Kigoshi T, Imaizumi N, Azukizawa S, Yamamoto I, Uchida K, Konishi F, Morimoto S
Endocrinology. 1986 Jan;118(1):183-8. doi: 10.1210/endo-118-1-183.
Hyporeninemic hypoaldosteronism has been shown to occur in streptozotocin-induced chronic diabetic rats with normokalemia. To test the nature of the aldosterone deficiency, we investigated the responses of aldosterone production to angiotensin II (AII), ACTH, and potassium in adrenal zona glomerulosa cells from diabetic rats at 6 weeks after an injection of streptozotocin compared with those in the cells from control rats. In diabetic rats, plasma glucose was high and plasma immunoreactive insulin was low. Diabetic rats also had low levels of PRA and plasma AII, low levels of plasma aldosterone, and normal levels of plasma corticosterone and plasma potassium. The zona glomerulosa width was narrower in diabetic rats than in control rats. Basal aldosterone production, when corrected to an uniform number of cells per group, was similar in the cells from control and diabetic rats. Cells from diabetic rats showed a less sensitive and lower response of aldosterone production to AII, increases in the threshold and the ED50, and a decrease in the maximal AII-stimulated aldosterone level. ACTH, however, caused a similar effect on aldosterone production in the cells from control and diabetic rats. Cells from diabetic rats exhibited a less sensitive response of aldosterone production to potassium and a tendency to be low in the maximal potassium-stimulated aldosterone level, presumably attributable to the impairment of adrenal zona glomerulosa cells to AII. We conclude that the hypoaldosteronism observed in our diabetic rats may be secondary to the deficiency of AII.
低肾素性低醛固酮血症已被证实在链脲佐菌素诱导的慢性糖尿病正常血钾大鼠中发生。为了检测醛固酮缺乏的本质,我们研究了与对照大鼠细胞相比,链脲佐菌素注射6周后糖尿病大鼠肾上腺球状带细胞中醛固酮分泌对血管紧张素II(AII)、促肾上腺皮质激素(ACTH)和钾的反应。糖尿病大鼠血浆葡萄糖高而血浆免疫反应性胰岛素低。糖尿病大鼠的血浆肾素活性(PRA)和血浆AII水平也低,血浆醛固酮水平低,血浆皮质酮和血浆钾水平正常。糖尿病大鼠的球状带宽度比对照大鼠窄。当校正为每组统一数量的细胞时,对照大鼠和糖尿病大鼠细胞的基础醛固酮分泌相似。糖尿病大鼠的细胞对AII刺激的醛固酮分泌反应较不敏感且较低,阈值和半数有效剂量(ED50)增加,最大AII刺激的醛固酮水平降低。然而,ACTH对对照大鼠和糖尿病大鼠细胞中的醛固酮分泌产生类似影响。糖尿病大鼠的细胞对钾刺激的醛固酮分泌反应较不敏感,最大钾刺激的醛固酮水平有降低趋势,这可能归因于肾上腺球状带细胞对AII的损伤。我们得出结论,在我们的糖尿病大鼠中观察到的低醛固酮血症可能继发于AII缺乏。