Tucker B J, Mundy C A, Maciejewski A R, Printz M P, Ziegler M G, Pelayo J C, Blantz R C
J Clin Invest. 1986 Sep;78(3):680-8. doi: 10.1172/JCI112627.
We examined the changes in glomerular hemodynamics produced by angiotensin II (AII) in both normal Munich-Wistar rats and rats which were unilaterally renal denervated (measured kidney) 4-6 d prior to the measurement periods. Measurements of glomerular dynamics were performed in a control period after plasma volume expansion and during infusion of 11 ng X 100 g body wt-1 X min-1 of AII. The glomerular hydrostatic pressure gradient increased from 38 +/- 1 to 49 +/- 1 mmHg in denervated rats compared with a lesser response in controls (from 39 +/- 1 to 45 +/- 1 mmHg, P less than 0.05). Single nephron plasma flow decreased from 213 +/- 17 to 87 +/- 4 nl X min-1 X g kidney wt (KW)-1 in denervated kidneys versus a more modest decrease in control kidneys (from 161 +/- 9 to 102 +/- 5 nl X min X gKW-1). These changes were due to a greater increase in both afferent and efferent arteriolar resistance after AII infusion in denervated compared with control kidneys. Glomerular AII receptor maximum binding was 1,196 +/- 267 fmol/mg protein in denervated kidneys compared with 612 +/- 89 fmol/mg protein (P less than 0.01) in controls with no change in receptor affinity. We conclude the subacute unilateral renal denervation results in renal vasodilation, denervation magnifies the vasoconstrictive effect of AII infusion on glomerular hemodynamics, and the observed increased response to AII after denervation is associated with increases in glomerular AII receptors.
我们研究了血管紧张素II(AII)在正常慕尼黑-威斯塔大鼠以及在测量期前4 - 6天进行单侧肾去神经支配的大鼠(测量侧肾脏)中所产生的肾小球血流动力学变化。在血浆容量扩充后的对照期以及输注11 ng×100 g体重-1×分钟-1的AII期间进行肾小球动力学测量。去神经支配的大鼠肾小球静水压梯度从38±1 mmHg增加到49±1 mmHg,而对照组的反应较小(从39±1 mmHg增加到45±1 mmHg,P<0.05)。去神经支配肾脏的单肾单位血浆流量从213±17 nl×分钟-1×克肾脏重量(KW)-1降至87±4 nl×分钟-1×克KW-1,而对照肾脏的下降幅度较小(从161±9 nl×分钟×克KW-1降至102±5 nl×分钟×克KW-1)。这些变化是由于与对照肾脏相比,去神经支配的肾脏在输注AII后入球和出球小动脉阻力增加幅度更大。去神经支配肾脏的肾小球AII受体最大结合量为1196±267 fmol/毫克蛋白质,而对照组为612±89 fmol/毫克蛋白质(P<0.01),受体亲和力无变化。我们得出结论,亚急性单侧肾去神经支配导致肾血管舒张,去神经支配放大了AII输注对肾小球血流动力学的血管收缩作用,并且去神经支配后观察到的对AII反应性增加与肾小球AII受体增加有关。