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肝脏在氨基酸输注所致肾血流动力学反应中的作用。

Role of the liver in renal hemodynamic response to amino acid infusion.

作者信息

Woods L L, Mizelle H L, Hall J E

出版信息

Am J Physiol. 1987 Jun;252(6 Pt 2):F981-5. doi: 10.1152/ajprenal.1987.252.6.F981.

Abstract

The purpose of this study is to determine the quantitative importance of the liver in mediating the increases in renal blood flow and glomerular filtration rate (GFR) that occur after elevation of plasma amino acids. A mixture of four amine acids (Gly, Ser, Ala, Pro at 0.075 mmol X kg-1 X min-1 total) was infused intravenously into normal anesthetized dogs and into a second group of dogs after ligating all blood vessels supplying the liver and inserting a hepatic portal-femoral venous shunt. In normal dogs, renal blood flow and GFR rose by an average of 20 +/- 3 and 15 +/- 4%, respectively, after 30 min of amino acid infusion, while renal vascular resistance fell 16% from 0.51 +/- 0.16 to 0.43 +/- 0.16 mmHg X ml-1 X min. The responses of dogs in which the hepatic circulation was ligated were not significantly different from those in normal animals; renal blood flow and GFR increased by 20 +/- 3 and 31 +/- 7%, respectively, and renal vascular resistance fell 26% from 0.80 +/- 0.13 to 0.59 +/- 0.08 mmHg X ml-1 X min after 30 min of amino acid infusion. Because ligation of the blood supply to the liver did not prevent the renal hemodynamic response to amino acid infusion, it appears that the liver does not play a major role in mediating renal vasodilation during elevation of plasma amino acids.

摘要

本研究的目的是确定肝脏在介导血浆氨基酸升高后肾血流量和肾小球滤过率(GFR)增加方面的定量重要性。将四种氨基酸的混合物(甘氨酸、丝氨酸、丙氨酸、脯氨酸,总量为0.075 mmol·kg⁻¹·min⁻¹)静脉输注到正常麻醉犬以及另一组结扎所有供应肝脏的血管并插入肝门静脉 - 股静脉分流管的犬体内。在正常犬中,氨基酸输注30分钟后,肾血流量和GFR分别平均升高20±3%和15±4%,而肾血管阻力从0.51±0.16 mmHg·ml⁻¹·min降至0.43±0.16 mmHg·ml⁻¹·min,下降了16%。肝循环结扎犬的反应与正常动物的反应无显著差异;氨基酸输注30分钟后,肾血流量和GFR分别升高20±3%和31±7%,肾血管阻力从0.80±0.13 mmHg·ml⁻¹·min降至0.59±0.08 mmHg·ml⁻¹·min,下降了26%。由于结扎肝脏的血液供应并不能阻止肾脏对氨基酸输注的血流动力学反应,因此看来在血浆氨基酸升高期间,肝脏在介导肾血管舒张方面不起主要作用。

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