Tanner G A, Knopp L C
Am J Physiol. 1986 Jan;250(1 Pt 2):F77-85. doi: 10.1152/ajprenal.1986.250.1.F77.
This study examined the effects of kidney tubule lumen obstruction on glomerular blood flow (GBF) in anesthetized rats. GBF was estimated using microspheres having 9 micron diameter and averaged 239 +/- 10 nl/min in normal nephrons of 41 control rats. Tubule blockade with either paraffin wax or castor oil produced identical results. GBF after 1-2 h of obstruction did not differ from normal. After 1 day, GBF averaged two-thirds of normal, and after 1 wk GBF averaged one-third of normal. The hemodynamic changes produced by obstruction for 1 wk were diminished by chronic administration of high doses of the converting enzyme inhibitor captopril or acute administration of the angiotensin antagonist saralasin. The results suggest that angiotensin contributes to the vasoconstriction produced by prolonged obstruction. Nephrons blocked with castor oil contained oil 1 wk later, had a GBF of 88 +/- 24 nl/min, and were atrophied. We conclude that chronic single nephron obstruction produces progressive vasoconstriction, that this response is in part angiotensin mediated, and that the end result is nephron atrophy.
本研究检测了肾小管管腔阻塞对麻醉大鼠肾小球血流(GBF)的影响。使用直径为9微米的微球估计GBF,41只对照大鼠正常肾单位的GBF平均为239±10纳升/分钟。用石蜡或蓖麻油进行肾小管阻塞产生了相同的结果。阻塞1 - 2小时后的GBF与正常情况无差异。1天后,GBF平均为正常的三分之二,1周后GBF平均为正常的三分之一。长期给予高剂量的转换酶抑制剂卡托普利或急性给予血管紧张素拮抗剂沙拉新可减轻阻塞1周所产生的血流动力学变化。结果表明,血管紧张素促成了长期阻塞所产生的血管收缩。用蓖麻油阻塞的肾单位在1周后仍含有油,GBF为88±24纳升/分钟,且发生了萎缩。我们得出结论,慢性单肾单位阻塞会产生进行性血管收缩,这种反应部分由血管紧张素介导,最终结果是肾单位萎缩。