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正常血压和高血压状态下肾-肾反射对肾感觉受体刺激的反应

Renorenal reflex responses to renal sensory receptor stimulation in normotension and hypertension.

作者信息

Kopp U C, Smith L A

机构信息

Department of Internal Medicine, University of Iowa College of Medicine, Iowa City.

出版信息

Clin Exp Hypertens A. 1987;9 Suppl 1:113-25. doi: 10.3109/10641968709160168.

Abstract

The renorenal reflex responses to renal mechano-(MR) and chemoreceptor (CR) stimulation have been examined in anesthetized dogs, cats, and rats. Renal MR were stimulated by increased ureteral pressure and renal CR by retrograde ureteropelvic perfusion with 0.9 M NaCl at unchanged ureteral pressure. In the dog, renal MR stimulation results in an increase in ipsilateral afferent renal nerve activity (ARNA) and contralateral efferent RNA (ERNA) and a contralateral renal vasoconstriction. Mean arterial pressure (MAP) is unchanged. Renal CR stimulation is without effect. In the cat, renal MR and CR stimulation increases MAP and either increases or decreases contralateral urine flow rate and urinary sodium excretion at unchanged renal perfusion pressure. In the rat, renal MR and CR stimulation increases ipsilateral ARNA, decreases contralateral ERNA and increases contralateral urine flow rate and urinary sodium excretion. The magnitude of the renorenal reflex responses is related to the magnitude of the stimulation. Furthermore the renorenal reflex responses are attenuated in spontaneously hypertensive rats (SHR). We conclude that there is a species difference in the nature of the renorenal reflex responses to renal MR and CR stimulation. The attenuated renorenal reflexes in SHR might contribute to their hypertension by promoting increased ERNA and sodium retention.

摘要

在麻醉的犬、猫和大鼠中,已经对肾-肾反射对肾机械性(MR)和化学感受器(CR)刺激的反应进行了研究。通过增加输尿管压力刺激肾MR,在输尿管压力不变的情况下,通过用0.9 M NaCl逆行输尿管肾盂灌注刺激肾CR。在犬中,肾MR刺激导致同侧肾传入神经活动(ARNA)增加和对侧传出RNA(ERNA)增加以及对侧肾血管收缩。平均动脉压(MAP)不变。肾CR刺激无效。在猫中,肾MR和CR刺激会增加MAP,并在肾灌注压力不变的情况下增加或减少对侧尿流率和尿钠排泄。在大鼠中,肾MR和CR刺激会增加同侧ARNA,减少对侧ERNA,并增加对侧尿流率和尿钠排泄。肾-肾反射反应的幅度与刺激的幅度有关。此外,在自发性高血压大鼠(SHR)中,肾-肾反射反应减弱。我们得出结论,肾-肾反射对肾MR和CR刺激的反应性质存在种属差异。SHR中减弱的肾-肾反射可能通过促进ERNA增加和钠潴留而导致其高血压。

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