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甲状腺功能减退大鼠的肾小球动力学及肾素-血管紧张素系统的作用

Glomerular dynamics in the hypothyroid rat and the role of the renin-angiotensin system.

作者信息

Gillum D M, Falk S A, Hammond W S, Conger J D

出版信息

Am J Physiol. 1987 Jul;253(1 Pt 2):F170-9. doi: 10.1152/ajprenal.1987.253.1.F170.

DOI:10.1152/ajprenal.1987.253.1.F170
PMID:3300370
Abstract

Munich-Wistar rats underwent thyroidectomy (TX) with reimplantation of the parathyroid glands. Systemic hemodynamic and micropuncture studies were performed at 1 and 3 wk post-TX, and the results were compared with levothyroxine replaced controls (TXT4). Cardiac output (CO) in TX rats fell progressively and was 40% of that in TXT4 at 3 wk. Renal blood flow declined in parallel with CO. Systemic blood pressure did not fall in TX rats because of a 50% increase in systemic vascular resistance by 3 wk post-TX. Glomerular dynamics were not significantly different between TX and TXT4 rats at 1 wk; however, by 3 wk single-nephron glomerular filtration rate (SNGFR) had fallen to 16.5 +/- 1.1 vs. 34.1 +/- 3.4 nl/min in TXT4 controls (P less than 0.001). In 3-wk TX rats, glomerular plasma flow (QA) was 50.9 +/- 3.7 vs. 108.0 +/- 8.7 nl/min in TXT4 rats (P less than 0.001), net hydraulic ultrafiltration pressure (delta P) was 33 +/- 2 vs. 37 +/- 1 mmHg in TXT4 rats (P less than 0.01), and the ultrafiltration coefficient (Kf) was 0.025 +/- 0.003 vs. 0.084 +/- 0.008 nl X s-1 X mmHg-1 in TXT4 controls (P less than 0.001). Although the changes in systemic and glomerular hemodynamics were progressive over 3 wk, proximal tubular reabsorption fell maximally within 1 wk. Similar patterns of alterations in glomerular dynamics are known physiological consequences of angiotensin II (ANG II).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

慕尼黑-威斯塔大鼠接受甲状腺切除术(TX)并同时进行甲状旁腺再植。在TX术后1周和3周进行全身血流动力学和微穿刺研究,并将结果与左甲状腺素替代对照组(TXT4)进行比较。TX大鼠的心输出量(CO)逐渐下降,在3周时为TXT4组的40%。肾血流量与CO平行下降。TX大鼠的全身血压没有下降,因为在TX术后3周全身血管阻力增加了50%。在1周时,TX大鼠和TXT4大鼠的肾小球动力学没有显著差异;然而,到3周时,单肾单位肾小球滤过率(SNGFR)降至16.5±1.1 nl/min,而TXT4对照组为34.1±3.4 nl/min(P<0.001)。在3周龄的TX大鼠中,肾小球血浆流量(QA)为50.9±3.7 nl/min,而TXT4大鼠为108.0±8.7 nl/min(P<0.001),净水力超滤压力(ΔP)为33±2 mmHg,而TXT4大鼠为37±1 mmHg(P<0.01),超滤系数(Kf)为0.025±0.003 nl·s-1·mmHg-1,而TXT4对照组为0.084±0.008 nl·s-1·mmHg-1(P<0.001)。尽管全身和肾小球血流动力学变化在3周内是渐进的,但近端肾小管重吸收在1周内最大程度下降。肾小球动力学的类似变化模式是已知的血管紧张素II(ANG II)的生理后果。(摘要截断于250字)

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Changes in glomerulotubular dimensions, single nephron glomerular filtration rates and the renin-angiotensin system in hypothyroid rats.甲状腺功能减退大鼠的肾小球肾小管尺寸、单肾单位肾小球滤过率及肾素-血管紧张素系统的变化
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2
Exogenous thyrotropin improves renal function in euthyroid patients, while serum creatinine levels are increased in hypothyroidism.外源性促甲状腺激素可改善甲状腺功能正常患者的肾功能,而甲状腺功能减退患者的血清肌酐水平会升高。
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Nonthyroidal illness and the cardiorenal syndrome.
非甲状腺疾病与心脏-肾脏综合征。
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Pleiotropic effects of thyroid hormones: learning from hypothyroidism.甲状腺激素的多效性作用:从甲状腺功能减退症中汲取经验
J Thyroid Res. 2011;2011:321030. doi: 10.4061/2011/321030. Epub 2011 Jun 27.