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内皮素的肾脏作用:与前列环素的相互作用。

Renal actions of endothelin: interaction with prostacyclin.

作者信息

Chou S Y, Dahhan A, Porush J G

机构信息

Division of Nephrology and Hypertension, Brookdale Hospital Medical Center, Brooklyn, New York 11212.

出版信息

Am J Physiol. 1990 Oct;259(4 Pt 2):F645-52. doi: 10.1152/ajprenal.1990.259.4.F645.

Abstract

The renal actions of endothelin were examined by infusing it intrarenally in anesthetized dogs at 4 ng.min-1.kg-1 without affecting arterial blood pressure or cardiac output. Endothelin infusion caused a transient and significant increase in renal blood flow (RBF) by 13 +/- 2%, followed by large decreases in RBF and glomerular filtration rate (GFR; by 26 +/- 2 and 23 +/- 7%, respectively) but did not alter urine flow rate or absolute sodium excretion. After endothelin infusion, renal venous and arterial plasma 6-ketoprostaglandin F1 alpha increased from 250 +/- 58 and 117 +/- 31 to 1,044 +/- 249 and 617 +/- 211 pg/ml, respectively, and its renal output increased from 339 +/- 99 to 963 +/- 202 pg.min-1.g-1 (P less than 0.01 for all). The renal prostacyclin synthesis was augmented by endothelin without stimulating the renal renin release or norepinephrine output. Inhibition of prostaglandin synthesis with indomethacin partially prevented the early renal vasodilation induced by endothelin, which then caused a more pronounced decline in RBF and GFR (by 65 +/- 7 and 54 +/- 8%, respectively). With suppression of prostacyclin synthesis, inhibition of renin release by endothelin was observed. Thus the vasoconstrictive effects of endothelin on renal hemodynamics are significantly modified by its ability to enhance production of vasodilators, including prostacyclin.

摘要

通过以4 ng·min⁻¹·kg⁻¹的剂量对麻醉犬进行肾内输注内皮素来研究其对肾脏的作用,该剂量不会影响动脉血压或心输出量。输注内皮素导致肾血流量(RBF)短暂且显著增加13±2%,随后RBF和肾小球滤过率(GFR)大幅下降(分别下降26±2%和23±7%),但未改变尿流率或钠排泄绝对值。输注内皮素后,肾静脉和动脉血浆6-酮前列腺素F1α分别从250±58和117±31 pg/ml增加至1044±249和617±211 pg/ml,其肾脏输出量从339±99增加至963±202 pg·min⁻¹·g⁻¹(所有均P<0.01)。内皮素增强了肾脏前列环素的合成,而未刺激肾脏肾素释放或去甲肾上腺素输出。用吲哚美辛抑制前列腺素合成可部分预防内皮素诱导的早期肾血管舒张,随后导致RBF和GFR更明显下降(分别下降65±7%和54±8%)。随着前列环素合成受到抑制,观察到内皮素对肾素释放的抑制作用。因此,内皮素对肾脏血流动力学的血管收缩作用因其增强包括前列环素在内的血管舒张剂产生的能力而被显著改变。

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