Kook Y J, Kim K K, Yang D K, Ahn D S, Choi B K
Department of Pharmacology, Chonnam University Medical School, Kwangju, Korea.
Arch Int Pharmacodyn Ther. 1988 Jan-Feb;291:280-95.
Histamine, when given intracerebroventricularly (i.c.v.), has been reported to produce antidiuresis in the rabbit. In this study it was attempted to elucidate the mechanism involved in the effect. Histamine (H), 100 micrograms/kg i.c.v., produced antidiuresis with decreases in renal plasma flow and glomerular filtration rate in urethane-anesthetized rabbits. With larger doses, a tendency towards increased electrolyte excretion was noted in spite of decreased filtration. In the denervated kidney, marked diuresis and natriuresis were observed following i.c.v. H, whereas the contralateral innervated kidney responded with typical antidiuresis. Reserpinized rabbits also responded with marked natriuresis to i.c.v. H. Diphenhydramine (D), 250 micrograms/kg i.c.v., increased urine flow rate, sodium and potassium excretion, along with increase in renal perfusion. With 750 micrograms/kg i.c.v., marked natriuresis was observed in spite of decreased filtration. When H was given after D (250 micrograms/kg) the antidiuresis was completely abolished, and diuresis became more prominent. Cimetidine, 250 micrograms/kg i.c.v., elicited antidiuresis with decreases in renal hemodynamics, the pretreatment with cimetidine did not influence the antidiuresis by H and no natriuresis was noted. The present study suggests that histamine, given i.c.v., influences renal function in dual ways, i.e., antidiuresis by increasing the sympathetic tone to the kidney and diuresis due to some humoral natriuretic factor, the latter becoming apparent only when the former influence has been removed, and further suggests that H1-receptors might be involved in the nerve-mediated antidiuresis, whereas H2-receptors might mediate the humorally induced natriuresis and diuresis.
据报道,当脑室内注射组胺时,家兔会出现抗利尿作用。在本研究中,试图阐明该作用所涉及的机制。给乌拉坦麻醉的家兔脑室内注射100微克/千克组胺,可产生抗利尿作用,同时肾血浆流量和肾小球滤过率降低。给予较大剂量时,尽管滤过率降低,但仍有电解质排泄增加的趋势。在去神经支配的肾脏中,脑室内注射组胺后出现明显的利尿和排钠作用,而对侧有神经支配的肾脏则出现典型的抗利尿反应。利血平化的家兔对脑室内注射组胺也有明显的排钠反应。脑室内注射250微克/千克苯海拉明,可增加尿流率、钠和钾排泄,同时肾灌注增加。脑室内注射750微克/千克时,尽管滤过率降低,但仍观察到明显的排钠作用。当在注射250微克/千克苯海拉明后再注射组胺时,抗利尿作用完全消失,利尿作用更加明显。脑室内注射250微克/千克西咪替丁可引起抗利尿作用,同时肾血流动力学降低,西咪替丁预处理不影响组胺的抗利尿作用,也未观察到排钠作用。本研究表明,脑室内注射组胺以双重方式影响肾功能,即通过增加对肾脏的交感神经张力产生抗利尿作用,以及由于某种体液性利钠因子产生利尿作用,后者仅在前者的影响被消除时才明显,进一步表明H1受体可能参与神经介导的抗利尿作用,而H2受体可能介导体液诱导的排钠和利尿作用。