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心房利钠肽对肾脏的作用而不伴有肾小球滤过率和血压的变化。

Renal effects of ANP without changes in glomerular filtration rate and blood pressure.

作者信息

Salazar F J, Fiksen-Olsen M J, Opgenorth T J, Granger J P, Burnett J C, Romero J C

出版信息

Am J Physiol. 1986 Sep;251(3 Pt 2):F532-6. doi: 10.1152/ajprenal.1986.251.3.F532.

Abstract

The aim of the present study was to determine if atrial natriuretic peptide (ANP)-induced natriuresis is dependent on increases in glomerular filtration rate (GFR). Intrarenal blood flow distribution and urinary excretion of prostaglandins were also determined during the infusion of a dose of ANP that does not induce changes in GFR and mean arterial pressure (MAP). It was found that the intrarenal infusion of ANP (8-33) at a dose of 0.05 micrograms X kg-1. min-1 in seven anesthetized dogs did not produce any change in GFR or MAP, but its natriuretic effect was similar to that obtained by a larger dose (0.3 micrograms X kg-1 X min-1, n = 5) that produces significant changes in both MAP and GFR. The natriuresis induced by the lower dose of ANP was associated with a redistribution (P less than 0.05) of renal blood flow (RBF) from the superficial to the juxtamedullary cortex and with an increase (P less than 0.05) in urinary excretion of prostaglandins E2 (PGE2) (0.8 +/- 0.2 to 2.4 +/- 1.0 ng/min) and 6-keto-F1 alpha (6-keto-PGF1 alpha) (2.8 +/- 0.6 to 5.5 +/- 1.7 ng/min). Renin secretion rate decreased from 610 +/- 165 to 279 +/- 61 ng angiotensin I/min. These results show that the natriuresis induced by ANP is not necessarily produced by an increase in GFR and is associated with a redistribution of RBF to the deep cortex and an increase in urinary excretion of PGE2 and 6-keto-PGF1 alpha.

摘要

本研究的目的是确定心房利钠肽(ANP)诱导的利钠作用是否依赖于肾小球滤过率(GFR)的增加。在输注一定剂量的ANP(该剂量不会引起GFR和平均动脉压(MAP)的变化)期间,还测定了肾内血流分布和前列腺素的尿排泄量。结果发现,在7只麻醉犬中,以0.05微克·千克⁻¹·分钟⁻¹的剂量肾内输注ANP(8 - 33),GFR或MAP未发生任何变化,但其利钠作用与较大剂量(0.3微克·千克⁻¹·分钟⁻¹,n = 5)所产生的利钠作用相似,而较大剂量会使MAP和GFR均发生显著变化。较低剂量ANP诱导的利钠作用与肾血流(RBF)从浅表皮质向近髓质皮质重新分布(P < 0.05)以及前列腺素E2(PGE2)(从0.8±0.2至2.4±1.0纳克/分钟)和6 - 酮 - F1α(6 - 酮 - PGF1α)(从2.8±0.6至5.5±1.7纳克/分钟)的尿排泄量增加(P < 0.05)相关。肾素分泌率从610±165降至279±61纳克血管紧张素I/分钟。这些结果表明,ANP诱导的利钠作用不一定由GFR增加引起,并且与RBF向深层皮质的重新分布以及PGE2和6 - 酮 - PGF1α的尿排泄量增加有关。

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