Hisa H, Chen Y H, Radke K J, Izzo J L, Sladek C D, Blair M L
Department of Physiology, School of Medicine, University of Rochester, New York 14642.
Am J Physiol. 1989 Jun;256(6 Pt 1):E863-71. doi: 10.1152/ajpendo.1989.256.6.E863.
These experiments evaluated the contribution of alpha- and beta-adrenergic stimulation to plasma renin activity (PRA) during early and long-term dietary sodium restriction, compared with normal sodium intake. Uninephrectomized conscious dogs with catheters in the aorta, vena cava, and remaining renal artery were studied during normal sodium diet (approximately 70 meq/day), after 2-3 days of low-sodium diet (5-7 meq/day), and after greater than or equal to 2 wk of low-sodium diet. Direct renal arterial (ira) infusion of phenoxybenzamine plus propranolol decreased PRA by similar proportions (39-48%) during all three states of dietary sodium intake. The PRA achieved after adrenergic blockade remained higher (P less than 0.05) during early and long-term sodium restriction than during normal sodium intake. The effect on PRA of ira infusion of propranolol alone was not different from that of phenoxybenzamine plus propranolol during normal or low-sodium diet, and the magnitude of decrease in PRA during low-sodium diet was the same whether propranolol (1 microgram.kg-1.min-1) was infused ira or intravenously. In summary, beta-adrenergic stimulation accounts for similar proportions of PRA during early and long-term dietary sodium restriction and during normal sodium intake. Renal alpha-adrenoceptors appear to play little or no role in control of PRA under these conditions.
这些实验评估了在早期和长期饮食限钠期间,与正常钠摄入量相比,α-和β-肾上腺素能刺激对血浆肾素活性(PRA)的作用。对主动脉、腔静脉和剩余肾动脉置有导管的单侧肾切除清醒犬,在正常钠饮食(约70 meq/天)期间、低钠饮食(5 - 7 meq/天)2 - 3天后以及低钠饮食≥2周后进行了研究。在所有三种饮食钠摄入状态下,直接经肾动脉(ira)输注酚苄明加普萘洛尔可使PRA降低相似比例(39 - 48%)。在早期和长期钠限制期间,肾上腺素能阻断后达到的PRA仍高于正常钠摄入期间(P<0.05)。在正常或低钠饮食期间,单独经ira输注普萘洛尔对PRA的影响与酚苄明加普萘洛尔的影响无差异,且无论普萘洛尔(1微克·千克⁻¹·分钟⁻¹)是经ira还是静脉输注,低钠饮食期间PRA降低的幅度相同。总之,在早期和长期饮食限钠期间以及正常钠摄入期间,β-肾上腺素能刺激对PRA的作用比例相似。在这些条件下,肾α-肾上腺素能受体似乎在PRA的调控中作用很小或不起作用。