Bradley T, Hjemdahl P
Acta Physiol Scand. 1986 Apr;126(4):505-10. doi: 10.1111/j.1748-1716.1986.tb07848.x.
Efferent renal nerve activity can be studied by measurements of the renal venous outflow of noradrenaline and dopamine. Accurate estimates of the intrarenal release to plasma of these catecholamines, however, require determinations of the net contribution of the catecholamines in arterial plasma to their renal venous outflow. We therefore studied the extractions of endogenous noradrenaline, dopamine and adrenaline, as well as 3H-labelled tracer amounts of noradrenaline, and dopamine in innervated and denervated canine kidneys. Approximately two-thirds of noradrenaline and dopamine in arterial plasma were extracted in the kidney, while 80-90% of adrenaline in arterial plasma was extracted. The fractional extractions of the three catecholamines were not substantially altered when the sympathetic nervous system was moderately activated by bilateral carotid occlusion or when the renal nerve activity was abolished by acute denervation. It is concluded that biochemical assessment of renal sympathetic nerve activity by studies of the renal venous noradrenaline and dopamine outflow requires some estimate of the net arterial contribution to the renal venous outflow. Ideally, catecholamine extraction by the kidney should be evaluated by studies of the renal extraction of 3H-labelled noradrenaline and dopamine, but the extraction of endogenous adrenaline may also be useful for this purpose.
肾传出神经活动可通过测量去甲肾上腺素和多巴胺的肾静脉流出量来研究。然而,要准确估计这些儿茶酚胺从肾内向血浆中的释放量,就需要测定动脉血浆中儿茶酚胺对其肾静脉流出量的净贡献。因此,我们研究了在有神经支配和去神经支配的犬肾中内源性去甲肾上腺素、多巴胺和肾上腺素以及3H标记的去甲肾上腺素和多巴胺示踪剂的摄取情况。动脉血浆中约三分之二的去甲肾上腺素和多巴胺在肾脏中被摄取,而动脉血浆中80 - 90%的肾上腺素被摄取。当通过双侧颈动脉闭塞适度激活交感神经系统或通过急性去神经支配消除肾神经活动时,这三种儿茶酚胺的分数摄取量没有显著改变。结论是,通过研究肾静脉去甲肾上腺素和多巴胺流出量来对肾交感神经活动进行生化评估,需要对动脉对肾静脉流出量的净贡献进行一些估计。理想情况下,肾脏对儿茶酚胺的摄取应通过研究3H标记的去甲肾上腺素和多巴胺的肾摄取来评估,但内源性肾上腺素的摄取也可能有助于此目的。