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肾去神经支配对自发性高血压大鼠增强的肾小管-肾小球反馈活动的减弱作用。

Attenuation of enhanced tubuloglomerular feedback activity in SHR by renal denervation.

作者信息

Takabatake T, Ushiogi Y, Ohta K, Hattori N

机构信息

First Department of Internal Medicine, School of Medicine, Kanazawa University, Japan.

出版信息

Am J Physiol. 1990 Apr;258(4 Pt 2):F980-5. doi: 10.1152/ajprenal.1990.258.4.F980.

Abstract

We evaluated the effect of acute unilateral renal denervation (DNX) on the tubuloglomerular feedback (TGF) mechanism in Inactin-anesthetized hydropenic male 8- to 10-wk-old spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY). SHR had higher mean arterial pressure (MAP, 28%) and renal vascular resistance (RVR, 35%), whereas renal blood flow (RBF), glomerular filtration rate (GFR), urine flow, and sodium excretion were similar. DNX in SHR did not change MAP but decreased RVR (26%) and increased RBF (29%), GFR (16%), urine flow (52%), and sodium excretion (431%). DNX did not affect these in WKY. Loop of Henle perfusion with Ringer solution reduced early proximal flow rate (EPFR) in SHR more than in WKY; significantly different at a loop flow of 20 nl/min (9.8 +/- 0.7 vs. 6.5 +/- 0.7 nl/min). DNX in SHR increased the nonperfused EPFR from 25.6 +/- 1.1 to 31.7 +/- 1.3 nl/min and reduced TGF responses during perfusion at both 20 nl/min (9.8 +/- 0.7 vs. 4.4 +/- 0.7 nl/min) and 40 nl/min (14.2 +/- 1.1 vs. 10.4 +/- 0.7 nl/min). TGF sensitivity was attenuated by DNX, as indicated by reduced maximum reactivity (-0.89 +/- 0.14 to -0.36 +/- 0.07) and increased turning point (16.5 +/- 0.9 to 25.2 +/- 2.9 nl/min). TGF responses in WKY were not influenced by DNX. Sham denervation did not alter renal hemodynamics and TGF. These results indicate that renal nerves exert a tonic influence on the renal vasculature and the TGF system in SHR but not in WKY. Enhanced TGF responsiveness may be involved in volume retention and in the maintenance of hypertension in SHR.

摘要

我们评估了急性单侧肾去神经支配(DNX)对用英纳克(Inactin)麻醉的、限水的8至10周龄雄性自发性高血压大鼠(SHR)和Wistar-Kyoto大鼠(WKY)的肾小管-肾小球反馈(TGF)机制的影响。SHR的平均动脉压(MAP)较高(高28%),肾血管阻力(RVR)较高(高35%),而肾血流量(RBF)、肾小球滤过率(GFR)、尿流量和钠排泄量相似。SHR进行DNX后,MAP未改变,但RVR降低(26%),RBF增加(29%)、GFR增加(16%)、尿流量增加(52%)和钠排泄增加(431%)。DNX对WKY的这些指标无影响。用林格氏液灌注亨利氏袢时,SHR早期近端流速(EPFR)的降低幅度大于WKY;在袢流量为20 nl/min时差异显著(9.8±0.7对6.5±0.7 nl/min)。SHR进行DNX后,未灌注的EPFR从25.6±1.1增加到31.7±1.3 nl/min,并在20 nl/min(9.8±0.7对4.4±0.7 nl/min)和40 nl/min(14.2±1.1对10.4±0.7 nl/min)灌注时降低TGF反应。DNX使TGF敏感性减弱,表现为最大反应性降低(从-0.89±0.14降至-0.36±0.07)和转折点增加(从16.5±0.9增至25.2±2.9 nl/min)。WKY的TGF反应不受DNX影响。假去神经支配未改变肾血流动力学和TGF。这些结果表明,肾神经对SHR的肾血管系统和TGF系统有紧张性影响,而对WKY则无此影响。增强的TGF反应性可能与SHR的容量潴留和高血压维持有关。

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