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慢性钠缺乏时血管紧张素II与肾神经之间的相互作用。

Interactions between angiotensin II and renal nerves during chronic sodium deprivation.

作者信息

Mizelle H L, Hall J E, Woods L L

机构信息

Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson 39216-4505.

出版信息

Am J Physiol. 1988 Nov;255(5 Pt 2):F823-7. doi: 10.1152/ajprenal.1988.255.5.F823.

Abstract

The aim of this study was to examine the importance of the renal nerves in mediating the sodium-retaining actions of angiotensin II (ANG II) during chronic sodium deprivation. In seven female dogs the left kidney was denervated and the urinary bladder was split, allowing continuous urine collection from separate innervated and denervated kidneys in the same dog. The dogs were maintained on a low-sodium diet (7 meq/day) for 9 days and then infused with the converting-enzyme inhibitor captopril (CAP, 14 micrograms.kg-1.min-1, 7 days) followed by CAP plus ANG II (10 ng.kg-1.min-1, 7 days). Mean arterial pressure (MAP) fell from a control of 88 +/- 4 (average for 5 days preceding CAP) to 65 +/- 3 mmHg during CAP. Infusion of ANG II along with CAP restored MAP to 97 +/- 5 mmHg. There were no significant differences in urine volume or sodium, potassium, chloride, or osmolar excretions between innervated and denervated kidneys during the control period, CAP infusion, or CAP plus ANG II infusion. Norepinephrine content was reduced by 99 +/- 1% in denervated kidneys. Because a differential response was not observed between innervated and denervated kidneys during ANG II blockade or infusion of ANG II, we conclude that the renal nerves do not play a major role in mediating the sodium-retaining effects of ANG II during chronic sodium restriction.

摘要

本研究的目的是探讨肾神经在慢性钠缺乏期间介导血管紧张素II(ANG II)保钠作用中的重要性。在7只雌性犬中,将左肾去神经支配,并将膀胱劈开,以便从同一只犬的单独的有神经支配和去神经支配的肾脏连续收集尿液。这些犬维持低钠饮食(7毫当量/天)9天,然后输注转化酶抑制剂卡托普利(CAP,14微克·千克-1·分钟-1,7天),随后输注CAP加ANG II(10纳克·千克-1·分钟-1,7天)。在输注CAP期间,平均动脉压(MAP)从CAP前5天的平均值88±4降至65±3 mmHg。ANG II与CAP一起输注可使MAP恢复至97±5 mmHg。在对照期、CAP输注期或CAP加ANG II输注期,有神经支配和去神经支配的肾脏之间的尿量或钠、钾、氯或渗透压排泄没有显著差异。去神经支配的肾脏中去甲肾上腺素含量降低了99±1%。由于在ANG II阻断或输注ANG II期间,有神经支配和去神经支配的肾脏之间未观察到差异反应,我们得出结论,在慢性钠限制期间,肾神经在介导ANG II的保钠作用中不发挥主要作用。

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