Golin R, Genovesi S, Stella A, Zanchetti A
Istituto di Clinica Medica Generale e Terapia Medica, Università di Milano, Ospedale Maggiore, Italy.
J Hypertens. 1987 Aug;5(4):417-24.
We have studied the role of afferent renal nerve fibres in anaesthetized cats in mediating the decrease in sodium and water excretion from the contralateral kidney caused by unilateral renal denervation. Transient denervation of one kidney obtained by cooling of the left renal nerves increases contralateral efferent renal nerve activity and decreased sodium and water excretion from the opposite kidney. The results observed in animals with intact neural pathways were compared with those obtained after the left kidney had been selectively deafferentated by cutting the dorsal roots from T9 to L4. Bilateral section of dorsal roots did not affect the increase in sodium and water excretion from the transiently denervated left kidney, but entirely abolished the decrease in sodium and water excretion from the contralateral kidney. Neither the left nor the right dorsal root section alone, affected the response of the contralateral right kidney. Our data demonstrate that afferent renal nerve fibres project bilaterally to the spinal cord and form the afferent branch of the reno-renal reflex by which one kidney can control the function of the opposite one.
我们研究了麻醉猫中传入性肾神经纤维在介导由单侧肾去神经支配引起的对侧肾脏钠和水排泄减少中的作用。通过冷却左肾神经对一侧肾脏进行短暂去神经支配,会增加对侧传出性肾神经活动,并减少对侧肾脏的钠和水排泄。将神经通路完整的动物中观察到的结果与通过切断T9至L4的背根使左肾选择性地失去传入神经后获得的结果进行比较。双侧切断背根并不影响短暂去神经支配的左肾钠和水排泄的增加,但完全消除了对侧肾脏钠和水排泄的减少。单独切断左侧或右侧背根均不影响对侧右肾的反应。我们的数据表明,传入性肾神经纤维双侧投射至脊髓,并形成肾-肾反射的传入分支,通过该反射一个肾脏可以控制对侧肾脏的功能。