Carmines P K, Inscho E W, Gensure R C
Department of Physiology, Tulane University School of Medicine, New Orleans, Louisiana 70112.
Am J Physiol. 1990 Jan;258(1 Pt 2):F94-102. doi: 10.1152/ajprenal.1990.258.1.F94.
Videomicroscopic and micropuncture techniques were utilized to determine segmental microvascular responses of in vitro blood-perfused juxtamedullary nephrons to step changes in renal arterial perfusion pressure (PP). At a PP of 104 +/- 2 mmHg, inside diameters of arcuate arteries (ARC), interlobular arteries (ILA), and afferent arterioles (AFF) averaged 68.6 +/- 6.4, 35.7 +/- 1.5, and 20.4 +/- 2.3 microns, respectively. Variations in PP within the range of 70-180 mmHg elicited alterations in microvessel diameters with the following slopes: ARC, -0.15 micron/mmHg; ILA, -0.13 micron/mmHg; and AFF, -0.14 micron/mmHg. In other experiments, intravascular pressures were measured during changes in PP. Glomerular capillary pressure was well regulated (slope = 0.19 +/- 0.03 mmHg/mmHg), and mid-AFF pressure was partially regulated (slope = 0.60 +/- 0.17 mmHg/mmHg); however, pressure measured at the ILA-AFF branch point responded passively to changes in PP (slope = 0.95 +/- 0.06 mmHg/mmHg). These observations reveal that, although the entire preglomerular vasculature of juxtamedullary nephrons is capable of actively responding to changes in PP, afferent arterioles are responsible for the predominant resistance adjustment throughout the normal autoregulatory range.
采用视频显微镜和微穿刺技术来确定体外血液灌注的近髓肾单位对肾动脉灌注压(PP)阶跃变化的节段性微血管反应。在PP为104±2 mmHg时,弓形动脉(ARC)、小叶间动脉(ILA)和入球小动脉(AFF)的内径分别平均为68.6±6.4、35.7±1.5和20.4±2.3微米。在70 - 180 mmHg范围内PP的变化引起微血管直径的改变,其斜率如下:ARC,-0.15微米/mmHg;ILA,-0.13微米/mmHg;AFF,-0.14微米/mmHg。在其他实验中,在PP变化期间测量血管内压力。肾小球毛细血管压力调节良好(斜率 = 0.19±0.03 mmHg/mmHg),AFF中部压力部分调节(斜率 = 0.60±0.17 mmHg/mmHg);然而,在ILA - AFF分支点测量的压力对PP变化呈被动反应(斜率 = 0.95±0.06 mmHg/mmHg)。这些观察结果表明,尽管近髓肾单位的整个肾小球前血管系统能够对PP变化做出积极反应,但在整个正常的自动调节范围内,入球小动脉是主要阻力调节的原因。