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异丙肾上腺素对肾小球血流动力学的β-肾上腺素能刺激作用。

Effects of beta-adrenergic stimulation with isoproterenol on glomerular hemodynamics.

作者信息

Pelayo J C, Tucker B J, Blantz R C

机构信息

Department of Pediatrics, University of Colorado, School of Medicine, Denver, 80262.

出版信息

Am J Physiol. 1989 Nov;257(5 Pt 2):F866-73. doi: 10.1152/ajprenal.1989.257.5.F866.

Abstract

To evaluate the contribution of beta 1-2-adrenergic receptor stimulation to the regulation of single-nephron glomerular filtration rate (SNGFR), we examined by micropuncture techniques the effects of systemic and intrarenal infusion of isoproterenol on glomerular hemodynamics in plasma volume-expanded Munich-Wistar rats. Isoproterenol infused systemically was consistently associated with an elevation in glomerular capillary hydrostatic pressure difference (delta P) from 44.2 +/- 1.2 to 50.1 +/- 1.3 mmHg, P less than 0.01, the consequence of a 5.9-mmHg fall in Bowman's space hydrostatic pressure, P less than 0.005. The potentially beneficial effect of increased delta P on SNGFR was overcome by a 40% reduction in the glomerular ultrafiltration coefficient (LpA) from 0.043 +/- 0.003 to 0.026 +/- 0.003 nl.s-1.mmHg-1.g kidney wt-1, P less than 0.005, with a net effect of a modest 13% decline in SNGFR, P less than 0.01. In contrast, the intrarenal infusion of isoproterenol did not modify glomerular hemodynamics. Suppression of angiotensin II activity eliminated the influences of systemic isoproterenol infusion on LpA and delta P, the latter was the consequence of lower efferent arteriolar resistance. The findings suggest that systemic infusion of a beta 1-2-adrenergic agonist results in a decrease in LpA via angiotensin II effects and exerts a vasodilatory action on postglomerular vessels during angiotensin II inhibition.

摘要

为评估β1 - 2肾上腺素能受体刺激对单肾单位肾小球滤过率(SNGFR)调节的作用,我们采用微穿刺技术研究了全身及肾内注射异丙肾上腺素对血浆容量扩充的慕尼黑 - 维斯塔尔大鼠肾小球血流动力学的影响。全身注射异丙肾上腺素始终伴随着肾小球毛细血管静水压差(ΔP)从44.2±1.2 mmHg升高至50.1±1.3 mmHg,P<0.01,这是由于鲍曼囊静水压下降5.9 mmHg所致,P<0.005。ΔP升高对SNGFR的潜在有益作用被肾小球超滤系数(LpA)降低40%所抵消,LpA从0.043±0.003降至0.026±0.003 nl·s-1·mmHg-1·g肾重-1,P<0.005,SNGFR净下降13%,P<0.01。相比之下,肾内注射异丙肾上腺素未改变肾小球血流动力学。抑制血管紧张素II活性消除了全身注射异丙肾上腺素对LpA和ΔP的影响,后者是出球小动脉阻力降低的结果。研究结果表明,全身注射β1 - 2肾上腺素能激动剂通过血管紧张素II作用导致LpA降低,并在血管紧张素II受抑制期间对肾小球后血管发挥血管舒张作用。

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