Socquet Y, Amery A, Roussel-Deruyck R, Oei L S, Lahaye C, Demuylder C
J Med. 1975;6(2):143-56.
20 isolated dog kidneys were perfused in vitro at 37 degrees C during 6h in a closed circuit system with a Roller pump maintaining a pulsatile flow with a constant output. The perfusate electrolyte concentrations were kept constant. In 12 experiments where a hemodiluted standardized perfusion fluid was used, a significant (0.01 greater than p greater than 0.001) correlation (r = 0.798) was found in the beginning of the experiments between the mean arterial pressure expressed in mm Hg (y) and the renin level, expressed in log U/1 (x): y = 57.0+76.8x. In 4 other experiments, phenoxybenzamine added to the perfusion fluid decreased the arterial pressure but did not prevent the rise of the renin level. In 4 other experiments where the perfusion fluid did not contain blood, renin level and arterial pressure increased, whereas in the experiments using a circuit without a kidney, the renin level did not rise. The possible role of the renin-angiotensin system in causing increased renal vascular resistance during in vitro kidney perfusions is discussed.
20个离体犬肾在37摄氏度下于体外进行6小时的灌注,采用闭路系统,通过滚轴泵维持搏动性血流并保持恒定输出。灌注液的电解质浓度保持恒定。在12个使用血液稀释标准化灌注液的实验中,实验开始时发现,以毫米汞柱表示的平均动脉压(y)与以对数U/1表示的肾素水平(x)之间存在显著相关性(0.01>p>0.001,r = 0.798):y = 57.0 + 76.8x。在另外4个实验中,向灌注液中添加苯氧苄胺可降低动脉压,但不能阻止肾素水平升高。在另外4个灌注液中不含血液的实验中,肾素水平和动脉压均升高,而在使用无肾循环的实验中,肾素水平未升高。本文讨论了肾素 - 血管紧张素系统在体外肾灌注过程中导致肾血管阻力增加的可能作用。