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内脏和肾脏对门静脉内注射胰高血糖素的血流动力学反应。

Splanchnic and renal hemodynamic responses to intraportal infusion of glucagon.

作者信息

Premen A J

机构信息

Department of Physiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799.

出版信息

Am J Physiol. 1987 Dec;253(6 Pt 2):F1105-12. doi: 10.1152/ajprenal.1987.253.6.F1105.

Abstract

We compared the 60-min splanchnic and renal hemodynamic responses to intraportal (IPV) and intravenous infusion of glucagon (5 ng.kg-1.min-1) in anesthetized dogs and quantitated the importance of glucose in mediating the renal hemodynamic responses to intraportal infusion of glucagon. Intraportal glucagon elevated superior mesenteric (SMA) and renal (RA) artery blood flows by 8 and 16%, respectively, by minute 15. By minute 30, RA flow had increased by 23%. Thereafter, SMA flow returned to control, while RA flow remained elevated by 24%. Glomerular filtration rate (GFR) followed the same pattern as RA flow over 60 min. Intravenous glucagon elicited smaller hemodynamic responses. During intraportal and intravenous glucagon infusion, plasma glucose rose by 20-25%. Renal hemodynamics were not affected by incremental changes in blood glucose of up to 6.25 mmol/l. At an incremental change in glucose of 10.06 mmol/l, RA flow and GFR were elevated by 12 and 9%, respectively. We conclude that intraportal glucagon infusion increases splanchnic and renal hemodynamics, although the splanchnic response is evanescent. Importantly, hepatic release of glucose into the circulation during intraportal glucagon infusion does not have a significant effect on renal hemodynamics. Thus, similar to intravenous infusion of the hormone, renal hemodynamic responses to intraportal glucagon are independent of and dissociated from elevations in blood glucose produced during hormone infusion.

摘要

我们比较了麻醉犬门静脉内(IPV)和静脉输注胰高血糖素(5 ng·kg-1·min-1)后60分钟内脏和肾脏的血流动力学反应,并定量分析了葡萄糖在介导门静脉输注胰高血糖素引起的肾脏血流动力学反应中的重要性。门静脉内注射胰高血糖素后,到第15分钟时,肠系膜上动脉(SMA)和肾动脉(RA)血流分别升高了8%和16%。到第30分钟时,肾动脉血流增加了23%。此后,肠系膜上动脉血流恢复至对照水平,而肾动脉血流仍升高24%。在60分钟内,肾小球滤过率(GFR)与肾动脉血流变化趋势相同。静脉注射胰高血糖素引起的血流动力学反应较小。在门静脉内和静脉输注胰高血糖素期间,血浆葡萄糖升高了20% - 25%。血糖升高至6.25 mmol/l的增量变化对肾脏血流动力学无影响。当葡萄糖增量变化为10.06 mmol/l时,肾动脉血流和肾小球滤过率分别升高了12%和9%。我们得出结论,门静脉内输注胰高血糖素可增加内脏和肾脏血流动力学,尽管内脏反应是短暂的。重要的是,门静脉内输注胰高血糖素期间肝脏释放葡萄糖入血对肾脏血流动力学无显著影响。因此,与静脉输注该激素类似,门静脉内输注胰高血糖素引起的肾脏血流动力学反应与激素输注期间血糖升高无关且相互分离。

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