Trippodo N C, Barbee R W
Am J Physiol. 1987 May;252(5 Pt 2):R915-20. doi: 10.1152/ajpregu.1987.252.5.R915.
Previous studies suggested that exogenous atrial natriuretic factor (ANF) altered extracellular fluid partition between plasma and interstitium. The effect of ANF and a similarly effective diuretic dose of furosemide on whole-body transcapillary fluid movement was studied in anesthetized rats by measuring changes in urine and plasma volumes, while accounting for the volume of fluid administered. After 75 min of infusion, urine volume was 9.9 +/- 1.0 ml/kg in rats receiving ANF (0.5 micrograms X min-1 X kg-1), and plasma volume decreased by 3.7 ml/kg (P less than 0.01) compared with rats receiving vehicle only. In the furosemide rats, urine volume was 12.3 +/- 1.9 ml/kg, yet plasma volume was not significantly different from that in the vehicle rats. These results suggested that unlike furosemide, which allowed sufficient capillary absorption to maintain plasma volume constant despite the large diuresis, ANF attenuated whole-body net capillary absorption. The effect of ANF on capillary absorption was quantitated in anephric rats by measuring the increase in plasma volume after intravenous administration of hyperoncotic albumin. After accounting for the volume administered, whole-body net capillary absorption was less (P less than 0.05) in the rats receiving ANF (4.8 +/- 0.4 ml/kg) than in those receiving vehicle (5.9 +/- 0.2 ml/kg). Plasma protein concentration was greater in other anephric rats receiving a similar ANF infusion than in those receiving vehicle. These findings suggest that ANF decreased capillary absorption because of increased average capillary hydrostatic pressure and not because of altered capillary permeability.(ABSTRACT TRUNCATED AT 250 WORDS)
以往研究表明,外源性心房利钠因子(ANF)可改变血浆与间质之间的细胞外液分配。通过测量尿液和血浆体积变化,并考虑所给予液体的体积,在麻醉大鼠中研究了ANF和利尿效果相似的速尿剂量对全身跨毛细血管液体移动的影响。输注75分钟后,接受ANF(0.5微克·分钟⁻¹·千克⁻¹)的大鼠尿量为9.9±1.0毫升/千克,与仅接受赋形剂的大鼠相比,血浆体积减少了3.7毫升/千克(P<0.01)。在速尿组大鼠中,尿量为12.3±1.9毫升/千克,但血浆体积与赋形剂组大鼠相比无显著差异。这些结果表明,与速尿不同,尽管速尿导致大量利尿,但仍能有足够的毛细血管吸收以维持血浆体积恒定,而ANF则减弱了全身净毛细血管吸收。通过测量静脉注射高渗白蛋白后血浆体积的增加,对无肾大鼠中ANF对毛细血管吸收的影响进行了定量分析。在考虑所给予体积后,接受ANF(4.8±0.4毫升/千克)的大鼠全身净毛细血管吸收低于接受赋形剂的大鼠(5.9±0.2毫升/千克)(P<0.05)。接受类似ANF输注的其他无肾大鼠的血浆蛋白浓度高于接受赋形剂的大鼠。这些发现表明,ANF降低毛细血管吸收是由于平均毛细血管静水压升高,而非毛细血管通透性改变。(摘要截选至250字)