: 10.1016/0024-3205(90)90161-j.
To study the physiological role of the atrial natriuretic peptide in the control of hemodynamics and renal function, circulating ANP was reduced by surgical bilateral atrial appendectomy (circulating ANP levels: 153 +/- 15 pg/ml for sham animals, and 95 +/- 11 pg/ml for appendectomized rats) and the relationships between central venous pressure (CVP), plasma ANP and renal function were studied. Mean arterial pressure (MAP), heart rate (HR), CVP, plasma ANP, urine volume (UV) and sodium (UVNa) excretion were measured under basal conditions, during and after a volume load of 6 ml iso-oncotic Ringer's solution. Basal hemodynamic variables were not different between sham and appendectomized rats. CVP was significantly higher during the volume load in appendectomized rats whereas other hemodynamics were not different during and after the volume load. Plasma ANP was significantly reduced in appendectomized rats before, during and after the volume load. Basal urine and sodium excretion were not different whereas stimulated urine and sodium excretion were significantly reduced in appendectomized rats. ANP levels were not totally dependent on CVP during volume load and urine and sodium excretion were of late onset, compared to the onset of increased circulating ANP. This study indicates that circulating ANP plays an important role in volume expanded conditions but there is a dissociation between circulating ANP and renal excretion. Our data suggest involvement of a volume shift from intra-to extravascular space.
为研究心钠素在血流动力学和肾功能调节中的生理作用,通过双侧心房切除术降低循环中的心钠素水平(假手术动物循环心钠素水平:153±15 pg/ml,心房切除大鼠:95±11 pg/ml),并研究中心静脉压(CVP)、血浆心钠素与肾功能之间的关系。在基础状态下、给予6 ml等渗林格液容量负荷期间及之后,测量平均动脉压(MAP)、心率(HR)、CVP、血浆心钠素、尿量(UV)和尿钠(UVNa)排泄量。假手术大鼠和心房切除大鼠的基础血流动力学变量无差异。心房切除大鼠在容量负荷期间CVP显著升高,而在容量负荷期间及之后其他血流动力学指标无差异。心房切除大鼠在容量负荷前、期间及之后血浆心钠素均显著降低。基础尿和尿钠排泄量无差异,但心房切除大鼠刺激后的尿和尿钠排泄量显著降低。与循环心钠素升高的起始相比,容量负荷期间心钠素水平并非完全依赖于CVP,且尿和尿钠排泄出现较晚。本研究表明,循环心钠素在容量扩张状态下起重要作用,但循环心钠素与肾排泄之间存在分离。我们的数据提示存在从血管内到血管外空间的容量转移。