Cogan M G
Am J Physiol. 1986 Apr;250(4 Pt 2):F710-4. doi: 10.1152/ajprenal.1986.250.4.F710.
Controversy persists on whether atrial natriuretic factor (ANF) raises renal solute excretion simply by increasing glomerular filtration rate (GFR) or whether it directly inhibits tubular transport (independent of changes in flow rate). Free-flow micropuncture techniques were used in 10 Munich-Wistar rats. ANF caused a significant increase in single-nephron and whole-kidney GFR (41.6 +/- 1.4 to 52.7 +/- 2.3 nl/min and 0.95 +/- 0.05 to 1.24 +/- 0.09 ml/min, respectively). Although absolute proximal sodium, bicarbonate, and chloride reabsorption increased, the increment in reabsorption was less than the increase in load; therefore solute delivery out of the proximal tubule increased by approximately 30-35%. Whole-kidney electrolyte excretion also rose markedly. When single-nephron and whole-kidney GFR were reduced back to a control level by aortic constriction (40.2 +/- 1.8 nl/min and 0.93 +/- 0.05 ml/min, respectively), proximal transport reverted to normal values despite persistent ANF administration. Ninety percent of the ANF-induced natriuresis and chloruresis were simultaneously abolished when GFR was normalized. In conclusion, ANF has no direct effect on reabsorption in the superficial proximal convoluted tubule independent of changes in filtration rate. Although direct effects on more distal or deeper nephron segments are not precluded, the present data suggest that ANF can increase renal solute excretion predominantly by acutely augmenting GFR.
关于心房利钠因子(ANF)是单纯通过增加肾小球滤过率(GFR)来提高肾脏溶质排泄,还是直接抑制肾小管转运(与流速变化无关),目前仍存在争议。对10只慕尼黑-威斯塔大鼠采用自由流微穿刺技术。ANF使单肾单位和全肾GFR显著增加(分别从41.6±1.4 nl/min增加到52.7±2.3 nl/min,从0.95±0.05 ml/min增加到1.24±0.09 ml/min)。虽然近端钠、碳酸氢盐和氯化物的绝对重吸收增加,但重吸收的增加小于负荷的增加;因此,从近端小管流出的溶质输送增加了约30-35%。全肾电解质排泄也显著增加。当通过主动脉缩窄使单肾单位和全肾GFR恢复到对照水平时(分别为40.2±1.8 nl/min和0.93±0.05 ml/min),尽管持续给予ANF,近端转运仍恢复到正常值。当GFR恢复正常时,90%的ANF诱导的利钠和利氯作用同时被消除。总之,在不依赖滤过率变化的情况下,ANF对浅表近端曲管的重吸收没有直接影响。虽然不排除对更远端或更深层肾单位节段有直接作用,但目前的数据表明,ANF主要通过急性增加GFR来增加肾脏溶质排泄。