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犬肾素释放的致密斑机制的特性

Properties of the macula densa mechanism for renin release in the dog.

作者信息

Bugge J F, Stokke E S, Kiil F

机构信息

University of Oslo, Institute for Experimental Medical Research, Ullevaal Hospital, Norway.

出版信息

Acta Physiol Scand. 1988 Mar;132(3):401-12. doi: 10.1111/j.1748-1716.1988.tb08344.x.

Abstract

To study the macula densa mechanism for renin release, both the macula densa and the haemodynamic mechanisms were activated in anaesthetized dogs with denervated kidneys, either by renal arterial constriction to a renal arterial pressure (RAP) of 52 +/- 2 mmHg or by ureteral occlusion to a ureteral pressure of 95-105 mmHg, 20-25 mmHg below RAP. Renal arterial constriction increased renin release from 0.3 +/- 0.2 to 16 +/- 4 micrograms AI min-1. At low RAP, renin release was subsequently reduced to 7 +/- 3 micrograms AI min-1 when sodium excretion was raised far above control values by plasma volume expansion and acetazolamide infusion. Ethacrynic acid (3 mg kg-1 body wt.) restored renin release to pre-expansion values, and a large dose (25 mg kg-1 body wt.) prevented renin release from falling even after unclamping the artery. During ureteral occlusion with stopped glomerular filtration, plasma volume expansion, acetazolamide and ethacrynic acid infusion did not alter renin release. On the other hand, beta-adrenergic stimulation by isoproterenol raised renin release equally (by 30-40 micrograms AI min-1) before and after plasma volume expansion, during both renal arterial constriction and ureteral occlusion. Indomethacin (10 mg kg-1 body wt.) abolished renin release induced by ethacrynic acid infusion and ureteral occlusion. We conclude that the macula densa mechanism for renin release is inactivated by high NaCl reabsorption during plasma volume expansion and acetazolamide infusion, reactivated by inhibition of NaCl reabsorption with ethacrynic acid and completely inhibited by indomethacin. The degree of activation does not influence the renin release induced by beta-adrenergic stimulation.

摘要

为研究致密斑释放肾素的机制,在麻醉的去神经支配肾脏的犬中,通过将肾动脉收缩至肾动脉压(RAP)为52±2 mmHg或通过输尿管梗阻使输尿管压力达到95 - 105 mmHg(比RAP低20 - 25 mmHg),激活致密斑和血流动力学机制。肾动脉收缩使肾素释放从0.3±0.2增加至16±4微克AI每分钟。在低RAP时,当通过血浆容量扩张和乙酰唑胺输注使钠排泄量远高于对照值时,肾素释放随后降至7±3微克AI每分钟。依他尼酸(3毫克/千克体重)使肾素释放恢复至扩张前值,大剂量(25毫克/千克体重)即使在解除动脉夹闭后也能防止肾素释放下降。在肾小球滤过停止的输尿管梗阻期间,血浆容量扩张、乙酰唑胺和依他尼酸输注均未改变肾素释放。另一方面,异丙肾上腺素的β - 肾上腺素能刺激在血浆容量扩张前后,在肾动脉收缩和输尿管梗阻期间均使肾素释放同等增加(增加30 - 40微克AI每分钟)。吲哚美辛(10毫克/千克体重)消除了依他尼酸输注和输尿管梗阻诱导的肾素释放。我们得出结论,致密斑释放肾素的机制在血浆容量扩张和乙酰唑胺输注期间因高NaCl重吸收而失活,因依他尼酸抑制NaCl重吸收而重新激活,并被吲哚美辛完全抑制。激活程度不影响β - 肾上腺素能刺激诱导的肾素释放。

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