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高氯血症时的肾内血管收缩:血栓素的作用

Intrarenal vasoconstriction during hyperchloremia: role of thromboxane.

作者信息

Bullivant E M, Wilcox C S, Welch W J

机构信息

Department of Medicine, University of Florida School of Medicine, Gainesville.

出版信息

Am J Physiol. 1989 Jan;256(1 Pt 2):F152-7. doi: 10.1152/ajprenal.1989.256.1.F152.

Abstract

The role of thromboxane (Tx) in chloride-induced renal vasoconstriction was studied in Munich-Wistar rats. Hyperchloremia (induced by changing an intra-aortic, super-renal infusion of 1.2 M Na acetate to 1.2 M NaCl) reduced the glomerular filtration rate (GFR) by 31 +/- 3% (P less than 0.001; n = 27), and the clearance of p-aminohippurate (CPAH) by 36 +/- 4% (P less than 0.01). The Tx synthetase antagonists (25 mg/kg) UK-38,485 or OKY-046 prevented these changes. Pretreatment with indomethacin (5 mg/kg) also prevented Cl-induced changes in GFR and CPAH and blunted (P less than 0.05) the Cl-induced increase in renal vascular resistance (RVR, vehicle +55 +/- 11%, n = 8, indomethacin +27 +/- 7%, n = 6). Hyperchloremia reduced the hydraulic pressures (mmHg) in the outer cortical efferent arteriolar star vessels (PEA, 23.9 +/- 1.6 vs. 17.9 +/- 0.9; P less than 0.01) and proximal tubules (PT, 21.1 +/- 1.5 vs. 15.8 +/- 1.4; P less than 0.01) but not in the glomerular capillaries (PGC, 47.0 +/- 2.5 vs. 49.5 +/- 2.2; NS). Therefore the hydraulic pressure drop across the glomerular capillaries (PGC - PT) increased (24.9 +/- 2.8 vs. 34.6 +/- 2.9; P less than 0.02). UK-38,485 prevented significant Cl-induced changes in these pressures. The calculated resistances of the afferent and efferent arterioles both increased during hyperchloremia (+56 +/- 19%; P less than 0.05 and +195 +/- 66%; P less than 0.01, respectively) but were blunted after UK-38,485 (+23 +/- 8 and +21 +/- 10%, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在慕尼黑-维斯塔尔大鼠中研究了血栓素(Tx)在氯化物诱导的肾血管收缩中的作用。高氯血症(通过将主动脉内超肾输注的1.2M醋酸钠改为1.2M氯化钠诱导)使肾小球滤过率(GFR)降低31±3%(P<0.001;n=27),对氨基马尿酸清除率(CPAH)降低36±4%(P<0.01)。Tx合成酶拮抗剂(25mg/kg)UK-38,485或OKY-046可防止这些变化。吲哚美辛(5mg/kg)预处理也可防止氯化物诱导的GFR和CPAH变化,并减弱(P<0.05)氯化物诱导的肾血管阻力(RVR)增加(溶剂组增加55±11%,n=8;吲哚美辛组增加27±7%,n=6)。高氯血症降低了外皮质传出小动脉星状血管(PEA,23.9±1.6对17.9±0.9;P<0.01)和近端小管(PT,21.1±1.5对IS.8±1.4;P<0.01)中的液压,但肾小球毛细血管(PGC,47.0±2.5对49.5±2.2;无显著差异)中未降低。因此,肾小球毛细血管两端的液压降(PGC-PT)增加(24.9±2.8对34.6±2.9;P<0.02)。UK-38,48S可防止氯化物诱导的这些压力的显著变化。高氯血症期间,入球小动脉和出球小动脉的计算阻力均增加(分别为+56±19%;P<0.05和+195±66%;P<0.01),但在UK-38,485处理后减弱(分别为+23±8和+21±10%)。(摘要截断于250字)

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