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膳食盐酸甘氨酸诱导的血浆肾素与血浆醛固酮之间的解离

Dissociation between plasma renin and plasma aldosterone induced by dietary glycine hydrochloride.

作者信息

Kotchen T A, Guthrie G P, Boucher L D, Lorenz J N, Ott C E

机构信息

Department of Medicine, University of Kentucky, School of Medicine, Lexington 40536.

出版信息

Am J Physiol. 1988 Feb;254(2 Pt 1):E187-92. doi: 10.1152/ajpendo.1988.254.2.E187.

Abstract

We evaluated the effects of selective dietary chloride loading (without sodium) on plasma renin activity (PRA) and plasma aldosterone in the sodium-deprived Sprague-Dawley rat. Three groups of animals were fed one of the following diets for 13 days: 1) low NaCl; 2) high NaCl; or 3) low sodium, high chloride, provided as glycine hydrochloride. Compared with NaCl-deprived animals, PRA and plasma aldosterone were lower (P less than 0.01) in animals fed low sodium high chloride, whereas aldosterone in animals fed glycine hydrochloride was higher (P less than 0.01) than that of NaCl-deprived animals. In contrast, plasma concentrations of corticosterone and 18-hydroxycorticosterone were not increased by selective chloride loading. Glycine chloride-fed animals were acidotic and had elevated plasma concentrations of potassium and ionized calcium. Thus stimulation of aldosterone by selective chloride loading is not related to PRA or ACTH but may be due to a direct effect of acidosis or an indirect effect of acidosis on potassium and/or calcium. Additionally, selective chloride loading appears to stimulate the conversion of 18-hydroxycorticosterone to aldosterone.

摘要

我们评估了选择性饮食氯化物负荷(无钠)对缺钠的斯普拉格-道利大鼠血浆肾素活性(PRA)和血浆醛固酮的影响。三组动物分别喂食以下三种饮食之一,持续13天:1)低氯化钠;2)高氯化钠;或3)低钠、高氯,以盐酸甘氨酸形式提供。与缺氯化钠的动物相比,喂食低钠高氯的动物的PRA和血浆醛固酮较低(P<0.01),而喂食盐酸甘氨酸的动物的醛固酮高于缺氯化钠的动物(P<0.01)。相比之下,选择性氯化物负荷并未增加皮质酮和18-羟皮质酮的血浆浓度。喂食氯化甘氨酸的动物发生酸中毒,血浆钾和离子钙浓度升高。因此,选择性氯化物负荷对醛固酮的刺激与PRA或促肾上腺皮质激素无关,可能是由于酸中毒的直接作用或酸中毒对钾和/或钙的间接作用。此外,选择性氯化物负荷似乎刺激了18-羟皮质酮向醛固酮的转化。

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