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心房利钠因子给药后清醒犬肾血管舒张的意义

Significance of renal vasodilation after administration of atrial natriuretic factor in the conscious dog.

作者信息

Hintze T H

机构信息

Department of Physiology, New York Medical College, Valhalla 10595.

出版信息

Hypertension. 1988 Aug;12(2):143-51. doi: 10.1161/01.hyp.12.2.143.

Abstract

The contribution of alterations in renal hemodynamics to the diuretic and natriuretic actions of atrial natriuretic factor (ANF) was studied in chronically instrumented conscious dogs. Injection of ANF-(99-119), 10 micrograms/kg, had no effect on mean arterial pressure, heart rate, renal blood flow, or calculated renal vascular resistance; However, it increased urine flow rate (86 +/- 20%) and sodium (118 +/- 24%) and potassium (35 +/- 22%) excretion (p less than 0.05). In contrast, ANF-(99-122), 10 micrograms/kg, significantly increased renal blood flow (26 +/- 4.5%), reduced renal vascular resistance (24 +/- 2.9%) and arterial pressure (5.5 +/- 1.9%), and markedly increased urine flow rate (198 +/- 34%) and sodium (206 +/- 32%) and potassium (75 +/- 27%) excretion (p less than 0.05), being almost twice as effective in the first 10 minutes as was ANF-(99-119) infusion. During a brief infusion, ANF-(99-122) (10 micrograms/kg/min for 4 minutes) increased renal blood flow (24 +/- 2.7%), heart rate (18 +/- 5.7%), urine flow rate (199 +/- 25%), and sodium (290 +/- 81%) and potassium (104 +/- 17%) excretion. Injection of radioactive microspheres (15 or 9 micron) to measure intrarenal distribution of blood flow during the steady state increase in renal blood flow indicated that ANF-(99-122) infusion preferentially increased outer cortical blood flow. Blood flow in the four zones of the kidney cortex (Zone 1, outer, and Zone 4, inner) increased 96 +/- 25% (Zone 1), 199 +/- 87% (Zone 2), 139 +/- 47% (Zone 3), p less than 0.05, and 25 +/- 28% (Zone 4, p = NS).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在长期植入仪器的清醒犬中研究了肾血流动力学改变对心房利钠因子(ANF)利尿和利钠作用的贡献。静脉注射10微克/千克的ANF-(99-119)对平均动脉压、心率、肾血流量或计算出的肾血管阻力没有影响;然而,它增加了尿流率(86±20%)以及钠(118±24%)和钾(35±22%)的排泄(p<0.05)。相比之下,静脉注射10微克/千克的ANF-(99-122)可显著增加肾血流量(26±4.5%),降低肾血管阻力(24±2.9%)和动脉压(5.5±1.9%),并显著增加尿流率(198±34%)以及钠(206±32%)和钾(75±27%)的排泄(p<0.05),在前10分钟内的效果几乎是输注ANF-(99-119)的两倍。在短暂输注期间,ANF-(99-122)(10微克/千克/分钟,持续4分钟)增加了肾血流量(24±2.7%)、心率(18±5.7%)、尿流率(199±25%)以及钠(290±81%)和钾(104±17%)的排泄。在肾血流量稳态增加期间注射放射性微球(15或9微米)以测量肾内血流分布,结果表明输注ANF-(99-122)优先增加了肾皮质外层血流。肾皮质四个区域(区域1,外层;区域4,内层)的血流增加,区域1增加了96±25%,区域2增加了199±87%,区域3增加了139±47%,p<0.05,区域4增加了25±28%(p=无显著性差异)。(摘要截断于250字)

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