Miki K, Hayashida Y, Sagawa S, Shiraki K
Department of Physiology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Am J Physiol. 1989 Feb;256(2 Pt 2):R299-305. doi: 10.1152/ajpregu.1989.256.2.R299.
The role of renal sympathetic nerve activity (RSNA) in the natriuresis and diuresis induced by head-out water immersion (WI) was studied in eight conscious female dogs. The dog was instrumented chronically with a stainless steel electrode for the measurement of RSNA and two catheters for the measurements of systemic arterial (Pa) and central venous (Pv) pressures. The WI caused an immediate reduction of RSNA by 43 +/- 7% (P less than 0.05), and this low level was sustained throughout a 120-min WI under thermoneutral conditions (37 degrees C). Urine flow and sodium excretion increased by 211 +/- 54 (P less than 0.05) and 240 +/- 122% (P less than 0.05), respectively, but creatinine clearance did not change significantly during WI. A step increase in Pa (by 10 +/- 4 mmHg, P less than 0.05) and Pv (by 10.0 +/- 0.8 mmHg, P less than 0.05) was observed also during WI. In another series of studies, renal denervations were performed 2-4 wk before the experiment in six of the same dogs. Dogs with renal denervation showed no significant changes in urine flow and sodium excretion in response to WI, whereas Pa and Pv increased by 10 +/- 7 and 10.0 +/- 2.0 mmHg relative to the control level, respectively. It is concluded that the reduction of RSNA observed during WI plays a major role in the natriuresis in the dog.
在8只清醒雌性犬中研究了肾交感神经活动(RSNA)在头低位水浸(WI)诱导的利钠和利尿中的作用。给犬长期植入一根用于测量RSNA的不锈钢电极以及两根分别用于测量体动脉(Pa)压和中心静脉(Pv)压的导管。WI使RSNA立即降低43±7%(P<0.05),并且在热中性条件(37℃)下120分钟的WI过程中,这种低水平一直持续。尿流量和钠排泄分别增加了211±54(P<0.05)和240±122%(P<0.05),但WI期间肌酐清除率无显著变化。WI期间还观察到Pa(升高10±4 mmHg,P<0.05)和Pv(升高10.0±0.8 mmHg,P<0.05)呈阶梯式增加。在另一系列研究中,在实验前2 - 4周对其中6只相同的犬进行了肾去神经支配。肾去神经支配的犬对WI的反应中尿流量和钠排泄无显著变化,而Pa和Pv相对于对照水平分别升高了10±7和10.0±2.0 mmHg。得出的结论是,WI期间观察到的RSNA降低在犬的利钠过程中起主要作用。