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心房利钠肽对麻醉兔肾功能及肾素-醛固酮系统的影响

The effects of atrial natriuretic peptide on renal function and the renin-aldosterone system in anesthetized rabbits.

作者信息

Nushiro N, Abe K, Seino M, Itoh S, Yoshinaga K

机构信息

Second Department of Internal Medicine, Tohoku University School of Medicine, Sendai.

出版信息

Tohoku J Exp Med. 1987 Jul;152(3):301-10. doi: 10.1620/tjem.152.301.

Abstract

To determine the effects of alpha-human atrial natriuretic peptide (ANP) on renal function and the renin-aldosterone system in anesthetized rabbits, ANP (0.05 micrograms/kg/min) or 5% dextrose solution in vehicle control was infused intravenously. The infusion of ANP resulted in a significant decrease in mean arterial pressure with an increase in renal blood flow (RBF). ANP also produced significant increases in urine volume and urinary sodium excretion. ANP tended to increase glomerular filtration rate, filtered sodium load and net tubular reabsorption of sodium. However, there were no significant differences in these parameters compared with control group. Fractional sodium excretion was increased significantly by ANP. Plasma renin activity (PRA) was suppressed only at 30 min after the infusion of ANP, while a significant fall in plasma aldosterone concentration (PAC) lasted even in the recovery period. These results indicate that ANP produces a diuresis and natriuresis through the increased RBF in anesthetized rabbits. It is also suggested that ANP suppresses PAC independent of the inhibition of PRA.

摘要

为了确定α-人心房利钠肽(ANP)对麻醉兔肾功能及肾素-醛固酮系统的影响,静脉输注ANP(0.05微克/千克/分钟)或溶媒对照中的5%葡萄糖溶液。输注ANP导致平均动脉压显著降低,肾血流量(RBF)增加。ANP还使尿量和尿钠排泄显著增加。ANP倾向于增加肾小球滤过率、滤过钠负荷和钠的净肾小管重吸收。然而,与对照组相比,这些参数没有显著差异。ANP使钠排泄分数显著增加。仅在输注ANP后30分钟时血浆肾素活性(PRA)受到抑制,而血浆醛固酮浓度(PAC)的显著下降甚至在恢复期仍持续存在。这些结果表明,ANP通过增加麻醉兔的RBF产生利尿和利钠作用。还提示ANP抑制PAC与PRA的抑制无关。

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