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促肾上腺皮质激素长期刺激对肾上腺肾素和醛固酮的影响。

Effect of prolonged ACTH stimulation on adrenal renin and aldosterone.

作者信息

Izumi Y, Honda M, Fukuda N, Hatano M

机构信息

Second Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.

出版信息

Endocrinol Jpn. 1988 Oct;35(5):763-8. doi: 10.1507/endocrj1954.35.763.

Abstract

Changes in adrenal renin, which have been regarded as mediator of aldosterone secretion in the adrenal gland, following prolonged ACTH treatment were investigated in male Wistar rats. After 2 days of daily sc injection of ACTH (Cortrosyn-Zinc, 50 micrograms/day), parallel increases in adrenal renin and aldosterone, and plasma aldosterone (PA) were induced. The plasma renin activity (PRA) was slightly but not significantly decreased. Prolonged treatment with ACTH for 8 days increased the adrenal renin, causing a marked reduction in the adrenal aldosterone concentration. The degree of decrease in the PRA was again not significant and similar to that after 2 days of ACTH treatment. Contrary to previout reports which have indicated participation of adrenal renin in the regulation of aldosterone secretion in the adrenal gland, the present results showed reciprocal changes in adrenal renin and aldosterone after prolonged treatment with ACTH. The present findings suggest a complicated relation between adrenal renin and aldosterone secretion in the adrenal gland.

摘要

在雄性Wistar大鼠中,研究了长期促肾上腺皮质激素(ACTH)治疗后,肾上腺肾素的变化,肾上腺肾素一直被视为肾上腺中醛固酮分泌的介质。在每日皮下注射ACTH(锌促皮质素,50微克/天)2天后,肾上腺肾素、醛固酮和血浆醛固酮(PA)平行增加。血浆肾素活性(PRA)略有下降,但不显著。ACTH长期治疗8天可增加肾上腺肾素,导致肾上腺醛固酮浓度显著降低。PRA的下降程度再次不显著,与ACTH治疗2天后相似。与之前表明肾上腺肾素参与肾上腺醛固酮分泌调节的报道相反,目前的结果显示,长期ACTH治疗后,肾上腺肾素和醛固酮发生了相反的变化。目前的研究结果表明,肾上腺肾素与肾上腺醛固酮分泌之间存在复杂的关系。

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