Parving H H, Noer I, Mogensen C E, Svendsen P A
Acta Endocrinol (Copenh). 1978 Dec;89(4):796-800. doi: 10.1530/acta.0.0890796.
Kidney function was studied in 9 normal males before and during a 2 h growth hormone (GH) infusion of 50 ng/kg/min. The following variables were measured during each 20 min clearance period: glomerular filtration rate, GFR, effective renal plasma flow, RPF (steady state infusion technique with urinary collections using [125I]iothalamate and [131I]iodohippurate), and urinary albumin and beta2-microglobulin excretion rates (radioimmunoassays). The GH infusion resulted in a 10-fold increase in plasma GH concentration. All the above mentioned variables remained practically unchanged during the infusion except for a small (-5%) but significant decrease in renal plasma flow (P less than 0.01). Our negative results contrast to the findings of increased GFR and RPF during prolonged GH administration and suggest that GH requires several hours or days for its renal effects to become manifest.
在9名正常男性中,于以50 ng/kg/min的速率输注生长激素(GH)2小时之前及期间对肾功能进行了研究。在每个20分钟的清除期内测量了以下变量:肾小球滤过率(GFR)、有效肾血浆流量(RPF)(采用[125I]碘肽酸盐和[131I]碘马尿酸盐进行尿液收集的稳态输注技术)以及尿白蛋白和β2-微球蛋白排泄率(放射免疫测定法)。GH输注导致血浆GH浓度增加了10倍。除肾血浆流量有小幅(-5%)但显著的下降(P<0.01)外,输注期间上述所有变量实际上均保持不变。我们的阴性结果与长期给予GH期间GFR和RPF增加的研究结果形成对比,提示GH需要数小时或数天才能显现其对肾脏的影响。