Thomson S C, Tucker B J, Gabbai F, Blantz R C
Department of Medicine, University of California, San Diego, School of Medicine.
J Clin Invest. 1989 Mar;83(3):960-9. doi: 10.1172/JCI113982.
We evaluated the effects of chronic cyclosporine (CsA) administration on the determinants of nephron filtration rate (SNGFR) using micropuncture techniques (mp) in male Munich-Wistar rats. Animals received CsA (30 mg/kg SQ) in olive oil daily for 8 d before mp. Controls (PFC) were pair fed. SNGFR, glomerular capillary hydrostatic pressure gradient (delta P), nephron plasma flow (SNPF), plasma protein oncotic pressure (pi A), and glomerular ultrafiltration coefficient (LpA) were quantitated in each experiment. CsA was associated with a lower SNGFR due to decreases in SNPF and a major reduction in delta P but no decrease in LpA. Plasma volume expansion (PVE) caused SNGFR, delta P, and SNPF to increase in both CsA and PFC without eliminating the differences between CsA and PFC. CsA/PVE rats responded normally to angiotensin II (AII) infusion indicating that the low delta P associated with CsA is not due to unresponsiveness to AII. Prior renal denervation caused SNGFR and SNPF to increase in CsA-treated animals but failed to alter the reduction in glomerular capillary pressure after CsA or to eliminate the glomerular hemodynamic differences between treated animals and pair-fed controls. This constellation of glomerular hemodynamic abnormalities suggests that the renal effect of short-term chronic CsA administration is mediated primarily by a reduction in the afferent effective filtration pressure resulting from an imbalance between pre- and postglomerular vascular resistances.
我们使用微穿刺技术(mp)评估了慢性给予环孢素(CsA)对雄性慕尼黑-维斯塔大鼠肾单位滤过率(SNGFR)决定因素的影响。在进行微穿刺前8天,动物每天接受溶于橄榄油的CsA(30 mg/kg,皮下注射)。对照组(PFC)采用配对喂食。在每个实验中对SNGFR、肾小球毛细血管静水压梯度(ΔP)、肾单位血浆流量(SNPF)、血浆蛋白胶体渗透压(πA)和肾小球超滤系数(LpA)进行定量分析。CsA导致SNGFR降低,原因是SNPF减少以及ΔP大幅降低,但LpA未降低。血容量扩张(PVE)使CsA组和PFC组的SNGFR、ΔP和SNPF均升高,但并未消除CsA组和PFC组之间的差异。CsA/PVE大鼠对血管紧张素II(AII)输注反应正常,表明与CsA相关的低ΔP并非由于对AII无反应。预先进行肾去神经支配使CsA处理的动物的SNGFR和SNPF升高,但未能改变CsA处理后肾小球毛细血管压力的降低,也未能消除处理动物与配对喂食对照组之间的肾小球血流动力学差异。这种肾小球血流动力学异常的组合表明,短期慢性给予CsA的肾脏效应主要是由肾小球前和肾小球后血管阻力失衡导致的入球有效滤过压降低所介导的。