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大鼠肾积水分离肾中肾自动调节的可视化

Visualization of renal autoregulation in the split hydronephrotic kidney of rats.

作者信息

Steinhausen M, Blum M, Fleming J T, Holz F G, Parekh N, Wiegman D L

机构信息

I. Physiologisches, Institut, Universität Heidelberg, Federal Republic of Germany.

出版信息

Kidney Int. 1989 May;35(5):1151-60. doi: 10.1038/ki.1989.104.

Abstract

The autoregulatory ability of the renal vascular system in the split hydronephrotic kidney was quantitated with intravital microscopy. The luminal diameters of the arcuate and interlobular arteries as well as the afferent and efferent arterioles were measured. Glomerular blood flow was determined by the dual slit technique. In the first series of experiments, the renal perfusion pressure was reduced by graded clamping of the abdominal aorta. Pressure reduction from 118 mm Hg to 95 mm Hg induced dilation of all preglomerular vessels except for the distal afferent arteriole; there was no change in the efferent arteriole and the blood flow was maintained. Further pressure reductions to 71 and 43 mm Hg caused additional dilations of the preglomerular vessels, a marginal reduction in diameter of proximal efferent arterioles and flow reductions by 15% and 41%, respectively. In the second series, systemic blood pressure was increased by continuous i.v. infusions of norepinephrine (NE). NE constricted pre- and postglomerular vessels except for the distal afferent arteriole; glomerular flow was decreased. Reduction of renal perfusion pressure during NE infusion to the preinfusion value did not diminish glomerular blood flow, but reduced the constrictor response to NE in preglomerular vessels. In a third series of experiments we examined the effect of atrial natriuretic factor (ANF) on renal autoregulation. Addition of ANF (10(-9) to 10(-7) M) to the renal bath induced a dose-dependent dilation of all preglomerular vessels and a constriction of the efferent arteriole. Pressure reduction from 120 to 95 mm Hg resulted in a further preglomerular vasodilation. These experiments demonstrate that autoregulation is mediated primarily by diameter changes in all preglomerular vessels excluding the distal segment of the afferent arteriole. Further, these data suggest that ANF induced dilation of preglomerular vessels does not impair the myogenic response of these vessels.

摘要

采用活体显微镜对肾积水分离肾的肾血管系统的自身调节能力进行了定量研究。测量了弓形动脉、小叶间动脉以及入球小动脉和出球小动脉的管腔直径。采用双缝技术测定肾小球血流量。在第一组实验中,通过分级夹闭腹主动脉降低肾灌注压。当压力从118 mmHg降至95 mmHg时,除远端入球小动脉外,所有肾小球前血管均出现扩张;出球小动脉无变化,血流量得以维持。进一步将压力降至71 mmHg和43 mmHg,导致肾小球前血管进一步扩张,近端出球小动脉直径略有减小,血流量分别减少15%和41%。在第二组实验中,通过持续静脉输注去甲肾上腺素(NE)升高全身血压。NE使肾小球前和肾小球后血管收缩,但远端入球小动脉除外;肾小球血流量减少。在输注NE期间将肾灌注压降至输注前水平,并未降低肾小球血流量,但减弱了肾小球前血管对NE的收缩反应。在第三组实验中,我们研究了心房利钠因子(ANF)对肾自身调节的影响。向肾灌流液中加入ANF(10⁻⁹至10⁻⁷ M)可引起所有肾小球前血管剂量依赖性扩张以及出球小动脉收缩。压力从120 mmHg降至95 mmHg导致肾小球前血管进一步扩张。这些实验表明,自身调节主要由除入球小动脉远端段外的所有肾小球前血管的直径变化介导。此外,这些数据表明ANF诱导的肾小球前血管扩张并不损害这些血管的肌源性反应。

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