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肾小球滤过率增加在大鼠心房利钠因子诱导利钠中的作用。

Role of increased glomerular filtration rate in atrial natriuretic factor-induced natriuresis in the rat.

作者信息

Camargo M J, Atlas S A, Maack T

出版信息

Life Sci. 1986 Jun 30;38(26):2397-404. doi: 10.1016/0024-3205(86)90608-9.

Abstract

One of the major renal hemodynamic actions of atrial natriuretic factor (ANF) is to increase glomerular filtration rate (GFR). To assess the role of this effect on ANF-induced natriuresis (UNaV), diuresis (V) and kaliuresis (UKV) we performed late clamp experiments in six rats. After control periods (C), synthetic ANF (auriculin A) was infused i.v. (2 micrograms X min-1/kg body wt) throughout the experiment (150 min). After pre-clamp periods, the perfusion pressure of the left kidney (LK) was reduced to 75-80 mmHg. The right kidney (RK) served as a time control. In LK, before the late clamp, ANF increased (p less than 0.01) GFR from 1.5 +/- 0.1 to 1.8 +/- 0.1 ml/min, V from 17 +/- 5 to 53 +/- 5 microliters/min, and UNaV from 2.1 +/- 0.6 to 10.0 +/- 0.9 microEq/min. Almost identical increases occurred in the RK. The late clamp returned all parameters in LK to C values (p greater than 0.05): GFR to 1.4 +/- 0.1 ml/min, V to 6.3 +/- 1.2 microliter/min, and UNaV to 1.0 +/- 0.3 microEq/min. The late clamp also reversed the ANF-induced increase in UKV. In the RK, GFR (1.8 +/- 0.1 ml/min), V (38 +/- 4 microliter/min) and UNaV (7.8 +/- 0.8 microEq/min) remained elevated (p less than 0.01 vs. C) to the end of the experiment. These data demonstrate that upon return of GFR to control levels, the ANF-induced diuresis, natriuresis and kaliuresis is abolished. The results support our previous view that the increase in GFR together with a decrease in inner-medullary hypertonicity account wholly or in great part for the natriuretic action of ANF.

摘要

心房利钠因子(ANF)的主要肾脏血流动力学作用之一是增加肾小球滤过率(GFR)。为了评估这种作用对ANF诱导的利钠作用(UNaV)、利尿作用(V)和尿钾排泄(UKV)的影响,我们对6只大鼠进行了晚期钳夹实验。在对照期(C)后,在整个实验过程(150分钟)中静脉输注合成ANF(耳型心钠素A)(2微克×分钟-1/千克体重)。在预钳夹期后,左肾(LK)的灌注压降至75 - 80 mmHg。右肾(RK)作为时间对照。在LK中,晚期钳夹前,ANF使GFR从1.5±0.1增加到1.8±0.1毫升/分钟(p<0.01),V从17±5增加到53±5微升/分钟,UNaV从2.1±0.6增加到10.0±0.9微当量/分钟。RK中也出现了几乎相同的增加。晚期钳夹使LK中的所有参数恢复到对照值(p>0.05):GFR降至1.4±0.1毫升/分钟,V降至6.3±1.2微升/分钟,UNaV降至1.0±0.3微当量/分钟。晚期钳夹还逆转了ANF诱导的UKV增加。在RK中,GFR(1.8±0.1毫升/分钟)、V(38±4微升/分钟)和UNaV(7.8±0.8微当量/分钟)在实验结束时仍保持升高(与C相比,p<0.01)。这些数据表明,当GFR恢复到对照水平时,ANF诱导的利尿、利钠和尿钾排泄作用被消除。结果支持我们之前的观点,即GFR的增加以及髓质内高渗性的降低完全或很大程度上解释了ANF的利钠作用。

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