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双侧肾切除术后持续性血管肾素在戈德布拉特二肾型高血压中的作用

Role of persistent vascular renin after bilateral nephrectomy in Goldblatt-two kidney hypertension.

作者信息

Thurston H, Hurst B C, Bing R F, Swales J D

出版信息

Clin Sci Mol Med Suppl. 1978 Dec;4:23s-26s. doi: 10.1042/cs055023s.

Abstract
  1. Aorta homogenate contains renin-like activity which on incubation generates angiotensin I over a wide pH range. 2. Rat aortic renin measured at an incubation pH of 6.5 rose and fell in parallel to plasma renin with salt depletion and salt-loading respectively. Renin little relationship with plasma renin. 3. Aortic renin (pH 6.5) was elevated in Goldblatt-two kidney hypertension and slowly fell for 24h after bilateral nephrectomy whereas the fall in plasma renin was complete by the first hour. Aortic renin (pH 5.3) was also high, but did not fall after bilateral nephrectomy. 4. Aortic renin (pH 6.5) is probably derived from plasma renin whereas renin measured at pH 5.3 is probably a tissue renin. 5. The prolonged half-life of aortic renin (pH 6.5) explains the observation that the renin-angiotensin system appears to be active in maintaining blood pressure for several hours after bilateral nephrectomy whereas the decline in plasma renin is rapid and does not continue significantly beyond 1 h.
摘要
  1. 主动脉匀浆含有肾素样活性,在孵育时能在较宽的pH范围内产生血管紧张素I。2. 在孵育pH值为6.5时测得的大鼠主动脉肾素,分别随着盐缺乏和盐负荷与血浆肾素平行升降。肾素与血浆肾素关系不大。3. 在戈德布拉特二肾型高血压中,主动脉肾素(pH 6.5)升高,双侧肾切除术后24小时内缓慢下降,而血浆肾素在第一小时内就完全下降。主动脉肾素(pH 5.3)也很高,但双侧肾切除术后不下降。4. 主动脉肾素(pH 6.5)可能来源于血浆肾素,而在pH 5.3时测得的肾素可能是组织肾素。5. 主动脉肾素(pH 6.5)半衰期延长,这解释了双侧肾切除术后肾素-血管紧张素系统似乎在维持血压数小时内仍有活性,而血浆肾素下降迅速且1小时后不再显著持续的现象。

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