Cohen A J, McCarthy D M, Rossetti R R
Diabetes. 1986 Mar;35(3):341-6. doi: 10.2337/diab.35.3.341.
Renal function studies and measurements of in vivo plasma renin activity (PRA), kidney renin content, and renin secretion by isolated, perfused kidneys were performed in spontaneously diabetic and nondiabetic BioBreeding/Worcester (BB/W) rats. Diabetic animals evidenced hyperglycemia, glycosuria, and plasma volume expansion. After dietary sodium deprivation, plasma volume fell to levels equivalent to those of sodium-deprived, nondiabetic rats. Dietary sodium deprivation evoked a larger proportional increase in PRA among diabetic than nondiabetic animals, although PRA before sodium restriction was equivalent in the two groups. Basal renin release (RR) was higher from isolated, perfused kidneys from diabetic rats than from nondiabetic kidneys. Diabetic kidneys, moreover, displayed increased kidney renin content (KRC). By contrast, while isoproterenol (10(-5) M) stimulated a nearly fivefold increment in RR from nondiabetic, perfused kidneys, a negligible effect was observed in diabetic kidneys. The dose-response curve of renin secretion (as a proportion of total renal content) in response to isoproterenol was shifted downward. Hence, while KRC and spontaneous RR by isolated, perfused kidneys were increased, the increment in PRA with salt depletion and the renin-secretory response to isoproterenol in vitro were impaired. We propose that specific defects in renin secretion, in particular, the response to beta-adrenergic stimulation, may be operative in diabetes.
对自发性糖尿病和非糖尿病的BioBreeding/Worcester(BB/W)大鼠进行了肾功能研究以及体内血浆肾素活性(PRA)、肾脏肾素含量和离体灌注肾脏肾素分泌的测量。糖尿病动物表现出高血糖、糖尿和血浆量增加。饮食中钠缺乏后,血浆量降至与钠缺乏的非糖尿病大鼠相当的水平。饮食中钠缺乏引起糖尿病动物的PRA比例增加幅度大于非糖尿病动物,尽管两组在钠限制前的PRA相当。糖尿病大鼠离体灌注肾脏的基础肾素释放(RR)高于非糖尿病肾脏。此外,糖尿病肾脏的肾素含量(KRC)增加。相比之下,虽然异丙肾上腺素(10^(-5) M)刺激非糖尿病灌注肾脏的RR增加近五倍,但在糖尿病肾脏中观察到的影响可忽略不计。肾素分泌的剂量反应曲线(占总肾含量的比例)对异丙肾上腺素的反应向下移动。因此,虽然离体灌注肾脏的KRC和自发性RR增加,但盐缺乏时PRA的增加以及体外对异丙肾上腺素的肾素分泌反应受损。我们提出,肾素分泌的特定缺陷,特别是对β-肾上腺素能刺激的反应,可能在糖尿病中起作用。