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肾内容量扩张对近端钠重吸收的影响。

Effect of intrarenal volume expansion on proximal sodium reabsorption.

作者信息

Haas J A, Granger J P, Knox F G

机构信息

Department of Physiology and Biophysics, Mayo Clinic and Foundation, Rochester, Minnesota 55905.

出版信息

Am J Physiol. 1988 Dec;255(6 Pt 2):F1178-82. doi: 10.1152/ajprenal.1988.255.6.F1178.

Abstract

The objective of the present study was to examine the effect of direct expansion of the renal interstitial volume on sodium reabsorption by proximal tubules of superficial and deep nephrons in the absence of systemic extracellular volume expansion. Renal interstitial volume expansion was achieved by injection of 50 microliter of 2.5% albumin in 0.9% saline into the renal interstitium via a polyethylene matrix that was chronically implanted in the interstitium of the rat kidney. Renal interstitial volume expansion increased renal interstitial hydrostatic pressure from 3.8 +/- 0.5 to 6.8 +/- 1.1 mmHg, P less than 0.05 (n = 5 rats). Fractional reabsorption of sodium by the superficial late proximal tubule decreased from 45.7 +/- 5.6 to 34.2 +/- 5.4%, P less than 0.05, and by the proximal tubule and descending limb of Henle's loop of deep nephrons it decreased from 73.9 +/- 2.9 to 57.2 +/- 6.3%, P less than 0.05 (n = 8 rats). Thus expansion of the renal interstitial volume increased renal interstitial hydrostatic pressure and decreased sodium reabsorption by the proximal tubules of superficial and deep nephrons.

摘要

本研究的目的是在不存在全身性细胞外液量扩张的情况下,检测肾间质容积直接扩张对浅表肾单位和深部肾单位近端小管钠重吸收的影响。通过经由长期植入大鼠肾间质的聚乙烯基质,将50微升2.5%白蛋白溶于0.9%盐水中注入肾间质来实现肾间质容积扩张。肾间质容积扩张使肾间质静水压从3.8±0.5 mmHg升高至6.8±1.1 mmHg,P<0.05(n = 5只大鼠)。浅表近端小管晚期钠的分数重吸收从45.7±5.6%降至34.2±5.4%,P<0.05,深部肾单位近端小管和髓袢降支钠的分数重吸收从73.9±2.9%降至57.2±6.3%,P<0.05(n = 8只大鼠)。因此,肾间质容积扩张增加了肾间质静水压,并降低了浅表和深部肾单位近端小管的钠重吸收。

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