Delahousse M, Mercier O, Bichara M, Paillard M, Leviel F, Assan R
Laboratoire de Physiologie et Physiopathologie Rénale et Electrolytique, Université Paris VII, Hôpital Louis Mourier, Colombes, France.
Am J Physiol. 1988 May;254(5 Pt 2):F762-9. doi: 10.1152/ajprenal.1988.254.5.F762.
The effects on urinary acidification of an acute infusion of glucagon (GLU) were studied by paired experiments in plasma-replete rats whose endogenous GLU secretion was restrained by a 0.7 ng.min-1.g body wt-1 somatostatin infusion. GLU did not affect the glomerular filtration rate in any of the plasma-replete rats studied. In 10 thyroparathyroidectomized (TPTX) rats and five intact rats subjected to hypotonic volume expansion, a low-dose (0.02 ng.min-1.g body wt-1) GLU infusion that raised the plasma GLU concentration from 302 +/- 63 to 1,010 +/- 140 pg/ml significantly increased the urinary bicarbonate excretion and decreased the urinary net acid excretion; a high-dose (0.05 ng.min-1.g body wt-1) glucagon infusion in the intact rats, that increased the plasma GLU concentration to 1,609 +/- 307 pg/ml, further enhanced the urinary bicarbonate excretion rate. In intact plasma-replete rats that were not subjected to a hypotonic volume expansion, low- and high-dose GLU infusions failed to affect the urinary bicarbonate excretion rate. Finally, no change in urinary excretion rates was noted in TPTX volume-expanded time control rats. We conclude that 1) physiological increments in plasma GLU concentration decrease urinary acidification by affecting the tubular H+/bicarbonate transport; 2) the bicarbonaturic effect of GLU may be blunted by the renal effects of high circulating antidiuretic hormone levels, or may be facilitated in an undetermined manner by hypotonic volume expansion.
通过配对实验,在血浆充足的大鼠中研究了急性输注胰高血糖素(GLU)对尿酸化的影响,这些大鼠的内源性GLU分泌通过以0.7 ng·min⁻¹·g体重⁻¹的速率输注生长抑素而受到抑制。在所研究的任何血浆充足的大鼠中,GLU均未影响肾小球滤过率。在10只甲状腺甲状旁腺切除(TPTX)大鼠和5只进行低渗性容量扩张的完整大鼠中,低剂量(0.02 ng·min⁻¹·g体重⁻¹)的GLU输注使血浆GLU浓度从302±63 pg/ml升高至1010±140 pg/ml,显著增加了尿碳酸氢盐排泄并降低了尿净酸排泄;在完整大鼠中高剂量(0.05 ng·min⁻¹·g体重⁻¹)的胰高血糖素输注使血浆GLU浓度升高至1609±307 pg/ml,进一步提高了尿碳酸氢盐排泄率。在未进行低渗性容量扩张的血浆充足的完整大鼠中,低剂量和高剂量的GLU输注均未影响尿碳酸氢盐排泄率。最后,在TPTX容量扩张时间对照大鼠中未观察到尿排泄率的变化。我们得出结论:1)血浆GLU浓度的生理性升高通过影响肾小管H⁺/碳酸氢盐转运而降低尿酸化;2)GLU的碱尿作用可能因循环中高抗利尿激素水平的肾脏效应而减弱,或者可能因低渗性容量扩张以一种未确定的方式而促进。