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细胞外液量扩张对尿崩症大鼠血浆肾素浓度的影响。

Effects of extracellular volume expansion on plasma renin concentration in rats with diabetes insipidus.

作者信息

Fernández-Repollet E, Opava-Stitzer S, Martínez-Maldonado M

出版信息

Am J Med Sci. 1986 Apr;291(4):215-21. doi: 10.1097/00000441-198604000-00002.

Abstract

The effect of acute and chronic expansion of the extracellular fluid volume on plasma renin concentration (PRC) was studied in normal Long-Evans rats (LE rats) and in rats with hereditary hypothalamic diabetes insipidus (DI rats). Chronic deoxycorticosterone acetate (DOCA) treatment, combined with a high sodium intake, significantly reduced PRC of both DI and LE rats. PRC of DI rats, however, remained higher than that of LE rats. Acute volume expansion, either alone or with DOCA treatment, also significantly diminished PRC of both DI and LE rats. PRC of untreated and DOCA-treated DI rats again remained significantly higher than that of LE rats after acute volume expansion. These findings suggest that the elevated PRC normally observed in DI rats is not due solely to diminished volume of extracellular fluid. Instead, the absence of ADH per se may directly alter renin secretion or the sensitivity of the granular cell to other stimuli.

摘要

在正常的朗-埃文斯大鼠(LE大鼠)和遗传性下丘脑性尿崩症大鼠(DI大鼠)中,研究了细胞外液量急性和慢性扩张对血浆肾素浓度(PRC)的影响。慢性醋酸脱氧皮质酮(DOCA)治疗联合高钠摄入,显著降低了DI大鼠和LE大鼠的PRC。然而,DI大鼠的PRC仍高于LE大鼠。急性容量扩张,无论是单独进行还是与DOCA治疗联合,也显著降低了DI大鼠和LE大鼠的PRC。急性容量扩张后,未经治疗和经DOCA治疗的DI大鼠的PRC再次显著高于LE大鼠。这些发现表明,DI大鼠中通常观察到的PRC升高并非仅由于细胞外液量减少。相反,抗利尿激素本身的缺乏可能直接改变肾素分泌或颗粒细胞对其他刺激的敏感性。

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