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肾灌注压对肾素释放的α-和β-肾上腺素能刺激的影响。

Influence of renal perfusion pressure on alpha- and beta-adrenergic stimulation of renin release.

作者信息

Blair M L, Chen Y H, Izzo J L

出版信息

Am J Physiol. 1985 Mar;248(3 Pt 1):E317-26. doi: 10.1152/ajpendo.1985.248.3.E317.

Abstract

Experiments were performed in pentobarbital-anesthetized dogs to 1) determine if neural stimulation of renin release can be mediated by renal alpha-adrenoceptors at renal nerve stimulation (RNS) frequencies that have little or no effect on total renal blood flow (less than or equal to 1.2 Hz) and 2) ascertain whether alpha-adrenergic control of renin release is affected by renal perfusion pressure (RPP). The renal nerves were electrically stimulated both in the absence of RPP control and with RPP controlled near 85 mmHg. Decreased RPP lowered the threshold for neurogenic stimulation of renin release from less than or equal to 1.2 to 0.3 Hz. beta-Adrenoceptor blockade with propranolol blunted the renin secretion rate (RSR) response to graded RNS (0.3-5.0 Hz), but the extent of inhibition during low-frequency RNS was dependent on RPP. Propranolol prevented increased RSR at 0.6-1.2 Hz RNS when RPP was 111-120 mmHg but not when RPP was 85 mmHg. Combined alpha- and beta-blockade with prazosin and propranolol totally prevented increased RSR during 0.6-1.2 Hz RNS at reduced RPP. In summary, both alpha- and beta-adrenoceptors mediate neural stimulation of renin release at RNS frequencies that do not decrease total renal blood flow when RPP is 85 mmHg.

摘要

在戊巴比妥麻醉的犬身上进行了实验,以:1)确定在对总肾血流量影响很小或无影响(小于或等于1.2Hz)的肾神经刺激(RNS)频率下,肾素释放的神经刺激是否可由肾α-肾上腺素能受体介导;2)确定肾素释放的α-肾上腺素能控制是否受肾灌注压(RPP)影响。在无RPP控制和RPP控制在85mmHg左右的情况下均对肾神经进行电刺激。RPP降低使肾素释放的神经源性刺激阈值从小于或等于1.2Hz降至0.3Hz。用普萘洛尔进行β-肾上腺素能受体阻断可减弱肾素分泌率(RSR)对分级RNS(0.3 - 5.0Hz)的反应,但低频RNS期间的抑制程度取决于RPP。当RPP为111 - 120mmHg时,普萘洛尔可阻止0.6 - 1.2Hz RNS时RSR的增加,但当RPP为85mmHg时则不能。用哌唑嗪和普萘洛尔联合进行α-和β-阻断可完全阻止在降低RPP时0.6 - 1.2Hz RNS期间RSR的增加。总之,当RPP为85mmHg时,α-和β-肾上腺素能受体均在不降低总肾血流量的RNS频率下介导肾素释放的神经刺激。

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